Tropical cyclones Emnati and Batsirai hit southern  Madagascar in February 2022, destroying areas in the districts of the Grand Sud Est, including Ifanadiana, Ikongo, Vondrozo, Midongy Atsimo and Befotaka. In the current period, from August to October 2022, nearly 191,000 people in these districts are classified as highly food insecure (IPC Phase 3 or above). 

Approximately 14,000 people are classified in IPC Phase 4 (Emergency) in Befotaka and Ikongo. For these two districts, the factors contributing to this food security situation include the remote and isolated nature of these areas, floods and poor harvest and high food prices as a result of the war in Ukraine. The primary harvest season was fairly poor, and after two months, households had quickly exhausted their stocks, putting them at risk of the lean season in early August.  For the first projected period, from November 2022 to January 2023, a decrease in the number of populations classified in IPC Phase 3 (Crisis) or above is expected. This trend is maintained for the second projected period, from February to March 2023, with three districts in IPC Phase 3 (Crisis).

• Support the recovery of agricultural production by providing the most affected households with inputs (nutritionally sensitive, short-cycle and long-cycle) and agricultural equipment.
• Promote the combination of cash crops and food crops in the Grand Sud-Est as well as the reinforcement of natural resources rational exploitation, for example, promoting activities like beekeeping and tourism.
• Support post-harvest activities to reduce losses and diversify alternative sources of income to cope with shocks: conservation, processing and marketing.
• Help producers so that they can maximise returns from their investments.
• Diversify and recapitalise productive assets to improve availability and access to food through "conditional cash transfers”.
• Integrate social protection activities into planned interventions to reduce inequalities;
• Assist in facilitating access to health care, which remains problematic (filariasis, etc.), even though primary health centres already exist in rural communes.