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Water, Sanitation and Hygiene (WASH)

Compounded by the world’s highest poverty rate (77.5%)1, Madagascar is plagued by the third worst water and sanitation conditions globally2. Far from reaching Sustainable Development Goal 6, 90% of people cannot access basic sanitation, and 71% of primary schools lack water, sanitation, and hygiene (WASH) facilities3. Poor sanitation causes WASH-related diseases like diarrhoea, the country’s second leading cause of mortality amongst children under age five4, which contributes to 10,400 deaths5, the loss of 3.5 million school days6 and 1% of gross domestic product annually7.

This dire state of WASH provision is exemplified in the southeast region of Anosy, where high rates of illness and mortality caused by water-related diseases can be attributed to the fact that nearly 75.0% of the population drink contaminated water, 97.0% do not have access to proper sanitation, and 87.0% do not practice basic hygiene8.

SEED has been implementing WASH projects in rural and urban areas of Anosy for over twenty years. Working with households, communities, schools, and health centres, initiatives have addressed access to safe water, provision of improved sanitation facilities, and hygiene education. In recent years, SEED adopted an adapted community-led total sanitation (CLTS) approach to promote positive WASH behaviours and eliminate open defecation in the town of Fort Dauphin through project Malio. To enable access to clean water, other projects have included Project Tatirano, which provides rainwater harvesting systems to schools and households, and Project Fatsaka, a community well-management initiative.

Since 2020, SEED has partnered with UNICEF Madagascar to improve WASH knowledge, attitudes, and practices and sustainably expand access to safe WASH facilities with over 190,000 community members in rural Anosy.

The vision of SEED’s WASH team is:

People lead healthy and dignified lives through safe water, sanitation, and hygiene for everyone in Madagascar.

Our mission is:

To improve access to and usage of safe water, sanitation, and hygiene facilities, resources, and knowledge for urban and rural communities in southeast Madagascar through infrastructure-provision, education, and capacity-building.

Current projects

Handwashing training in rural Madagascar as part of our CLTS project

Rural WASH

Partnering with UNICEF Madagascar to eliminate open defecation, improve hygiene practices, and ensure access to clean water.

Face masks distributed to help protect against Coronavirus

COVID-19 Response

Working to prevent and control the spread of Coronavirus in the Anosy region of Madagascar.

COVID-19 Response

Completed projects

Tatirano thumbnail


A rainwater harvesting project providing clean water at the home

Project Tatirano
Children carrying buckets of water in Madagascar


A 3-year sanitation project in Fort Dauphin, aiming to reduce open defecation, encourage latrine use and improve sanitation practices across town.

Project Malio
Children taking part in a community activity


A management and maintenance training programme for rural communities to help them look after their wells and retain access to clean drinking water in the long term.

Project Fatsaka


  1. World Bank (2018)
  2. UNICEF (2019)
  3. MEEH & UNICEF (2017)
  4. World Bank (2015)
  5. MEEH & UNICEF (2017)
  6. African Development Bank (2005)
  7. MEEH & UNICEF (2017)
  8. INSTAT & UNICEF (2018)