Three years of drought have destroyed food and seed stock in the region. The UN warns a third of a million people are at severe risk.
Three years of drought in southern Madagascar have created a severe food shortage and blighted the region.
The United Nations says 330,000 people are on the brink of famine, with almost a million going hungry.
"We don't have anything to eat but leaves and red cactus fruit. There is nothing else to eat," a local resident recently told TRT World.
The government has declared a state of emergency as it does not have sufficient funds to deal with the crisis.
TRT World's Fidelis Mbah has this report from Madagascar's capital, Antananarivo.