Research

Nutrition Determinants Assessment (NDA): Renivohitra district, Antananarivo, Madagascar

This report presents the results of the NDA conducted in the 1st and 4th sector of the Renivohitra district in Antananarivo, Madagascar.

Publication date

3rd August 2026

Author(s)

Action Against Hunger

Funded by

Agence Française de Développement

Key findings: The qualitative data collected during this study made it possible to identify and categorize 20 determinants likely to influence the prevalence of undernutrition (acute malnutrition and stunting) in the study area. Following community feedback sessions, five (5) determinants were identified as having a major impact, four (4) determinants were classified as having an important impact, and eleven (11) determinants were considered to have a minor impact.

Among the determinants identified by the community as major, two were related to the health sector: limited access to health services and short birth spacing: early, repeated, or unintended pregnancies. Two determinants were identified in the food security and livelihoods sector: limited access to income sources and low resilience capacities. One determinant was identified in the gender sector:  heavy women’s workload.

For more detailed findings, download the full report below.