Data sourced:
2024.
Page updated:
2025-10-30
In Madagascar, as of 2024, the adult current smoking prevalence among males was 15.9%, while females exhibited a lower prevalence of 1.1%. The adult current smoking prevalence was estimated to be 15.9%. This marks a slight increase from 2020, when the overall current prevalence was 15.8%, and among males and females, the prevalence was 30.8% and 1.1%, respectively. The total number of current adult smokers in 2024 was approximately 3 million, showing an increase from 2,523,140 in 2020. The adult daily smoking prevalence in 2017 was 27.7% among males and 1.5% among females.
In terms of health outcomes, tobacco smoking led to 5,485 deaths in 2021, corresponding to 2.65% of all deaths in the country. Smoking-related deaths accounted for 3.77% of all male deaths and 1.34% of all female deaths in the same year, representing 4,210 and 1,274 deaths, respectively. These figures highlight the ongoing public health challenge in Madagascar, emphasizing the need for effective public health measures to mitigate the health burdens associated with smoking.
Prevalence
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| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 3.2 million | 1A |
| 2024 | 3.0 million | 1B |
References:
- (1) WHO global report on trends in prevalence of tobacco use 2000-2025, third edition. (2019). World Health Organization. https://www.who.int/publications/i/item/who-global-report-on-trends-in-prevalence-of-tobacco-use-2000-2025-third-edition. (2) Department of Economic and Social Affairs (Ed.). (2019). World Population Prospects 2019 (Online Edition Rev. 1.; Population Division). United Nations. https://population.un.org/wpp/Download/Standard/Population/
- WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
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| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 20.6% | 1A |
| 2020 | 15.8% | 1B |
| 2022 | 16.1% | 1C A |
| 2024 | 15.9% | 1D |
References:
- WHO global report on trends in prevalence of tobacco use 2000-2025, third edition. (2019). World Health Organization. https://www.who.int/publications/i/item/who-global-report-on-trends-in-prevalence-of-tobacco-use-2000-2025-third-edition.
- WHO. (2021). WHO global report on trends in prevalence of tobacco use 2000-2025, fourth edition (4th ed). World Health Organization. https://apps.who.int/iris/handle/10665/348537
- WHO. (2024). WHO global report on trends in prevalence of tobacco use 2000–2030. World Health Organization. https://www.who.int/publications/i/item/9789240088283
- WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
Comments:
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
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| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 1.7% | 1A |
| 2020 | 1.1% | 1B |
| 2022 | 1.2% | 1C A |
| 2024 | 1.1% | 1D |
References:
- WHO global report on trends in prevalence of tobacco use 2000-2025, third edition. (2019). World Health Organization. https://www.who.int/publications/i/item/who-global-report-on-trends-in-prevalence-of-tobacco-use-2000-2025-third-edition.
- WHO. (2021). WHO global report on trends in prevalence of tobacco use 2000-2025, fourth edition (4th ed). World Health Organization. https://apps.who.int/iris/handle/10665/348537
- WHO. (2024). WHO global report on trends in prevalence of tobacco use 2000–2030. World Health Organization. https://www.who.int/publications/i/item/9789240088283
- WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
Comments:
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
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| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 39.5% | 1A |
| 2020 | 30.8% | 1B |
| 2022 | 31.2% | 1C A |
| 2024 | 30.8% | 1D |
References:
- WHO global report on trends in prevalence of tobacco use 2000-2025, third edition. (2019). World Health Organization. https://www.who.int/publications/i/item/who-global-report-on-trends-in-prevalence-of-tobacco-use-2000-2025-third-edition.
- WHO. (2021). WHO global report on trends in prevalence of tobacco use 2000-2025, fourth edition (4th ed). World Health Organization. https://apps.who.int/iris/handle/10665/348537
- WHO. (2024). WHO global report on trends in prevalence of tobacco use 2000–2030. World Health Organization. https://www.who.int/publications/i/item/9789240088283
- WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
Comments:
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
1.5%
2
A
27.7%
2
A
References:
- WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
- WHO report on the global tobacco epidemic, 2017, Country profiles http://www.who.int/tobacco/surveillance/policy/country_profile/en/
Comments:
- Age range differs from WHO age-standardised estimates. Source:Current cigarette smoking. Demographic and Health Survey, 2008-09; National, ages 15-49
Smoking-related mortality
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| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 8,787 | 1A |
| 2021 | 5,485 | 1B A |
References:
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
- Number of tobacco-related deaths in the population in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
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| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 1,837 | 1A |
| 2021 | 1,274 | 1B A |
References:
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
- Number of tobacco-related deaths in the population in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
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| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 6,950 | 1A |
| 2021 | 4,210 | 1B A |
References:
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
- Number of tobacco-related deaths in the population in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
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| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 5.7% | 1A |
| 2021 | 2.65% | 1B B |
References:
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
- Percentage of tobacco-related deaths to deaths from all causes in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
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| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 1.9% | 1A |
| 2021 | 1.34% | 1B B |
References:
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
- Percentage of tobacco-related deaths to deaths from all causes in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
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| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 6.7% | 1A |
| 2021 | 3.77% | 1B B |
References:
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
- Percentage of tobacco-related deaths to deaths from all causes in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
References:
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
- Number of tobacco-related deaths in the population in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
- Percentage of tobacco-related deaths to deaths from all causes in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
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