Madagascar is not recommended for vacations with children, especially young ones. This is an island of contrasts, where the impenetrable poverty of the natives is juxtaposed with the wealth of certain classes. If you do decide to come here as a family, focus on the resorts of Nosy Bee, which are clean and safe. The island's tourism infrastructure is unevenly developed, so if you're wary of bad roads and a hot climate, it's best not to bring the little ones.
And yet a vacation in Madagascar with older kids can be quite interesting if you prepare for it in advance. The main thing is to get all the required vaccinations to be prepared for outbreaks of malaria and other diseases in these hot southern lands. The best rest with children in Madagascar will be in large, civilized cities. And it is important to choose the safest and most comfortable way of transportation between them, thinking over the routes. Buses should be air-conditioned. And it's even better to fly using local airlines, read more in the section on transport.