In the present report, the Independent Expert on the enjoyment of human rights by persons with albinism presents her findings on her official visit to Madagascar, which she conducted from 20 to 30 September 2022. The Independent Expert covers positive initiatives taken by the authorities concerning persons with albinism, while addressing various challenges, including attacks, ongoing fear and insecurity, and the need for data and statistics. She also highlights the importance of having robust awareness campaigns to combat myths and dangerous beliefs and implementing initiatives in the promotion and realization of the rights to health, education and employment. The Independent Expert makes a series of recommendations to address these issues.