Madagascar, a country rich in natural capital and biodiversity but with high levels of poverty, food insecurity, and population growth, faces a number of development challenges, including obtaining sustained financial support from external sources and building internal capacity to address the poor environmental, health, and socio-economic conditions. Climate change poses an increasing threat to achieving development goals and is usually considered in development plans and project designs. However, there have been numerous challenges in the effective implementation of those plans, particularly in the sustained engagement of the communities to undertake adaptive actions but also due to insufficient scientific information to inform management decisions. To support the United States Agency for International Development (USAID) in the incorporation of Climate Risk Management into their Country Development Cooperation Strategy, we synthesized the best available information on current and future climate change impacts. Climate risks in Madagascar include increasing temperatures, reduced and more variable precipitation, more frequent droughts, more intense cyclones, and rising sea levels. We synthesized the observed and projected impacts of these climatic changes on water resources, agriculture, coastal and terrestrial ecosystems and ecosystem services, fisheries, and human health. Through interviews with stakeholders in Madagascar, we also discerned ongoing and potential climate adaptation and mitigation activities and information gaps (production, access, exploitation, processing, dissemination of information). The information gathered can be used by USAID, NGOs, and other organizations on how to better incorporate climate risks into development strategies and projects in Madagascar.