The 22 regions of Madagascar have replaced the former 6 provinces. Check the map
| No. | Regions | Capital | Provinces |
| 1 | Diana | Antsiranana/ Diégo Suarez | Antsiranana |
| 2 | Sava | Sambava | Antsiranana |
| 3 | Itasy | Miarinarivo | Antananarivo |
| 4 | Analamanga | Antananarivo/ Tananarive | Antananarivo |
| 5 | Vakinankaratra | Antsirabe | Antananarivo |
| 6 | Bongolava | Tsiroanomandidy | Antananarivo |
| 7 | Sofia | Antsohihy | Mahajanga |
| 8 | Boeny | Mahajanga/ Majunga | Mahajanga |
| 9 | Betsiboka | Mahevatanana | Mahajanga |
| 10 | Melaky | Maitirano | Mahajanga |
| 11 | Alaotra Mangoro | Ambatondrazaka | Toamasina |
| 12 | Atsinanana | Toamasina/ Tamatave | Toamasina |
| 13 | Analanjorofo | Fenoarivo Atsinanana/ Fenerive est | Toamasina |
| 14 | Amoron’i Mania | Ambositra | Fianarantsoa |
| 15 | Haute Matsiatra | Fianarantsoa | Fianarantsoa |
| 16 | Vatovavy Fitovinany | Manakara | Fianarantsoa |
| 17 | Atsimo Atsinanana | Farafangana | Fianarantsoa |
| 18 | Ihorombe | Ihosy | Fianarantsoa |
| 19 | Menabe | Morondava | Toliara |
| 20 | Atsimo Andrefana | Toliara/ Tuléar | Toliara |
| 21 | Androy | Ambovombe Androy | Toliara |
| 22 | Anosy | Tôlagnaro | Toliara |
