Having strong state institutions up to the base is an asset for a country. For the case of Madagascar, nutrition councils at all levels are indispensable, for example, the Regional Council for Nutrition, the Communal Council for Nutrition, moreover, decrees already exist. Effective implementation should be the rule. Partnership development at all levels is a key issue. Moreover, the current problem arises at the level of organization and requires a charismatic leader to remedy the situation but until now the first responsible of the country is either a naïve visionary or a devoted antisocial so this personality will not be able to ensure the effective decentralization .