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Atsimo-Atsinanana (South East) is a region in Madagascar. Its capital is Farafangana. The region used to be part of the Fianarantsoa Province.
The region extends along the southern part of the east coast of Madagascar. It is bordered by Vatovavy-Fitovinany and Haute Matsiatra (North), Ihorombe (West) and Anosy (South).
The population was 1,026,674 in 2018. It is among the poorest regions in the country, with a poverty rate of 83.9% according to a 2005 government report.
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