Edible insects are a healthy, sustainable, and environmentally friendly protein alternative. Thanks to their quantitative and qualitative protein composition, they can contribute to food security, especially in Africa, where insects have been consumed for centuries. Most insects are still harvested in the wild and used for household consumption. So far, however, little attention has been paid to insects' real contribution to food security in low-income countries. Entomophagy, the human consumption of insects, is widespread in many rural areas of Madagascar, a country, at the same time, severely affected by chronic malnutrition. This case study was carried out in a region where entomophagy based on wild harvesting is a common practice and malnutrition is pervasive. The data were obtained in 2020 from a survey among 216 households in the rural commune of Sandrandahy in the central highlands of Madagascar. Descriptive statistics, correlation, and regression analysis were used to show the relative importance of insects for the local diet and to test various hypotheses related to food security. Results show that insects contribute significantly to animal protein consumption, especially in the humid season, when other protein sources are scarce. They are a cheap protein source, as much esteemed as meat by the rural population. There are no significant differences in the quantities of insects consumed by poorer versus richer households, nor between rural and urban households. Insect consumption amounts are strongly related to the time spent on wild harvesting. The importance of edible insects for poor, food-insecure rural areas and how entomophagy can be promoted for better food and nutrition security are discussed.
