Antsirabe is the third largest city in Madagascar and has a population of approximately 183,000. It's the capital of the Vakinankaratra region. The altitude is about 1,500 meters, so the climate is rather cool.

Antsirabe is the home of Tiko (milk and other food products), Star Brasseries (beverages), Cotona (textiles), and Kobama (grain).

The city is at the end of the TA (Tananarive-Antsirabe) railway, currently only with freight trains. The line has been extended southwards through Vinaninkarena, but the extension is not used. National road 7 connects the city to Antananarivo (North), Fianarantsoa and Toliara (South).

There are warm springs and a thermal bath, which was especially famous in the 19th century.

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