You Do Need power plug adapter while traveling from Italy to Madagascar.

Here is Why You Need An Adapter

The outlet and plug type used in Madagascar are C and E and in Italy are C, F and L. This is how they look like.

Italy

In Italy, outlets of type C, F and L are in use.

Type C

Type F

Type L

Madagascar

In Madagascar, outlets of type C and E are in use.

Type C

Type E