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

Here is Why You Need An Adapter

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

Madagascar

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

Type C

Type E

San Marino

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

Type C

Type F

Type L