Antsirabe is the third largest city in Madagascar and the capital of the Vakinankaratra region, with a population of 265,018 in 2014. In Mada…Antsirabe is the third largest city in Madagascar and the capital of the Vakinankaratra region, with a population of 265,018 in 2014. In Madagascar, Antsirabe is known for its relatively cool climate, its industry and the high concentration of pulled rickshaws or pousse-pousse. It attracts around 30,000 tourists a year.