Madagascar is an island in the Indian Ocean off the eastern coast of southern Africa, east of Mozambique. It is the fourth largest island in the world. The highest point is Maromokotro, in the Tsaratanana Massif region in the north of the island, at . The capital Antananarivo is in the Hauts Plateaux near the centre of the island. Madagascar has a total area of with of land and of water. Madagascar is 250 miles east of mainland Africa.