This striking semi-postal stamp from Madagascar et Dépendances features a 10-centime colonial vignette overprinted with a bold red cross and an added 5-centime surcharge for Red Cross relief. Issued during the World War I era, it supported humanitarian medical work across the French colonial territories. The detailed engraving shows agricultural workers in a rural Malagasy landscape, a classic motif of the colony’s early pictorial issues. The red surcharge and decorative frame typify French colonial Red Cross fund-raising stamps of the period, making this a desirable charity issue for both colonial and medical-thematic collectors.