Antsirabe (Malagasy pronunciation: [anˌtsiraˈbe]) is the third largest city in Madagascar and the capital of the Vakinankaratra region, with a population of 238,478 in 2013. In Madagascar, Antsirabe is known for its relatively cool climate (as the rest of the central region of the country), its industry and the high concentration of pulled rickshaws or pousse-pousse (in French), among other things.