Skip to main content
article atm-icon bar bell bio cancel-o cancel ch-icon crisis-color crisis cs-icon doc-icon down-angle down-arrow-o down-triangle download email-small email external facebook googleplus hamburger image-icon info-o info instagram left-angle-o left-angle left-arrow-2 left-arrow linkedin loader menu minus-o pdf-icon pencil photography pinterest play-icon plus-o press right-angle-o right-angle right-arrow-o right-arrow right-diag-arrow rss search tags time twitter up-arrow-o videos

Suggested Content


Responding to the Madagascar Cyclone

  • April 19, 2017
  • Photo courtesy of ADRA

The Deadly Storm

With the power of a category 4 hurricane, the strongest cyclone to hit Madagascar in 13 years made landfall on the northeastern coast of the island nation on Tuesday, March 7.  Cyclone Enawo produced large amounts of rain, causing dangerous flash flooding and mudslides throughout the week.

Most of the country’s roads are dirt which limited access to the most affected regions. More than 80 people died, and more than 247,000 were displaced. With widespread agricultural damage, food availability becomes a challenge in remote areas cut off by damaged roads, with people suffering the loss of substance crops and household food supplies. The floods damaged 104 health facilities and destroyed 16

Restoring Health Care

Our emergency team made an initial delivery of supplies to a community center housing survivors and responding as needed to support other critical services.  The team supplied typhoid treatment medication and supplies to a hospital that serves an area of 250,000 people,  In addition, the team coordinated emergency repairs to two health facilities damaged and rendered inoperable in the storm:  a community health center and a TB clinic.  Repairs have been completed on both facilities.  

The community health center provides treatment to patients who walk from as far as 10 hours by foot, serving a catchment area of 9,000 people.  The TB clinic has ten beds for a disease that requires a longer term stay in a facility, treating up to 150 patients with TB per year.

Maromandia Community Health Center suffered severe roof damage, with the storm destroying most of its medical supplies and effectively shutting down the clinic.
Roof repairs to the Maromandia Community Health Center were followed by a restocking of the pharmacy and the reopening of this critical facility.
Children playing in front of the only latrine serving a shelter housing 540 people whose homes were damaged or destroyed by the cyclone.
Before and after images of the TB clinic
Cyclone survivors coming from a distribution of relief supplies.