Madagascar has faced a string of calamities - cyclones, tropical storms, unprecedented flooding, and chronic drought in the south - which have been unusually severe even for this natural disaster prone island.
Krystyna Bednarska, the UN World Food Programme (WFP) representative sais: "Madagascar has been hit by 7 cyclone systems and heavy rains, which caused flooding at nearly a national scale. This was peaked by Cyclone Indlala which hit us on March 15th with heavy winds and rains damaging roads, bridges and triggered landslides limiting access to many communities,"
The combined effects of the disasters left nearly half a million people in need of humanitarian assistance by the end of March. Indlala, which struck the north-east and north-west, reaching wind speeds of up to 220 km per hour, created extensive damage and left 88 people reported dead.
"I lost everything and I don't know what to do. Our houses were destroyed and we lost all our possessions. We managed to save our cooking pots, everything else was taken by the river," Maronama, a 53 year old widow caring for five children and six grandchildren in Ambolodibe East village, in the north east of the country, told IRIN.
Unusually early and heavy rains throughout most parts of the island at the beginning of 2007 flooded areas around the capital, Antananarivo, the northwest, the northeast, and the southeast, destroying an already poor road network and tens of thousands of hectares of rice, the staple food for Malagasy.
With access to affected areas severely limiting the delivery of humanitarian aid WFP launched a four-week helicopter transport operation in the north-western Antsohihy and Ambanja districts. The last delivery was made last week.
Relief items, including 100 metric tonnes of food, and various non-food items such as water filters, buckets, soap, tents and school kits - as well as food items such as high-energy biscuits - provided by the UN's Children Fund (UNICEF), were airlifted to 20,000 isolated people.
"After the cyclone was gone I went round to all the villages and made a list of all the people affected. There are still communities out there that need help but they are very isolated," said Paul-Bert Andralahy, deputy Mayor of Ambolodibe East.
The remote community, with a population of around 1150, received little warning Andralahy said: "Most people did not know a cyclone was coming. A nearby village has a radio and they heard about the cyclone, they came to warn us but nobody believed them."
"Now life has become very difficult because we can't find enough food. The village lives mainly from cattle and the river flood took many of our animals... and the landslides and floods destroyed the rice fields."
Bruno Maes, UNICEF Representative in Madagascar, said children were particularly at risk during emergencies.
The trauma children have faced is also of concern, and it was important for them to be able to their "normal" lives as soon as possible, added Maes.
But for 14-year old Marie Floiere Julianna, school classes are still conducted in the rubble that used to be her classroom. "I can barely recognise my village. Everything is gone, the whole school is gone," she said.
Almost 150,000 children have been unable to attend classes since the cyclone hit the region. According to Madagascar's Ministry of Education, 136 schools have been completely destroyed and 591 others have been partially destroyed since December 2006.
"Rebuilding schools will be a slow and difficult process, but communities have made great strides to bring education to the children, with churches and community halls being used as classrooms, local carpenters crafting school benches and tables, and masons transporting construction materials on their backs, often taking days to reach their destinations," a UNICEF statement said.
Madagascar is one of the world's poorest countries, ranking 143 out of 177 countries on the United Nations Development Programme Human Development Index in 2006. Seasonal food insecurity is commonplace and with the lean season, between December and April, coinciding with the cyclone season, seasonal food insecurity is often aggravated by the effects of natural disasters.
"The scale of the impacts meant that resources of all actors were quite stretched but a rapid response from our donors enabled WFP to respond to the needs of affected communities," Bednarska commented.
But as of 11 May, only 50 percent the UN Madagascar Cyclones and Floods Flash Appeal to help the government of Madagascar address the relief needs had been covered. The Appeal, that includes projects with total budgets amounting to US 19.5 million, warned that "in-country resources have been exhausted," due to the number and severity of crises the government and humanitarian actors had faced over the past months.