Health Centre at Ambohitrakongona

UPDATE: April 2019

Addition of a well, water tower, water tank and solar powered pump system.
bet356游戏Unfortunately, it is common in many rural areas for patients, their relatives and even expectant mothers to bring their own potable water for use during their care and treatment. Although this seems strange and unsatisfactory to people in the developed world this is considered normal and perfectly acceptable in Madagascar and other African countries.

In an effort to alleviate this need, at this site, we have arranged for the addition of a water system at the Ambohitrakongona Clinic.

The system includes a well, water tower and a solar powered pump. It is our hope that this addition will improve both quality of life and treatment for the community.


UPDATE: November 2016

Official opening of the new Ambohitrakongona Clinic
This November, the Ambohitrakongona Clinic was officially opened. A joint venture between Aust & Hachmann Canada (LTD) and The Madagascar Development Fund. We would like to extend a special thanks to Brian Donaldson of MDF for his careful attention to this project.


Then entire region headed to the unveiling ceremony.

Then entire region headed to the unveiling ceremony.

A&H Canada is very proud to have been able to help and participate.

A&H Canada is very proud to have been able to help and participate.

Cutting the ribbon. Featuring Joey Moscovitch and Brian Donaldson.

Cutting the ribbon.
Featuring Joey Moscovitch and Brian Donaldson.


Location: The town of Sambava is the centre of Madagascar’s vanilla growing area.  It is located in SAVA Region in the the far north east of Madagascar.  Although accessible by road from the capital,  Antananarivo,  a significant proportion of the journey to Sambava is on earth track and can take several days – particularly during the rainy season.  Visitors to SAVA  usually travel by air – a 90 minute flight




Sambava has considerable potential as a tourist destination – the main attractions being the beach/sea and the dramatic scenery and nearby mountains. But like most other towns of its size,  Sambava is seriously lacking in basic infrastructure.  There are no public toilets,  and less than half the estimated population of 12,000 have sanitation in or near their homes.  The rest use the beach – which has also become the dumping ground for all kinds of rubbish and waste.

Most primary schools,  even within a short distance of the town,  are constructed of little more than bamboo and leaves.  When it rains the classrooms are flooded,  and the children have to be sent home. More solidly built schools,  of bricks with corrugated iron roofs,  often have no latrine. The children use the surrounding countryside – with consequent health risks and causing  significant environmental pollution.

Large rural communities have little or no access to basic health care.

Only 5 Kms from the outskirts of Sambava,  at the other side a 50 metre wide river,  lies the Commune of Ambohitrakongona,  a collection of villages and hamlets with an estimated combined population of around 13,000.  This is a farming community – producing rice, vanilla and manioc.  Access is difficult,  and although the area has wells supplying the population with water there is no electricity.

The nearest medical centre is on the Sambava side of the river.  But when the water level is raised after heavy rain it is difficult and dangerous to cross.  There are boats for hire,  but few can afford the fare.  As a result women frequently give birth on the banks of the river,  and up to 20 people die each year because they were unable to seek timely medical assistance.




bet356游戏To construct a 7 room health centre including:

  • Maternity Ward
  • Delivery Room
  • Midwife Office
  • Consultation Room
  • Pharmacy
  • Treatment Room / General Ward



Main Outputs:

  • Reducing the mortality rate due to illness – including malaria, diarrhoea, respiratory and skin infections
  • Reduce the number of births that occur during the journey to seek medical assistance
  • Avoid the long journeys and river crossings undertaken by those seeking medical help
  • Improve the level of support for the most vulnerable community members
  • Support village organisations – so they can develop their business activities

Additional Information

The young Mayor of  Sambava is dynamic and hard-working.  He attaches great importance to improving local infrastructure.   To his regret he too has no funds at his disposal to improve access to medical help for the people of Ambohitrakongona and adjacent communities. But the project has his full support


Project execution date: Q2 2016
Project completion date: Q3 2016