For a long time, relatives cooked meals for patients on traditional open fires in the wasteland outside the hospital site.
The Hopitaly Zoara in Fotadrevo uses the public electricity network, which is supplied by two large diesel generators on the nearby town square. Yet the power supply is unstable.
Without PAUL there is little or no clean water. Developed for use in disaster areas, PAUL is a kind of water rucksack with a built-in filtering system.
The south of Madagascar suffered the worst drought since 1981 last year. Drought and sandstorms inflicted devastating damage to the fields. Livestock died of starvation and thirst. People ate cacti, locusts or indigestible plant remains. Several thousand people were threatened with starvation.