Healthcare and Clean Water

PROJECT IDEA: To improve the health condition of Nosy Iranja inhabitants through a small Healthcare facility and an improved drinking water supply.



PROJECT LOCATION: Nosy Iranja, Antsiranana Province, Madagascar

SECTOR OF THE INTERVENTION: Healthcare, Water Supply

START DATE: August 2014

Nosy Iranja is a small, isolated island of around 400 inhabitants. Although it is a tourist excursion destination, Nosy Iranja residents lack basic services such as access to clean water, electricity, or healthcare. One must travel 65 km by boat to reach the nearest healthcare facility. This trip costs 30€, an average month’s salary, which is prohibitive for local community members. The island’s isolation, coupled with lack of services, creates a dangerous situation in which minor health problems often develop into major disease before medical intervention is sought. Water-borne diseases are the main concern as they are prevalent during the dry season, when the island suffers from poor quality and shortage of water.

The main goal of the project is to improve the health condition on the island of Nosy Iranja through interventions both to prevent and to treat diseases.

Prevention focuses on eliminating water-borne diseases by:

  • Increasing water availability
  • Improving water quality

Treatment focuses on:

  • Providing essential medicines
  • Building a permanent structure to house medical staff able to stock and properly dispense medicines

The beneficiaries are the inhabitants of the island, around 400 people, 150 of which are children under 14 years of age. The project will provide Nosy Iranja inhabitants with access to drinkable water and free essential medicines.


  • to assess the health situation of the residents on a weekly basis, carried out by a visiting nurse from Nosy Be
  • to strengthen our partnership with the Ministry of Public Health of the District of Ambanja
  • to manage the project with the President of the island
  • to monitor the health of children while at school, carried out by their teacher, Madamo
  • to create a system for dispensing and recording use of medicines, with the nurse as the responsible party:
    • to create a statistical baseline to monitor disease trends
    • to assess use of each medicine  
    • to keep an inventory and constant supply of vital medicines, carried out by the president of the village and the visiting nurse

Our analysis is based on a KAP (Knowledge, Attitudes and Practices) survey done in partnership with the School of Civil Engineering of the University of Leeds (MSc Water, Sanitation and Health Engineering). It consists of a GIS map which allows us to monitor and evaluate health and needs identified by the citizens of the island, in order to prioritise future interventions on Nosy Iranja. The instruments used are the GPS Leica Zeno 20, combined with KoBoToolbox for Humanitarian Response (see WASH KAP Assessment).


  • Ministry of Public Health
  • Fokontany Jodikael, President of Nosy Iranja
  • Nazera, owner of speed boats which transfer medicines whenever needed free of charge to the community


Help us expand our impact