Abstract

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Highlights

  • Tropical cyclone Haruna made landfall in southwest Madagascar in February 2013; it was a powerful Category 2 storm with heavy rain and wind speeds of 150 km/h, making it the largest cyclone that this region had experienced in more than 35 years

  • In spite of the devastating impacts of Haruna, the authors believe that by working cooperatively to respond to this extreme weather event and in resuming their normal activities as quickly as possible, these communities were clearly exhibiting community resilience. As we believe, these communities demonstrated a degree of resilience, how did Blue Ventures (BV)’s PHE programme contribute to this? Were there gaps in the communities’ response that could be used to help inform programme development or improve responses to future extreme weather events?

  • The dramatic improvements in health noted earlier (Robson et al 2017) are likely to have contributed to community resilience

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Summary

Introduction

Tropical cyclone Haruna made landfall in southwest Madagascar in February 2013; it was a powerful Category 2 storm with heavy rain and wind speeds of 150 km/h, making it the largest cyclone that this region had experienced in more than 35 years. To address unmet health needs, local women have been trained as community health workers (CHWs) to provide health care and education to their communities, focussing on family planning, maternal and child health care and safe water initiatives This community health care provision and education (which has been supported by outreach services from Marie Stopes Madagascar and other health partners) have been fully integrated into BV’s programme of activities, with a single overarching vision for enabling communities to live and manage their marine resources sustainably. This multisector approach, often referred to as PHE because it recognises the interconnections between human populations, their health and their environment, has led to dramatic improvements in health (Robson et al 2017) and in income from fishing (Oliver et al 2015). In spite of the devastating impacts of Haruna, the authors believe that by working cooperatively to respond to this extreme weather event and in resuming their normal activities as quickly as possible, these communities were clearly exhibiting community resilience

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