On 7 March, Tropical Cyclone Enawo made landfall in the north-eastern region of Sava, Madagascar.

Preliminary exposure analysis of the cyclone made by UNOSAT estimated that 15 million people were exposed to wind speeds of at least 60 km/h and up to 120 km/h. Tropical Cyclone Enawo appeared to be similar to Cyclone Ivan, which in 2008 affected 525,000 people and displaced 195,000 people.

An UNDAC team was mobilized on 5 March. The ten-people UNDAC team deployed to support the Government of Madagascar and the Resident Coordinator was led by Peter Muller, from the Field Coordination Support Section (FCSS) in OCHA Geneva. OCHA also deployed a Humanitarian Affairs Officer from the Regional Office in Nairobi.

Favourable weather conditions since 10 March have permitted national authorities and humanitarian partners to initiate rapid assessments, and start distributions using in-country supplies in north-eastern, eastern and south-eastern parts of the country. However, the main challenges remain food availability, access to affected populations in remote areas due to severe damage to infrastructure, and access to safe drinking water.  Floods have also affected basic health facilities and schools, leading to concerns and a need for increased epidemic disease surveillance and distribution of health kits, as well as temporary learning facilities for school-aged children.

Over 400,000 people have been affected by Tropical Cyclone Enawo, of which nearly 85,000 were initially displaced. The majority have returned to their homes, although there are still over 6,000 people currently displaced. In the 58 districts reported to be affected by the cyclone, some 40,000 houses have been damaged. To date, 81 deaths have been reported, with 253 people injured and 18 missing.

At least 34,000 people affected by the cyclone have received WASH assistance and 31,000 people have received food assistance. However, there are still 100,000 people in need of shelter assistance, and over 230,000 people at risk of food insecurity. In addition, school facilities for 45,000 children require repairs, and over 200,000 people require recovery assistance.