Madagascar ranks as the world’s fourth-largest island. Political and economic instability have held the country in their precarious grip ever since the 2009 coup d’état. But hopefully the country will be able to drag itself from the quagmire now that it has a democratically elected president again since January 2014. A growing deterioration of the environment is provoking erosion and draught, causing 80% of the population to suffer food insecurity. The access to basic drinking water services (51%) and basic sanitation (10%), the quality of drinking water and its concomitant provision of services, are among the lowest in the world. In 2006, Protos started operating in the Andromba valley and the city of Toamasina to improve the water supply systems, including also the city’s sanitation network.