In September 2025, we expanded our Medical Support Programme to Antrema Village on Nosy Komba after an assessment revealed major gaps in access to healthcare compared with the neighbouring village of Anjiabe, where the government health facility is located. More than 90% of Antrema residents reported having no local health post, and 96% expressed dissatisfaction with the distance and difficulty of reaching care, highlighting the need for accessible primary healthcare and prevention services within the village. In response, TTF deployed a dedicated nurse to Antrema to provide primary healthcare and referral support. Between September and December 2025, the nurse conducted 224 consultations over 112 working hours, including four emergency evacuations, generating an estimated $2,380 in community savings on consultation fees, medicines and transport. Family planning was integrated into routine service delivery, with 40 consultations recorded during the reporting period, including 28 new users, pointing to strong demand for accessible and confidential reproductive health services. To support continuity of care, TTF also supplied essential medicines each month, including STI treatments, consumables and contraceptives.