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Madagascar is a global biodiversity hotspot and conservation priority. Nearly half the island’s forests have been lost in the last six decades, and half of the remaining forest is within 100 meters of an edge, making it incredibly vulnerable to further degradation (Vieilledent et al 2018). Due to this urgency, HIH initiated our programming at Manombo Special Reserve in 2019 but we still have much to learn, especially since the Covid-19 pandemic seriously curtailed our impact and capacity to travel in 2020. To date, our programs at Manombo have addressed the challenge of affordable healthcare, resilient and adaptable farming techniques, and community-designed solutions to hunger. The ultimate goal is to holistically realize these efforts toward reforestation and restoration.