The odd assortment of buildings with scraggly grass growing in the dusty red dirt between them did not resemble any of the images the word 'hospital' brought to mind. No arrows pointed potential patients to check-in. No directions were posted to help visitors find their loved ones. It was a far cry from the thoughtfully laid out hospitals (complete with plenty of signage) I had been to in North America. But this wasn't North America. This was Ambovombe, the capital of the Androy region in Madagascar.