[3][4] This district is crossed by the Route nationale 10 and the Manambovo river.

[5] The district of Tsihombe includes the Cape Sainte Marie, the southernmost point of Madagascar.

At Cape Sainte Marie there is also a wildlife reserve.

This is the semi-arid region of Madagascar and the population uses to eat cactus fruit and crickets to survive.

[6][7][8] A water-pipeline of 225 km is presently under construction if the tubes will not be embezzled.