Inadequate medical supplies, water and environmental contamination, frequent power failures, and outdated training led to a health care crisis that added to the overall devastation. According to a 1997 UNICEF delegation, hospitals were clean but wards were devoid of even the most rudimentary supplies and equipment; sphygmomanometers, thermometers, scales, kidney dishes, spatulas, IV giving sets, etc. The mission saw numerous patients being treated with homemade beer bottle IV sets, clearly not sterile.