The 7.7-magnitude quake that struck central Myanmar has killed more than 1,600 people and destroyed thousands of homes.
Here are some of the challenges facing relief efforts in Myanmar:
The United Nations and aid agencies have warned that millions were already facing a dire humanitarian crisis before the quake, and are now in urgent need of yet more aid.
“We have estimated that 19.9 million people are in need of humanitarian assistance, and this is just before the earthquake,“ said UN humanitarian coordinator in Myanmar Marcoluigi Corsi.
Before the quake, the World Food Programme (WFP) said more than 15 million out of a population of 51 million were unable to meet their daily food needs.
The quake also struck Myanmar at a time when US President Donald Trump has slashed jobs and funding to Washington's foreign aid agency.
Countries around the world have begun sending rescue teams and aid shipments.
The junta, led by General Min Aung Hlaing, has lost control of large parts of Myanmar throughout the conflict, though it remains in charge of major cities including Mandalay -- the closest to the quake epicentre and worst hit.
This loss of personnel has further weakened an already antiquated civil administration, making the management and distribution of relief efforts harder.
This marked a major shift from previous military rulers who shunned all international assistance.
Splintered control
The complex mosaic of control on the ground, often involving competing groups with different agendas, may further frustrate efforts to move relief resources to where they are needed around the country.
Ethnic armed groups, border militias and the military have all been vying for control of local resources, spurring fears there will be a similar tussle for aid.
Myanmar's infrastructure and medical system have been ravaged by the civil war.
The UN has said hospitals in Mandalay, Magway and the capital Naypyidaw “are struggling to cope with the influx of people injured”.
Internet communications in Mandalay were patchy and land and air routes severely disrupted after the quake buckled roads.
With many houses collapsed, the UN and other NGOs say solutions are needed for the many left homeless.
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