As the historical distance increases between the time of the Cyclone Nargis disaster on May 2^nd-3^rd 2008 and the present, humanitarian agencies in Myanmar remain dismayed with the lack of the large-scale delivery of durable shelter to vulnerable families across the Ayeyarwaddy Delta area. The damage and destruction estimate following the Nargis disaster revealed that 752,299 houses were severely affected across the Ayeyarwaddy and Yangon divisions. This number constitutes 52% of all Delta families, or 1,436,800 persons. Of these houses, an estimated 182,083 were rehabilitated with minimal support only (or 20% of total affected). Furthermore, a very uncertain assumption holds that 420, 538 households in the Yangon division had self-recovered (56% of affected), leaving a conservative gap of 149,678 households still requiring urgent shelter assistance (or 24% of the total destroyed/damaged) as of April 2010. These families have been waiting for support for 2 full years. Of these households, close to 97,000 families in five prioritized townships are considered extremely vulnerable and who require urgent assistance before the monsoon rains arrive in late May. The severe, widespread poverty in the rural areas of the Delta has meant that re-establishing a foundation for shelter self-recovery and sustainable livelihoods is beyond the means of a large proportion of the victims, and humanitarian assistance will, like after the Indian Ocean Tsunami in December 2004, continue to be required for several years. The most affected population, particularly widows, female headed households, orphaned children, the elderly, physical and mentally handicapped, remain extremely vulnerable and clearly in need of more permanent solutions to recover and to regain their lost livelihoods.