Antalaha airport is no longer in use as it is so often damaged by cyclones. Sambava is the nearest airport, 85km north.
Heading north, there are usually several taxis-brousses each day between Antalaha and Sambava (Ar5,000, 1½ hours) and Vohémar (Ar15,000, four to five hours). Departures are from the northern taxi-brousse stand about 2km north of town.
Heading south, two taxis-brousses daily go to Cap Est (Ar15,000, four hours) in the dry season. Taxis-brousses towards Cap Est depart from the southern taxi-brousse station on the airport road.
Cargo boats sail regularly on the rough and sometimes dangerous journey between Antalaha and Maroantsetra, sometimes also stopping near Cap Est. There are no set schedules; ask at the port about sailings.
There are also cargo boats to other areas along the east coast, including Tamatave (Toamasina), Sambava and Vohémar.