PIVOT combines accessible and comprehensive health care services with rigorous scientific research to save lives and break cycles of poverty and disease.
As one of the ten poorest countries in the world with among the most under-resourced health systems, Madagascar suffers from an unjust burden of disease. Founded in early 2014, PIVOT is a mission partner of Partners in Health and works in direct collaboration with the Madagascar Ministry of Health to enhance health care delivery at the community, health center and hospital levels. In addition to providing direct healthcare services, PIVOT engages in poverty alleviation initiatives, conducts monitoring and evaluation of health systems strengthening (HSS) activities, and supports research. The HSS efforts led by PIVOT aim to directly relieve unnecessary suffering and death among the population near Ranomafana National Park and to serve as a model for national scale up.
PIVOT’s program delivery is entirely in the Ifanadiana district of Madagascar, eleven hours from the capital by car, where the project has grown to nearly two-hundred staff members across five health centers and one district hospital, functioning out of a French and Malagasy speaking office. The Madagascar staff reports to the international Senior Management Team who report to the Country Director. The Country Director reports to the Co-CEOs who travel to site multiple times a year to support operations. PIVOT does not have plans to expand outside of Ifanadiana District in the mid-term as the overall goal is to build a model health district as partner to the government that can be replicated throughout Madagascar and beyond. This year’s annual operating budget is $4 million.