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PIVOT is responding to plague in Madagascar.

Madagascar experiences an average of 400 cases of plague annually, but this year’s outbreak began early and has spread to major cities. The majority of current cases are pneumonic, which is transmitted from person to person and fatal when left untreated.

Plague is easily treatable when quality health care is accessible. PIVOT is partnering with the Ministry of Health to respond to the current crisis, and we need your help.


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We deliver quality care for underserved populations, create impact-driven health systems change, and innovate science to advance health as a human right.


Our Impact to Date

More About Our Impact


  • 22 Million

    People living in Madagascar.

  • $14*

    Per capita spending on healthcare.

  • 1 in 6

    Children die before reaching age 5.**

More About Madagascar

*Compared to an average of $94 USD in Sub-Saharan Africa.
**In Ifanadiana District




Our Integrated Approach

Pivot Approach

Delivering health care for the individual.

We believe that health care is a human right, and that means we do whatever it takes to treat the sick and suffering in front of us.

Building systems for the population.

We work in partnership with government and local communities to build sustainable, effective health systems for entire populations.

Innovating science for the world.

We use science and data to inform our programs, scale our model, and innovate solutions to the pressing global challenges of poverty and disease.

See our Plan of Action

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