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We Are Pivot

We combine accessible and comprehensive health care services with rigorous scientific research – in partnership with communities in resource-poor areas – to save lives and break cycles of poverty and disease.


Our Impact to Date

Read our Annual Report to find out more about the impact we have generated since our founding.

Read Online | Download PDF

More About Our Impact


  • 22 Million

    People living in Madagascar.

  • $19*

    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

Our goal is to create a model health district through:


Delivering quality integrated primary care and strengthening the health system.


Collaborating with communities and local and global institutions that share our vision for human and environmental health.


Supporting rigorous scientific research in order to maximize and sustain impacts on human health.

See our Plan of Action

Matching Gift Challenge

The recent PIVOT + PIH joint fundraising event attracted 200 people and raised over $300,000 toward the $500,000 matching gift challenge in honor of Dr. Michael Rich. The matching gift challenge will remain open for a limited time period. To make a contribution and have your donation matched dollar for dollar, please click below! THANK YOU!

Donate Today!

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