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PIVOT integrates data with health care programs to measure the impact on the population we serve, produce knowledge for improving and scaling the model, and advance scientific innovation for Madagascar and beyond.


PIVOT is transforming health outcomes for the population of Ifanadiana District. The likelihood that a mother will deliver at a health facility and that a sick child is treated increased by 25-30% per year. This increased health access has contributed to a 18% annual decrease in neonatal mortality and a 10% annual decrease in under-five and maternal mortality.

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