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Population Impact Evaluation

Population Impact Evaluation

Population Impact Evaluation

Before PIVOT began implementing clinical programs, we conducted a survey of ~1600 households to produce a baseline study about health conditions and behaviors in Ifanadiana District. This baseline transformed into a longitudinal cohort study, with data collected every two years. The evaluation of our impact through the analysis of this cohort is the foundation of all PIVOT research.

It demonstrates the evolution of health outcomes as a result of system intervention through analyzing changes in mortality, health care utilization, and program coverage. Using innovative analytic techniques, mapping, and modeling, we estimate the impact of PIVOT’s work to identify who is benefitting from programs and who is not, to inform continued engagement, and then act.  

The map on the right is from a PIVOT study on utilization rates and user fees published in Health Affairs. It shows care-seeking behaviors across the district at household level, one example of how our longitudinal cohort allows us to measure change in population health behaviors.

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