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Health Care Delivery

“For me, an area of moral clarity is: you’re in front of someone who’s suffering and you have the tools at your disposal to alleviate that suffering or even eradicate it, and you act.”

-Paul Farmer, PIVOT Board Member

Health Care Delivery

Our Approach is to strengthen all three levels of the existing district public health system and, where needed, to introduce new programs to address critical patient needs, all in close collaboration with the Ministry. Our programs are intended to ensure no patient is turned away for lack of supplies, personnel, or funds.

WE OPERATE AT THREE LEVELS WORKING WITH THE MINISTRY OF HEALTH TO IMPROVE CARE ACCESS, QUALITY, COVERAGE, AND SAFETY:

DISTRICT HOSPITAL (serving 192,000 people): We are renovating, staffing and equipping the district’s sole public hospital to provide effective treatment for curable diseases and access to emergency care, C-sections and other urgent surgeries.

HEALTH CENTERS (each serve about 10,000 people): We are renovating, staffing and equipping health centers throughout the district, beginning with the four closest to our Ranomafana headquarters.

COMMUNITY (each service villages of 1,000 – 2,000 people): We are training and equipping a network of community health workers (CHWs) charged with caring for the most isolated communities. This is the front line of the intervention, responsible for extending the reach of the health system. It is the CHWs who will ensure that a sick child can reach the health center and access care.

WE SUPPLEMENT THE PUBLIC HEALTH SYSTEM AS NEEDED TO SERVE THE POPULATION.

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