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In partnership with communities in resource-poor areas, PIVOT combines accessible and comprehensive health care services with rigorous scientific research to save lives and break cycles of poverty and disease.


Our Approach

PIVOT’s mission, based on a fundamental belief in the worth of all people and a moral responsibility to address the needs of the destitute, is to create a model system of universal access to quality health care for Madagascar via comprehensive health system strengthening in a region near Ranomafana National Park.

We tailor our efforts and evaluate progress according to objectives built upon our core principles:

  1. Provide timely, accessible, quality care for as many people as possible given the resources at our disposal.
  1. Work in partnership with the Ministry of Health, local communities, and other organizations.
  1. Rigorously and continuously evaluate impacts of our programs. Support research on root causes of poverty and disease to increase knowledge for evidence-based health system interventions.

This is the path to sustainability and expansion.



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