Announcements December 30, 2019

2019: Year In Review

As we round out our sixth year of work in Madagascar, it is with a great deal of gratitude that we reflect on some of 2019’s most notable milestones. We have made great strides toward our goal of transforming Ifanadiana District into a model health system for the country, and none of it would be possible without the remarkable devotion of so many individuals. 

To our staff, board, donors, partners, peers, and, most importantly, the communities we serve – we thank you for your collaboration, support, and steadfast devotion to advancing health as a human right. We look forward to continuing this journey together with you in 2020 and beyond.

Here are some of our favorite milestones captured over the past year:


Supported 100,000 patient visits across all levels of care at no cost to any patient, bringing our all-time total number of patient visits supported to nearly half a million.


Coordinated an emergency response in Ifanadiana District to combat the worst measles outbreak in Madagascar in 50 years, immunizing nearly 70,000 children between the ages of 6 months and 9 years old in collaboration with the Ministry of Health.


Featured in a Science Magazine piece entitled “A prescription for Madagascar’s broken health system: data and a focus on details” that characterized our progress to date as “so far, so good.”


Partnered with Operation Fistula to run an awareness-raising campaign resulting in corrective surgeries for 24 women suffering from fistula.


Led by Camille Ezran, published a report in PLOS Medicine on the access and quality of care in PIVOT’s area of work, demonstrating improved outcomes compared with areas not yet receiving PIVOT support.


Completed major infrastructure projects at the district hospital, including an infectious disease ward, the district’s first ever blood bank, and improvements to accommodations for hospitalized patients and their families.


Initiated a pilot in Ranomafana commune to pay additional community health workers for full-time work with the addition of proactive case-finding and home visits, more than doubling the number of children cared for in the first month alone.


Improved gender equity among our leadership with over 50% of leadership roles now held by women, including 7 of 12 director-level and 21 of 40 manager/supervisor-level roles.


Established a district-wide call center, equipping 11 health centers with “village phones” that allow remote clinicians to call the hospital directly for referrals and advice.


Following major improvements to infrastructure, staffing, and supply chain, launched activities in Ambohimanga du Sud, which – requiring an 8-hour motorbike journey from the closest paved road – is the most remote commune we’ve yet to serve.


Increased maternal and reproductive health capacity by implementing improved training programs at the community health and primary care levels, strengthening both contraception enrollment and patient management processes, and opening two maternal waiting homes at health centers, which offer expectant mothers who must travel long distances on foot a place to safely and comfortably await delivery.


Deployed a new integrated data visualization platform, combining PIVOT and Ministry of Health data for real-time access.

Twice welcomed a high-level delegation led by the Minister of Health Pr. Julio Rakotonirina to: first, to discuss our ongoing partnership, approach, and plans for the future; second, for the inauguration event carried out at his suggestion, unveiling major infrastructure projects at three facilities.


In celebration of our 5th birthday, recognized the remarkable 62 team members who have been with PIVOT since year one, and conducted an organization-wide values training that brought all 200 staff together for an orientation and recommitment to our organizational values.



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