The PIVOT team recently made its first visit to Ambohimiera. The journey to the health center from PIVOT office takes 3 hours by car, then 2 on motorcycle, and then 2 by foot, with a broken bridge the biggest impediment to access there. Members of the PIVOT team and a representative from the Ministry of Health (MoH) visited the health center to present our newest joint MoH/PIVOT hire to the local authorities, and to see the status of the center’s infrastructure. PIVOT and the MoH have now jointly hired both the nurse and midwife who run the center, and this CSB is next in our plan for full expansion and renovation. You can see photos from the outing on our facebook page.