Pivot Logo

Monitoring, Evaluation and Research

“PIVOT’s core mission is based on the belief in the intrinsic worth of all people. An unlikely incubator to this moral agenda is scientific inquiry.”

-Matt Bonds, Chief Executive Officer

Monitoring, Evaluation and Research

PIVOT aims to create a model evidence-based health system and to improve our understanding of how health system strengthening can break cycles of poverty and disease.  In addition to rigorous monitoring and evaluation, we issue competitive grants for operations and population-level research that support our service-focused agenda.

Monitoring  & Evaluation

PIVOT believes that strong Monitoring and Evaluation (M&E) is necessary for responsive health system strengthening.  We use high quality data—with an emphasis on improving existing Ministry of Health systems of information—for program monitoring and evaluation, while documenting intervention characteristics, mid-course changes in implementation, processes, outputs, and impact.  Rigorous Monitoring and Evaluation activities inform and complement the research agenda while generating information for dissemination on best practices in global health delivery.


The global health community is far from reaching a consensus on the most effective strategies for meeting the health needs of populations in resource poor settings. For example, how effective are standard clinical protocols? Which financing scheme is more effective: point-of-service payments and health insurance versus fully subsidized, free service? Each has enormous consequences for health care access and financial sustainability. PIVOT hopes to shed light on these, and other related issues. Operations research will rely as much as possible on routine data collection systems.


Population research focuses on measuring the disease burden in the population outside of the health facilities.  Because access to health care at baseline is negligible, the opportunity for making major advances in our understanding of the effects of HSS on the population cannot be over-stated. In some instances, PIVOT may also engage research focused on basic science questions that have long-term potential to contribute to a basic understanding of underlying causes of poverty and disease.

The map below shows the sampling frame used in the Baseline Assesment of Health and Economic Conditions in Ifanadina District (PI: Ann Miller).  Areas shaded in green denote sampled communes located within the initial PIVOT catchment area.  Areas shaded in yellow represent those communes sampled from the remainder of Ifanadina district.


Credit: INSTAT, Department of Demographie et des Statistiques Sociales


PIVOT awards grants to research projects that align with our core mission as outlined in our Research Manifesto.  Grant amounts are typically in the range of $15,000 to $50,000.  If you are interested in applying for a PIVOT research grant, please click the button at right to request more information.

Copyright Pivot 2012 - 2021 | Made by We