Pivot Logo



If we can do it here, we can do it anywhere.

MADAGASCAR is one of the poorest countries in the world with one of the weakest health systems:

  • 24.9 million total population
  • 72% population living in extreme poverty
  • 54% families have no toilet or latrine
  • 50% children living with chronic malnutrition
  • 13% population without access to clean drinking water
  • $14 USD per capita spending on health care
    (compared with $94 in the rest of Sub-Saharan Africa)

IFANADIANA DISTRICT is located in the rural southeast of Madagascar with a population of 200,000:

          Before PIVOT began:

  • 1 in 7 children died before age 5
  • 1 in 14 women died during her reproductive lifespan
  • <60% of infants were fully vaccinated against preventable diseases
  • Patients had to find and pay for all medicines and supplies before treatment
  • Health facilities lacked medicines, supplies, trained staff, and basic infrastructure

By combining rights-based care delivery with strengthened public systems and a new era of science guided by the needs of the poor, we aim to help the country of Madagascar become a leader in health system transformation.


MissionModel Health System | Partners

Copyright Pivot 2012 - 2021 | Made by We