Madagascar
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.