Pivot
pivotworks.org | Partner since 2021
Challenge
Madagascar is one of the poorest countries in the world, with one of the weakest health systems. Two-fifths of all children under 5 suffer from growth stunting due to malnutrition – one of the highest rates in the world (2021). When Pivot began work in Ifanadiana District, an average of one in seven children there died before the age of five (2014).
Response
The Vatovavy Region in southeast Madagascar is home to nearly 1 million people. Pivot’s team is working to transform the public health system in this remote region into a sustainable model of universal health coverage with the aim of replicating it throughout the country.
Addressing the population’s most urgent health needs, Pivot focuses on childhood health, infectious and non-communicable diseases, and maternal, newborn and reproductive health.
Pivot’s teams work to ensure equitable access across the region by:
- Renovating, staffing and equipping district hospitals, primary health facilities and community health posts for the delivery of dignified, high-quality care, while also strengthening pharmacy supply chains and the availability of medicines, vaccines and biomedical services.
- Strengthening the health workforce – from cleaners to doctors, nurses, lab technicians and community health workers.
- Removing healthcare user fees for vulnerable populations, including pregnant women and children under five.
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