2021-2023

EXPANDING PRIMARY CARE

2021-2023

Pivot

Pivot has been working alongside Madagascar’s Ministry of Health since 2014 to strengthen the public health system of the Ifanadiana district. This localised transformation creates a model of universal health coverage for the rest of the country and beyond. We’re supporting Pivot’s plan to achieve full primary healthcare coverage in the Ifanadiana district by 2022.

pivotworks.org

CHALLENGE

Madagascar is one of the poorest countries in the world with one of the weakest health systems. Almost one in every two children under five suffer from growth stunting due to malnutrition – the world’s fourth highest rate. On average, one in seven children dies before the age of five.

ACTION

Ifanadiana District, home to nearly 200,000 people and located in the country’s south-east, is 11 hours from the Madagascan capital, Antananarivo.

Pivot’s team works to transform the health system of this remote rural district into a sustainable model of universal health coverage with the aim of replicating it throughout the country. It does so by:

renovating, staffing, and equipping health facilities for the delivery of high-quality, dignified care;
ensuring strong supply chains and the availability of medicines, vaccines, and biomedical services; and
building the capacity among staff – from cleaners to doctors and community health workers.

To address the population’s most urgent health needs, Pivot focuses on childhood health, infectious diseases, and maternal and reproductive health.

Pivot aims to refurbish, staff and equip 22 health facilities and train 705 community health workers to achieve its goal of full primary healthcare coverage in the district by 2022.

IMPACT

810,000

PATIENT VISITS

15,360

AMBULANCE TRANSFERS TO SPECIAL CARE

364,502

EXAMINATIONS

of children under five

MATERNAL SURVIVAL RATE

at health facilities supported by Pivot (Jun-Sep 2021)

COVID-19 EMERGENCY SUPPORT

In 2020, Pivot implemented infection control and prevention measures to contain the spread of coronavirus. The organisation placed procurement orders for essential medicines, supplies, and equipment, increased regional lab capacity and worked with partners including the Community Health Impact Coalition to develop protocols and training plans.