Partners in Health (PIH)

Together with our Haitian sister organization, Zanmi Lasante (ZL), Partners In Health (PIH) has worked hand in hand with the Ministry of Public Health and Population (MSPP) for over 30 years, providing high quality primary, secondary and tertiary care services to a catchment population of over 3.8 million people. The past year was incredibly challenging for Haiti, as the political and economic situation in the country spiraled into conflict zone conditions. The resulting fuel shortages made travel difficult and unsafe, and decreased the availability of internet and phone connectivity. The team has remained committed to providing services throughout this period. PIH/ZL is able to achieve this through a network of 10 health centers, 6 hospitals, and 1 national university teaching hospital and with the help of 2,400 community health workers (CHWs). In areas such as HIV, TB, malnutrition, cancer care, non-communicable diseases, neonatology, mental health and maternal health, PIH continues to introduce innovations to improve access to comprehensive, patient-centered high quality care while working to train the next generation of specialty nurses and doctors through University Hospital Mirebalais. From July-December 2021, PIH/ZL conducted 35,157 outpatient antenatal visits for pregnant women and conducted 13,324 facility-based deliveries of which 3.151 were caesarian sections for more at-risk pregnancies. Through the University Hospital Mirebalais oncology program, PIH/ZL provided care and treatment to over 229 newly enrolled oncology patients throughout Haiti, with the large majority of cases being cervical and breast cancers. Collectively the 2,400 CHWs made 258,254 home visits to patients' homes in the two provinces in which PIH/ZL work. At the beginning of 2022, 30,772 HIV patients were actively receiving care and treatment through PIH/ZL supported facilities. As of FY22, there were 1,746 active patients receiving ongoing mental health care, and an additional 2,755 patients enrolled in management of chronic illnesses such as diabetes and hypertension. By pioneering smart investments in healthcare delivery in Haiti, PIH/ZL has changed the lives of millions of people. Throughout the year, PIH/ZL provided graduate medical education to 56 residents through University Hospital Mirebalais and Saint Marc Hospital in internal medicine, obstetrics and gynecology, general surgery, pediatrics, emergency medicine, and family medicine.

Together with Socios En Salud Peru (SES), Partners In Health focuses on bringing high-quality health care to urban districts in the north of Lima that previously had some of the country's worst health outcomes. This year, in close partnership with the Ministry of Health and with the help of 262 community health workers, PIH/SES ensured that a population of 284,000 people had access to high-quality primary care. In areas such as tuberculosis, mental health, non-communicable diseases, and maternal health, SES continues to introduce innovations that are tested, refined, and proven effective for the community. By pioneering smart investments in healthcare delivery in Peru, PIH/SES has changed the health of thousands of people. This fiscal year alone, PIH/SES had 6,708 newly enrolled patients in the mental health program. In addition to focusing on healthcare, PIH/SES also works to treat the root causes of disease by providing the most vulnerable people with social assistance, nutrition, housing, and education support. In FY22, our program on social and economic rights had 3,141 beneficiaries. Since learning and disseminating knowledge is a key priority, PIH/SES organizes writing groups for various clinical areas and consequently published 9 peer-reviewed articles on innovative approaches to care.

Partners In Health (PIH)'s domestic strategy includes PIH United States (PIH-US), a site that provides technical assistance, advisory services, and resources to systemically oppressed communities in the U.S., and the Community Tracing Collaborative (CTC) project in Massachusetts, which investigated positive COVID-19 cases, reached out to contacts of confirmed cases and connected both cases and contacts to resources. The CTC program was concluded during the year, while PIH-US continued to provide technical advising, operational, and strategic support to 97 partners. This support was driven by local leadership in response to each community's needs. In 2022, alongside our partners, PIH-US hired and trained over 350 community health workers and reached over 5.5 million individuals with COVID-19 vaccine outreach, education, and social support. PIH-US partnered with health departments in Pima County, Arizona, and Newark, New Jersey, to build dashboards that enable health officials to focus their resources effectively and equitably-from vaccination outreach to primary care services. In Chicago, Illinois, PIH-US's Learning Community facilitated conversations around violence prevention and self-care and connected hundreds of community ambassadors to knowledge-sharing, skill training, and community-building events. PIH-US's team in New Bedford, Massachusetts, mobilized leaders for the Health Equity Community of Practice, a cross-sector effort to advance policy and best practices focused on racial and health equity. And staff in Alabama, Florida, and North Carolina, trained and mentored community health workers in advocacy, mental health, and social determinants of health, to name a few. PIH-US's advocacy team elevated this shared work with policymakers and legislators to push for greater investments in public and community health infrastructure.

In addition to the programs listed, PIH has programs in Rwanda, Sierra Leone, Lesotho, Malawi, Liberia, Kazakhstan, Mexico, and Navajo Nation. Major expenditures in other programs include those for endTB, research, electronic medical records, monitoring and evaluation, and mental health.