30 Jan FY22 Impact Summary
Dear Pivot Community,
It is my honor to share with you Pivot’s FY22 Impact Summary summarizing key programmatic highlights from the past year.
The current fiscal year 2023 will round out a decade of operations for Pivot – 10 years of program implementation, scientific analysis, and saving lives. As an organization, we embarked on a comprehensive review of our programs in order to develop the 2023-2028 Strategic Plan to guide our goals for the future. I have had the honor of being with Pivot since the beginning, as part of the team that arrived in Ranomafana in January 2014 to build a healthcare organization from the ground up. We started with a clear objective: to establish a model health system based on the integration of science and service delivery at a district level.
Much has happened since, including one thing we set out to achieve: tangible change in the healthcare system in Ifanadiana District. We are proud to have unprecedented evidence of our impact to share with you – from reducing infant mortality to increasing coverage of essential services including vaccination and deliveries. In 2023, we also crossed the major milestone of financially supporting more than 1,000,000 unique patient experiences across all levels of care since Pivot started.
This past year has been about growth, in terms of broadening our programs as well as in terms of organizational maturity. Our systems have evolved, our values have deepened, and our partnerships have flourished.
In 2022, we expanded our maternal health program after piloting an integrated collaboration with traditional birth attendants to ensure safer deliveries. We launched a noncommunicable disease (NCD) program and had a seat at the table to review the national policy, ultimately integrating routine NCD management at the health center level. And, for the first time, Pivot became part of an international initiative, strengthening access to oxygen for patients and providers via the BRING O2 project.
This past year has also been about resilience.
At the start of 2022, Madagascar experienced the most severe cyclone season in recent history, with the southeastern part of Madagascar repeatedly hit by cyclones and severe tropical storms. The vulnerability of the health system was palpable as thousands of people were displaced, health facilities destroyed, and the population faced with limited options to overcome health challenges in the aftermath. Our response efforts underscored the importance of having a strong and dynamic primary care system that can meet the needs of the most vulnerable.
Today we look towards expanding our reach with an unwavering commitment to saving lives. In July 2022, our board of directors unanimously voted in favor of regional expansion – a momentous strategic shift for Pivot. We hit the ground running, using lessons learned from our first 10 years of work to collaborate with the government to co-design an expansion strategy that will quintuple the number of people we serve from 200,000 to 1 million.
Now… we are ready for action.
I want to thank each and every one of you who has been on this journey with us. We are endlessly thankful for your trust, compassion, generosity, and dedication to our cause to save lives, transform health systems, and catalyze global change.
With immense appreciation,
Laura Cordier, Executive Director