Zanmi Lasante (Partners in Health)
Background: Zanmi Lasante, Partners In Health’s sister organization, is PIH’s flagship project—the oldest, largest, most ambitious, and most replicated. PIH/ZL operates clinics and hospitals at 12 sites across Haiti’s Central Plateau and lower Artibonite.
Today, Zanmi Lasante is the largest nongovernment health care provider in Haiti, serving an area of 1.3 million people with a staff of 5,400 Haitians.
PIH/ZL pioneered the use of accompagnateurs (community health workers) to deliver quality health care to people living with chronic diseases such as HIV and tuberculosis. In 1998, PIH/ZL launched the world’s first program to provide free, comprehensive HIV care and treatment in an impoverished setting. PIH’s HIV Equity Initiative is now a global model for the treatment of complex diseases in community settings.
Location: Chhattisgarh State, Central India
Background: Started by a collective of physicians from some of the best medical colleges in India, Jan Swasthya Sahyog (JSS) is committed to developing a low-cost and effective health program that provides both preventive and curative services in the tribal and rural areas of Bilaspur district of Chhattisgarh state in central India.
At the Chhattisgarh state level, JSS are members of the State Health Resource centre, the State Institute of Health and Family Welfare and the implementation group for effecting health sector reforms in the state. JSS is also a part of the Jan Swasthya Abhiyan and the People’s Rural Health Watch and the Community Monitoring group for the National Rural Health Mission.
Background: Founded by survivors of Liberia’s civil war, Last Mile Health (LMH) is committed to saving lives in the world’s most remote villages. Working in remote rainforest communities cut off from even basic life-saving health services, LMH is building a health system that reaches everyone – by bringing health care directly to villagers’ doorsteps. LMH trains, equips, and supervises community members to be health practitioners for their villages and then connects them with rural health clinics to offer every person access to the care they deserve. These Frontline Health Workers are able to prevent, diagnose, and treat the top ten most life-threatening health conditions in Liberia, and therefore are transforming access to health services and health outcomes in the region.
Abwenzi Pa Za Umoyo (Partners in Health)
Location: Neno, Malawi
Background: In 2007, PIH/Malawi—Abwenzi Pa Za Umoyo (APZU)—began working in partnership with Malawi’s Ministry of Health in the rural Neno district to provide comprehensive, community-based care to an area of about 125,000 people. At the time, Neno did not have a district hospital, and its 10 health centers had fallen into disrepair.
During its first three years, PIH/APZU completed construction of Neno District Hospital and a community hospital in Lisungwi, which is located in an area severely burdened by the AIDS epidemic. The project also supports 11 community health centers throughout the district.
Key programs at these centers include treatment and prevention for complex diseases such as HIV, tuberculosis, and drug-resistant tuberculosis, as well as initiatives to treat and prevent malaria, reduce maternal mortality rates, and treat childhood malnutrition. In 2011, PIH/APZU opened a Nutritional Rehabilitation Unit to treat severely malnourished children—the first of its kind in the district.
PIH/APZU complements its clinical services with community outreach programs. The Neno Community Support Initiative, which boasts more than 2,500 members, provides ongoing health education and community building for people living with HIV/AIDS. This support and sense of community is particularly important in Malawi, where HIV continues to be highly stigmatized.
PIH/APZU also provides socioeconomic support to its most vulnerable patients, as poverty is often the root cause of disease. The Program on Social and Economic Rights organizes job skills training and employment programs (including carpentry, tailoring, knitting, farming, and running a local restaurant) to help patients and their families lift themselves out of poverty. The program helps children attend school by supporting the costs of school fees, school uniforms, and school supplies, and provides safe housing for patients in need.
Indian Health Service (IHS)
Locations: Fort Defiance Indian Hospital (Arizona), Tuba City Indian Medical Center (Arizona), Gallup Indian Medical Center (New Mexico), Northern Navajo Medical Center (New Mexico)
Background: The Indian Health Service (IHS), an agency within the Department of Health and Human Services, is responsible for providing federal health services to American Indians and Alaska Natives. The provision of health services to members of federally-recognized Tribes grew out of the special government-to-government relationship between the federal government and Indian Tribes. This relationship, established in 1787, is based on Article I, Section 8 of the Constitution, and has been given form and substance by numerous treaties, laws, Supreme Court decisions, and Executive Orders. The IHS is the principal federal health care provider and health advocate for Indian people, and its goal is to raise their health status to the highest possible level. The IHS provides a comprehensive health service delivery system for American Indians and Alaska Natives who are members of 566 federally recognized Tribes across the U.S.
Compañeros En Salud (Partners in Health)
Location: Chiapas, Mexico
Background: In partnership with local health jurisdictions, PIH/CES revitalizes underperforming rural clinics, providing high-quality health care to vulnerable people who previously had no reliable health services. The program currently operates in 10 rural clinics. The CES model engages Pasantes (social service residents) to staff public sector clinics along with government nurses and staff while providing them orientation and mentorship in Global Health Delivery. CES provides a right to health for rural populations in Mexico, with the aim of functioning health clinics and effective community health workers for medically and socially complex patients.
Location: Achham, Nepal
Background: Possible is a non-governmental organization (NGO) that delivers high-quality, low-cost healthcare to the world’s poor. The organization currently manages the healthcare system in Achham, a district in the Far Western region of Nepal via a public-private partnership with the Nepali government’s Ministry of Health and Population. Since 2008, Possible has treated over 173,000 patients in rural Nepal through a durable healthcare system of government hospitals, clinics, community health workers, and a referral network.