$50.3M in expenses

Zanmi Lasante (ZL), PIH's sister organization in Haiti, serves a direct catchment area of 1.2 million people in primary care alone and nearly 3.9 million with secondary and tertiary care. Nearly 6,500 staff, including more than 2,300 community health workers, provide health and social support services through 17 hospitals and health centers in the Central Plateau and lower Artibonite regions, including Hopital Universitaire de Mirebalais (HUM), despite escalating national instability and violence that challenged operations. HUM is the largest public teaching hospital in Haiti and offers an unparalleled scope of medical services and training opportunities in rural Haiti. The 205,000-square-foot, 350-bed health facility operates in conjunction with the Haitian Ministry of Public Health and Population (MSPP) filling a significant gap, both locally and nationally, for people who previously had very limited access to quality health care. HUM offers advanced care across clinic specialty and subspecialty areas including a full-service emergency department, critical care units, psychiatry, oncology, urology, dermatology, nephrology, general and orthopedic surgery, medical evacuation capacity, on-site oxygen production, and more. HUM brings innovation and services previously unavailable to Haiti's public system: digital imaging, an open-source electronic medical records system, telemedicine capacity, and high-tech classrooms for training the next generation of Haitian medical professionals. This year, ZL focused on expanding and improving its solar power system at HUM to foster energy self-sufficiency and creating a reliable source of electricity despite the ongoing insecurity, reducing the reliance on diesel and helping ensure continuity of care as power outages significantly impact clinician ability to care for their patients. The Mirebalais Reference Laboratory for Diagnostics and Research on the campus of HUM is further setting a new standard for laboratory excellence in Haiti. This 12,000 square foot reference lab is the premier reference center for HUM, as well as for an extensive network of other ZL-supported public health centers and hospitals across the country. HUM received international accreditation as a teaching institution in 2019 and is home to six residency programs. Through residency and training programs in HUM and in Saint Marc, ZL is providing high quality training to increase the pipeline of trained clinicians working in Haiti, including emergency medicine (the first residency of its kind in Haiti), family medicine, internal medicine, pediatrics, surgery, obstetrics/gynecology, and nurse anesthesiology. Since 2012, ZL's medical education program has trained 194 Haitian clinicians across 10 different specialties. 80% of graduates stay to work in Haiti and more than half (52%) of graduates are women. Together, these highly trained professionals are bolstering Haiti's health system, one new graduate at a time.

$30.4M in expenses

PIH began working in Sierra Leone in 2014 at the invitation of the Ministry of Health and Sanitation (MoHS) to respond to West Africa's historic Ebola outbreak. While leading efforts to care and treat Ebola patients and contain the spread, PIH made a long-term commitment to support the government in revitalizing the country's health sector and improving access to care for millions of Sierra Leoneans. Since that time, PIH has led targeted programming to radically improve health outcomes at PIH-supported Koidu Government Hospital, Wellbody Clinic, and eight additional facilities throughout the country, with a particular focus on maternal health. Today, in partnership with the Government of Sierra Leone, PIH supports 11 health facilities and works across eight districts in an effort to build systems that protect every Sierra Leonean's right to health, especially those most vulnerable to sickness and injustice. With a team of over 900 staff members, 94% of which are Sierra Leonean nationals, PIH's model utilizes a public-private partnership with Ministry of Health, leveraging Kono District as a model for the provision of integrated, patient-centered care across all levels of health care delivery. Ultimately, PIH aims to ensure holistic health systems strengthening through continuous, comprehensive investments, and quality improvement initiatives that respond to emerging needs informed by research and community voices. Despite the early successes of PIH's efforts, Sierra Leone remains one of the most dangerous places on earth for women to give birth. This emergency requires a bold plan to implement long-term, systemic solutions to address the preventable death facing women, children, and their families in Sierra Leone. The Maternal Center of Excellence (MCOE) is PIH's response to both the devastating circumstances and promising advancements we've seen in women's health in Kono District, across Sierra Leone, and around the world. In partnership with the Government of Sierra Leone, PIH is constructing, equipping, and staffing the estimated 166-bed national center of excellence in an effort to improve and expand access to a comprehensive, advanced package of care for women and children-more than doubling the maternity inpatient beds available in the local community. Establishment of the MCOE as a hub of innovation through the development of clinical training, mentorship, and research programs will allow for replication of the MCOE model in nationally and globally, through government accompaniment, advocacy, and the transfer of knowledge and innovation.

$20.4M in expenses

The University of Global Health Equity (UGHE) is a first-of-its-kind global health sciences university pioneering a new approach to education. Based in Rwanda, PIH launched this international university in 2015 with the mission to radically change the way health care is delivered around the work by training global health professional to deliver more equitable, quality health services for all. The graduates, emerge ready to tackle the world's most pressing health challenges. UGHE's flagship degree programs revolve around community health and social medicine. Students master social determinants of health, accompanying underserved patients, and delivering care in low-resourced communities. UGHE has graduated public health experts via the Master of Science in Global Health Delivery degree, and trains aspiring physicians through the Bachelor of Medicine, Bachelor of Surgery program. The diverse student body is majority women and includes students from more than 30 countries building the health care workforce capacity in dozens of countries in Africa and beyond. This past year, UGHE was ranked 4th in the Times Higher Education rankings for Sub-Saharan Africa in 2024, up from 8th the previous year and received the highest score in the region for student engagement. This achievement highlights the continued dedication to excellence, equity, and innovation in global health education. In April, PBS News Hour traveled to Rwanda to highlight how UGHE is connecting people in remote communities to lifesaving care and educating the next generation of African healthcare providers who are committed to staying in and serving their communities. UGHE's campus in Rwanda's rural Burera District features strategic design elements to encourage interdisciplinary collaboration. The hands-on educational environment includes an innovative clinical simulation center, fully equipped laboratory spaces, and teleconferencing facilities for remote instruction by leading clinicians. Planned expansions to the UGHE campus will add teaching and learning space, library and laboratory capacity, enhance the simulation center, broaden research capabilities, and extend student services. The campus is also intentionally located near PIH-supported Butaro Teaching Hospital, the first district-level teaching hospital in all of Rwanda, where UGHE medical students perform their clinical rotations.

$107.0M in expenses

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