DIGITAL ANNUAL REPORT
2020


Together,
we are stronger

11
countries
18,000+
employees
260+
facilities supported
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Dr. Paul Farmer co-founded Partners In Health in 1987.
Photo by John Ra / PIH

The most important response? Expert mercy. To be effective, outbreak responses must be merciful and humane.

Dr. Paul Farmer
Co-Founder and Chief Strategist
Partners In Health

Where We Work

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  • Canada
    Support & Administration
    6
    staff supported
  • Navajo Nation
    124
    staff supported
    22
    facilities supported
    697,752
    population supported
  • United States
    Global Support and U.S. COVID Response
    1,381
    staff supported
    8
    U.S. Public Health Accompaniment Unit partners
  • Mexico
    154
    staff supported
    13
    facilities supported
    47,500
    population supported
  • Peru
    426
    staff supported
    21
    facilities supported
    284,000
    population supported
  • Haiti
    6,268
    staff supported
    16
    facilities supported
    3,100,602
    population supported
  • Sierra Leone
    526
    staff supported
    6
    facilities supported
    506,100
    population supported
  • Liberia
    373
    staff supported
    31
    facilities supported
    613,823
    population supported
  • Rwanda
    6,197
    staff supported
    47
    facilities supported
    945,309
    population supported
  • Malawi
    1,553
    staff supported
    14
    facilities supported
    139,919
    population supported
  • Lesotho
    1,691
    staff supported
    79
    facilities supported
    892,598
    population supported
  • Russia
    1
    staff supported
    1
    facility supported
  • Kazakhstan
    20
    staff supported
    11
    facilities supported

Note: United States PHAU partners include states, cities, municipalities, and community organizations.

Population supported: Number of people with access to direct care at PIH-supported facilities.

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Dr. Sheila Davis, CEO of Partners In Health
Photo by Zack DeClerck / PIH

It’s embedded in our mission to go where we’re needed most, find solutions when there seem to be none, and accompany our communities as long as necessary. Your commitment to health equity worldwide is a fundamental part of that accompaniment.

Dr. Sheila Davis
CEO, Partners In Health

CHAPTER ONE


RESPONDING TO COVID-19

Around the world this year, PIH teams have mobilized in response to COVID-19, supporting screening, testing, care, safe quarantine, and social support to fight the pandemic and help communities stay healthy and safe.

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748,960+

screenings conducted by PIH staff globally for people with COVID-19 symptoms from March through July 2020

12,000+

community health workers trained through July 2020 in COVID-19 protocols to safely monitor patients and ensure access to care

Stories

Busy Borders

From Haiti to Rwanda to Navajo Nation, PIH teams have helped national and local governments manage busy, high-traffic borders to control the spread of COVID-19 and support safe quarantines.

1,200+

migrants tested for COVID-19 at the Haiti-Dominican Republic border from April through July 2020

1,500

N-95 masks, 5,000 gloves, and 7 pallets of personal protective equipment (PPE) delivered to Indian Health Service as of May, thanks to COPE, PIH’s sister organization on Navajo Nation

Stories

A New Partnership

In April, PIH brought its decades of experience in global epidemic response to Boston, partnering with the government to launch the Massachusetts Community Tracing Collaborative.

Massachusetts Community Tracing Collaborative through June:

350,000

outbound calls made

75%

of all cases reached, and 79% of all their contacts

10,000

social support referrals made to care resource coordinators

Stories

US PHAU – Immokalee

As PIH made national news for its Massachusetts partnership to fight COVID-19, other state and local governments reached out for help – and the U.S. Public Health Accompaniment Unit was born. Similar to PIH’s work around the world, the U.S. accompaniment unit is designed to help the most marginalized communities, such as migrant workers in Immokalee, Florida.

CHAPTER TWO


BUILDING EQUITABLE HEALTH SYSTEMS

From a new emergency care facility in Liberia to a new pediatric development clinic in Rwanda, PIH teams put shovels in the ground and programs in place this year, making lasting changes to public health systems.

Stories

International Accreditation

University Hospital in Mirebalais earned landmark accreditation as a teaching institution.The hospital was built with PIH’s support as a response to the devastating earthquake in 2010. It has since transformed health care for more than 1 million people across Haiti’s Central Plateau.

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Loune Viaud Executive Director, Haiti

123

residents graduated since the start of the hospital’s medical education program.

98%

of graduates have remained to work in Haiti, including 60% at facilities supported by Zanmi Lasante, PIH’s sister organization in Haiti.

Stories

Milestones in Childhood Development

At Kirehe District Hospital in Rwanda, PIH supported the construction of a new pediatric development clinic, where staff care for babies born with complications and provide education and support for new parents. The program also turns to local mothers for expertise, hiring them to help train new mothers in breastfeeding techniques, evaluation of health risks, and other parenting skills.

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Mathiew Nemerimana, MSN Program Manager, PDC Program

Stories

Expanded TB Care

Russia and Kazakhstan have long struggled with some of the highest burdens in the world for tuberculosis, including its more severe, drug-resistant variants. This year, PIH has revived its work in Russia through the Zero TB Initiative, an alliance working to rapidly drive down TB, one community at a time. In Kazakhstan, our clinicians continue to provide care and treatment for patients enrolled in a groundbreaking clinical trial for the endTB partnership, a multi-year, international effort to fight the world’s deadliest infectious disease.

CHAPTER THREE


DELIVERING SOCIAL SUPPORT

Health care is a human right – that belief is fundamental to PIH and our work around the world. Making that vision a reality means providing patients the care and support they need to recover and remain healthy.

Stories

Water is K'é Campaign

In Navajo Nation, lack of access to clean, potable water is a constant threat to public health, as many families are forced to turn to sugary drinks or other unhealthy choices that are cheaper than bottled water. This year, Community Outreach and Patient Empowerment, PIH’s sister organization in Navajo Nation, launched Water is K'é – a campaign to promote access, awareness, and education about clean water.

35

convenience stores and trading posts have participated in the Healthy Navajo Stores Initiative to provide healthy food options.

2,500+

people from more than 500 families enrolled in the Fruit and Vegetables Prescription Program since the program started.

Stories

Supporting Survivors

In Neno District, Malawi, district health records from 2019 showed zero cases of sexual or gender-based violence. But no one working in health care in the rural, mountainous district believed that to be true. And when PIH staff began talking about how to strengthen services for survivors, nearly every health worker could think of a story. That’s why this year, PIH launched No Woman or Girl Left Behind – a program to improve quality of care for survivors and to strengthen Malawi’s health system.

CHAPTER FOUR


CREATING SYSTEMIC CHANGE

As we reflect on the challenges and triumphs of the past year, we look toward the future – grounded by our vision of a world where no one lacks access to quality health care and committed to finding innovative solutions to age-old problems.

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Advocacy and Engagement

Advocacy is vital to PIH’s efforts to improve public health systems. We’ve urged governments to support COVID-19 testing, contact tracing, and safe isolation measures that are rooted in equity and account for the pandemic’s disproportionate impact on communities of color due to centuries of systemic racism. PIH Engage, our network of volunteer community organizers, held more than 100 constituent meetings with congressional offices, directly influencing a relief bill raised in the U.S. House of Representatives. We advocate for an intersectional approach with our partners, connecting the growing right to health movement to racial justice, anti-detention work, and more.

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Joia Mukherjee Chief Medical Officer

119

meetings, 700 calls, and 500 letters or emails to Congress were made by PIH Engage team members.

56

PIH Engage teams with 600+ members participated in global advocacy campaigns to dedicate U.S. funding to fight curable and preventable diseases, such as malaria and TB, and advance Universal Health Care.

Stories

Family Overcomes Battle With TB

When Matankiso and Moholi Moleko learned in 2018 that three members of their family—two of their daughters and one granddaughter—had been diagnosed with a severe form of tuberculosis, they were devastated. They had already lost three of their 10 children to TB. But now, thanks to the support of PIH Lesotho, all three family members are healthy and in recovery, having received treatment at PIH-supported Botšabelo Hospital as part of endTB, a PIH-led, global partnership designed to increase access to new TB drugs and develop less toxic, more effective treatment regimens. Matankiso said these days, when the entire family gathers, the biggest problem they have is a happy one: “When they are all home for holidays, there is nowhere to sit, because it is so crowded.”

Financials

Revenues by source

  • Individuals and Family Foundations (61%)
  • Governments and Multilateral Organizations (21%)
  • Foundations and Corporations (14%)
  • Gifts in Kind and Contributed Services (3%)
  • Other Income (1%)
Revenues$217 million

Revenue

In fiscal year 2020, PIH received $217.2 million in revenue, a 36% increase over fiscal year 2019, which was primarily driven by COVID-19 response efforts. Fiscal year 2020 revenue was comprised of $132.3 million from individuals and family foundations (61% of total revenue), $45.1 million from governments and multilateral organizations (21% of total revenue), and $29.5 million from foundations and corporations (14% of total revenue). In addition, PIH received $7.5 million in gifts in kind and contributed services, and $2.9 million in other income (4% of total revenue).

Expenses by program

  • Haiti (26%)
  • Rwanda (12%)
  • Development and Administration (10%)
  • U.S. Strategy (9%)
  • Multi-Site Clinical and Program Support (9%)
  • Peru (6%)
  • University of Global Health Equity (5%)
  • Sierra Leone (5%)
  • Liberia (5%)
  • EndTB (4%)
  • Lesotho (4%)
  • Malawi (4%)
  • Mexico (1%)
Expenses$175 million

Expenses

PIH expenses increased from $151.1 million in fiscal year 2019 to $174.6 million in fiscal year 2020. In fiscal year 2020, 90% of funds were for direct program costs and 10% went to fundraising and administration.

Surplus (deficit)

PIH ended fiscal year 2020 with a $42.6 million operating surplus.

Allocation of expenses

  • Program Services (90%)
  • General and Administration (6%)
  • Development (4%)
Expenses$175 million

Governance

Partners In Health is a 501(c)(3) nonprofit corporation and a Massachusetts public charity. The programmatic work of PIH is guided by our Leadership Council, overseen by the Board of Directors and supported by the Officers and leaders in our cross-site management team.

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