Connecting the dots between

healing one patient, and healing the world

Digital Annual Report2022
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Open-handed, open-hearted, prolific in his affection, Paul’s very way of being in the world challenged us. He asked us to consider the structures that surround us, our conceptions of justice and mercy, and orthodoxies over what it means to be deserving.

Paul was intentional about recruiting the right people and partnerships to achieve what others thought was impossible, always with the goal of serving the most vulnerable. Compromise was never an option. He was so full of compassion for patients. He made friends everywhere he went— and everyone called themselves Paul’s friend.

Today, trees Paul planted at so many of PIH’s sites are flourishing, alongside the hospitals he saw so clearly—places he did not dream, but rather willed into being. And he left us everything we need to keep doing the difficult but essential work: the keys, the compass, books full of guidance, the template for a more just and equitable world. And, of course, he leaves us one another. We are each better because of him.

Ophelia Dahl

With rare exceptions, all of your most important achievements on this planet will come from working with others—or, in a word, partnership.

Dr. Paul Farmer
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CEO Dr. Sheila Davis plants a coastal redwood tree in honor of Co-founder Dr. Paul Farmer on the campus of the University of Global Health Equity in Butaro, Rwanda.
© Photo by Pacifique Mugemana / PIH

Dear friends,As I reflect on the past year, I am moved by the remarkable leadership of Partners In Health’s dedicated staff. Through some truly challenging times—from political instability to climate disasters and the ongoing COVID-19 pandemic—PIHers in 11 countries have continued to deliver compassionate health care in impoverished communities around the world—all while driving transformative change across national health care systems and advocating for a more just global health landscape.

Dr. Sheila Davis
Chief Executive Officer
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Where we work

Currently in 11 countries around the world, PIH is providing high-quality medical care while working hand-in-hand with local and national governments to strengthen health systems.

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Theory of Change

All the stages of our Theory of Change—care, training, influence, and replication—are linked and interdependent. Each stage works to strengthen the next. Direct patient care provides a training ground for new health professionals, who in turn pursue and publish clinical research. That research generates data and evidence to influence global policy and funding, which facilitate replication of successful models of care by governments enacting major health reforms.


Placing patients at the center of our work

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lifesaving c-sections
performed at Koidu Goverment Hospital in Sierra Leone
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facility-based deliveries
across PIH-supported facilities in Haiti
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received the recommended two doses of oral cholera vaccine in Malawi
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patients received treatment
for tuberculosis across PIH-supported sites


to the Maternal Health Crisis

Women in Sierra Leone face a 1 in 20 lifetime risk of dying in pregnancy or childbirth.

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We are expanding our work so women can look forward to childbirth as a moment to celebrate, not fear.

Alongside the ministry of health, PIH is building the Maternal Center of Excellence, a state-of-the-art teaching hospital at PIH-supported Koidu Government Hospital.

Today, thanks to investments from PIH, Koidu Government Hospital now boasts a top-notch team of clinical specialists, medications and essential equipment, and 24-hour electricity and running water.

The Maternal Center of Excellence will build on that work through specialized care for women and infants and training opportunities for the next generation of Sierra Leonean clinicians.

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Naomi Williams (left) delivered her daughters at Koidu Government Hospital in Sierra Leone. Clinicians saved her life after she suffered from eclampsia and postpartum hemorrhage.
© Photo by Maya Brownstein / PIH

training and education

Pairing medical education
with direct clinical care

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haitian clinicians trained
across 10 specialties through Zanmi Lasante's medical residency program
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of UGHE's Master of Science in Global Health Delivery program
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global nurse executive fellows
from seven countries implementing health system improvement projects
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haitian nursing students
who have interned at Hôpital Universitaire de Mirebalais since 2019


of Medical Education

Since 2012, Hôpital Universitaire de Mirebalais's medical education program has trained 187 Haitian clinicians across specialities.

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The 7.2-magnitude earthquake that struck 80 miles southwest of Port-au-Prince, Haiti, in August 2021 left more than 2,200 people dead, 1,800 injured, and hundreds of families displaced. Authorities reported 97 health centers were damaged or destroyed.

Zanmi Lasante (ZL), PIH’s sister organization in Haiti, was approached by the government and local organizations and asked for assistance in launching a comprehensive emergency response, based on ZL’s experience in critical care and response to the 2010 earthquake.

The vast majority of first responders and clinicians in the 2021 response were Haitian—including graduates of Hôpital Universitaire de Mirebalais (HUM). Last August’s earthquake highlighted the need to develop orthopedic residency and emergency nurse training programs. ZL leaders are now mapping out curricula for these programs, which they plan to launch at health facilities in Saint-Marc and Mirebalais.

Since 2012, HUM’s medical education program has trained 187 Haitian clinicians across specialties. Of those graduates, 98% chose to stay in Haiti, with 88% working in ZL-supported or other rural health facilities.

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Clinicians at Hôpital Universitaire de Mirebalais review patient cases after the earthquake on August 14, 2021.
© Photo by Nadia Todres for PIH

influence with evidence

Creating systemic change through
research, advocacy, and policy

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patients enrolled
at PEN-Plus care sites across four PIH-supported countries
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active volunteers
in 67 PIH Engage teams advocating for policies that advance the right health movement and global health equity
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non communicable disease visits
to PEN-Plus clinics across four PIH-supported countries
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congressional meetings
and 491 calls and emails made to Congress by PIH Engage volunteers
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of type-1 diabetes patients
on insulin at PEN-Plus clinics across four PIH-supported countries
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201 million
people reached
by PIH-supported national health policies and plans across Africa


Memorial Resolution

A new coalition in the U.S. House of Representatives recently announced one of the most ambitious global health agendas in Congress: The Paul Farmer Memorial Resolution.

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Led by Representatives Jan Schakowsky, Barbara Lee, and Raul Ruiz, the coalition is proposing what they termed a “21st-century global health strategy,” based on Paul’s lifelong work. The resolution proposes a path toward achieving universal health care, which would prevent over 100 million unnecessary deaths per decade by shifting the flow of trillions of dollars in the global economy.

As Paul pointed out time and time again, impoverished countries have been exploited by rich countries for hundreds of years. Reversing this trend is a matter of justice. This resolution enshrines Paul’s vision for global health equity and will serve as a “North Star” for global health politics for years to come.

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In April 2020, Dr. Paul Farmer helps announce the formation of the Community Tracing Collaborative, a partnership between PIH and the Commonwealth of Massachusetts created to mitigate COVID-19’s spread across the state.
© Photo by Joshua Qualls for PIH


Expanding successful models
for care delivery

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of women enrolled in the J-9 program
deliver at a health facility in Haiti
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2.1 million
women's health visits
including deliveries, family planning, and prenatal visits
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PIH-supported maternal waiting homes
where women with complicated pregnancies await labor near a medical facility


Strengthening Community-Led Health Systems

While helping the hardest-hit communities in the United States with their COVID-19 response, PIH saw an opportunity to advance long-term systemic change by addressing the stark inequities that have permeated the U.S. health system.

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In October 2021, PIH-US was formalized and now works alongside public health and community organizations in seven locations across the U.S. to create stronger, more just health systems and a more robust community health workforce.

This year, alongside our partners, PIH-US invested over $8 million directly into community based organizations, hired over 350 community health workers, and reached over 5.5 million individuals with COVID-19 vaccine outreach, education, and social support.

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PIH-US and New Bedford Health Department staff conduct a joint meeting in New Bedford, Massachusetts.
© Photo by Zack DeClerck / PIH


As our philanthropic partners, you accompany our patients each and every day. Through your compassionate support, you supply the resources needed to fuel our work, help us challenge the status quo, and advocate for global health equity and justice. In the following pages, you will learn how PIH supporters connected vision with passion to deliver lifesaving health care across the globe.

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Mayra Ramirez (left), leads a team of 30 community health workers with Compañeros En Salud, as PIH is known in Mexico.
© Photo by Paola Rodriguez / PIH


Revenues by source

  • Individuals and Family Foundations (68%)
  • Governments and Multilateral Organizations (22%)
  • Foundations and Corporations (7%)
  • Gifts in Kind and Contributed Services (3%)
Revenues$335.3 million


In fiscal year 2022, PIH received $335.3 million in revenue, a 7% increase over fiscal year 2021, which was driven by an increase in individual and family foundation gifts. Fiscal year 2022 revenue was comprised of $226.6 million from individuals and family foundations (68% of total revenue), $74.9 million from governments and multilateral organizations (22% of total revenue), and $24.2 million from foundations and corporations (7% of total revenue). In addition, PIH received $9.5 million in gifts in kind and other income (3% of total revenue).

Expenses by program

  • Haiti (24%)
  • U.S. Programs (14%)
  • Peru (10%)
  • Development and Administration (10%)
  • Multi-Site Clinical and Program Support (8%)
  • Rwanda (7%)
  • Sierra Leone (6%)
  • University of Global Health Equity (5%)
  • Liberia (4%)
  • Malawi (4%)
  • Lesotho (3%)
  • EndTB (3%)
  • Navajo Nation (COPE) (1%)
  • Mexico (1%)
Expenses$243.5 million


PIH expenses decreased from $282.6 million in fiscal year 2021 to $243.5 million in fiscal year 2022. This $39.1 million change was driven by a decrease in COVID-19 response efforts in the United States. In fiscal year 2022, 90% of funds were for direct program costs and 10% went to fundraising and administration.

Allocation of expenses

  • Program Services (90%)
  • General and Administration (6%)
  • Development (4%)
Expenses$243.5 million

Net financial position

Thanks in part to significant one-time contributions, PIH ended the fiscal year with a $91.8 million operating surplus. These resources are funding the current fiscal year’s lifesaving projects and fueling future innovation. We continue to rely on support from donors like you to fulfill our commitment to our communities and patients.

Our mission is both medical and moral.
It is based on solidarity, rather than charity alone.

By establishing long-term relationships with sister organizations around the world, Partners In Health strives to achieve two overarching goals: to bring the benefits of modern medical science to those most in need and to serve as an antidote to despair. We draw on the resources of the world's leading medical and academic institutions, and we are guided by the lived experience of the world's poorest and sickest communities. At its root, our mission is both medical and moral. It is based on solidarity, rather than charity alone. When our patients are ill and have no access to care, our team of health professionals, scholars, and activists will do whatever it takes to make them well—just as we would do if a member of our own families or we ourselves were ill.