Mother with child in Peru

2025 Annual Report

Partners In Health’s 2025 Annual Report highlights progress in global health equity—expanding care, training health care workers, and strengthening health systems worldwide.

Message from the CEO

 

"As you continue to explore the 2025 Annual Report, we hope you can see what can be done when compassion meets courage."
Sheila Davis, CEO, Partners In Health

Dear Friends,

As I reflect on the past year, I’m reminded of the strength and courage that define Partners In Health. Amid global uncertainty and unprecedented challenges, the PIH community—including supporters like you—remains stronger than ever.

This annual report highlights the extraordinary impact we’re making together as we continue to bend the arc toward justice. The stories embody the spirit of the “rebel caregiver,” showing what’s possible when we center patients and stand firm in our values. Whether treating multidrug-resistant tuberculosis, reaching remote communities, or advocating for accessible medicines, PIH’s mission to advance health equity endures. Your partnership is a beacon of hope—thank you for walking with us on this journey. 

In Solidarity,

Sheila-Signature-2022-TEXT-GRAY

Dr. Sheila Davis
Chief Executive Officer

Around the World

Partners In Health (PIH) fights injustice by providing high-quality medical care and support while working hand-in-hand with local governments to strengthen health systems. PIH is translated differently across the four continents where we work—adapting to the local context and language. On the map, you will see our sites from July 2024 to June 2025. PIH also serves in partnerships as a technical advisor in locations around the world that aren’t labeled on this map.

PIH Site

Coordination Site

University Site

Swipe left/right to view more coordination sites
A map highlighting various PIH site locations across the world.

Lottie Animation

Stories of Care

We provide care to communities who are often left behind. With strength, compassion, and a deep desire to heal the world, patients remain at the heart of all our work. You help make this transformative care possible for those who have suffered from past and present injustices.

Tuberculosis Contact Tracing

After his TB diagnosis, 73-year-old Thobei Tlake’s crowded home became high-risk. PIH Lesotho screened his eight housemates and provided preventive care.

Tuberculosis Contact Tracing

Lesotho_20240420_TBHunterNkau_JDelzo_254_600w

TB screeners Ts'eliso Tobaka and ’Maposholi Posholi visit families in Nkau, Lesotho, as part of PIH’s TB Hunter program. Photo by Janissa Delzo / PIH

After a tuberculosis (TB) diagnosis, the crowded home of 73-year-old Thobei Tlake became a high-risk environment for exposure. Ts’eliso Tobaka and ’Maposholi Posholi, PIH Lesotho TB screeners, visited Tlake’s home to screen the eight others living there for infection. 

When their tests returned negative, Posholi recommended that they take daily TB preventive medication to mitigate their risk. Through thoughtful intervention, PIH Lesotho is bringing hope to families like Tlake’s for a healthier, TB-free tomorrow.

Thoughtful Care for a High-Risk Pregnancy

After learning she was pregnant, 23-year-old Sia Fengai received high-risk care from PIH Sierra Leone. A safe C-section at Koidu Hospital brought her a healthy baby girl.

Thoughtful Care for a High-Risk Pregnancy

Due to her petite frame and height—less than 5 feet—her pregnancy was classified as highrisk, and she was referred to PIH Sierra Leone. On October 1, 2024, Fengai was admitted to the maternal waiting home at Wellbody Clinic to receive care before her delivery. 

Mother with baby in Sierra Leone

Sia Fengai stopped eating when the smell of fish—her favorite food—became unbearable. At a local health clinic in Sierra Leone, she learned she was pregnant. Chiara Herold / PIH

When she reached 39 weeks and 6 days, Fengai was transferred to PIH-supported Koidu Government Hospital (KGH) for a cesarean section. On October 29, her baby girl, also named Sia, was born. 

From the close monitoring at the maternal waiting home to KGH’s blood bank and the skilled surgeons who ensured a safe and successful C-section, your support enables PIH Sierra Leone to provide quality maternal care for patients like Fengai. With the opening of the Maternal Center of Excellence on KGH’s campus next year, even more women like her will have access to the comprehensive maternal care they deserve.

A Beacon of Hope During Crisis

Amid Haiti’s crisis, PIH’s sister organization Zanmi Lasante delivers care through mobile clinics. For 25-year-old Odilia Paul, that meant free, dignified care.

A Beacon of Hope During Crisis

Haiti_20250611_OdiliaPaulLascahobasMobileClinic_JOlibry_1947_600w

Odilia Paul receives free, dignified care at a PIH mobile clinic in Lascahobas, Haiti. Photo by Johnson Olibry / PIH

As Haiti continues to grapple with severe political instability, escalating violence, and a deepening humanitarian crisis, Zanmi Lasante (ZL), PIH’s sister organization in Haiti, continues providing care and hope for the communities we serve. 

For Odilia Paul, 25, ZL’s mobile clinics have been transformative during this time. Living in a remote mountainous community, Paul has struggled with daily tasks, such as fetching food or medicine, due to reduced mobility from the loss of a foot. When she heard ZL was hosting a mobile clinic in a nearby village, she was one of the first to arrive the next day, where she received medical care, personalized advice, and medication. 

“Thanks to you, I received quality care without spending a penny,” Paul said. “You went where few others dare to go. You treated us with dignity, and I hope these clinics continue so others like me have a chance.”

Supporting Every Child’s Potential

In Rwanda, Inshuti Mu Buzima’s Pediatric Development Clinic supports high-risk children and their families with medical care, nutrition, and compassion.

Supporting Every Child’s Potential

Rwanda_20250625_ValentinesJourneyWithPDC_AHabinshuti_0268_600w

Valentine Mukandebe holds her son Felicien outside the Pediatric Development Clinic at Kirehe District Hospital in Rwanda. Photo by Asher Habinshuti / PIH

Inshuti Mu Buzima (IMB), as PIH is known in Rwanda, helps families thrive through its Pediatric Development Clinic. The program offers structured medical, nutritional, and developmental care to high-risk children. 

The program also offers psychosocial support, health education, parenting guidance, and transport assistance for families facing financial hardship. IMB aims not only to treat the child but also to improve the well-being of the whole family.

Intensive Care for Premature Patients

At six months pregnant, Belita Lameck delivered premature twins, weighing only 2 pounds each, at PIH-supported Neno District Hospital in Malawi.

Intensive Care for Premature Patients

Malawi_20250730_PrematureBirth_JMizere_07_600w

Belita Lameck holds her baby Chimwemwe, the only surviving twin born at 26 weeks at Neno District Hospital in Malawi. Photo by Joseph Mizere / PIH

In January 2025, at six months pregnant, Belita Lameck discovered she would be having twins and was referred to PIH-supported Neno District Hospital in Malawi. The babies were born the next morning, weighing only around 2 pounds each. 

Both twins were referred to the hospital’s neonatal care unit (NCU) immediately. Unfortunately, one didn’t survive. The other, named Chimwemwe Cham’bwinja, remained in the NCU for another month, receiving around-the-clock care to help her tiny body gain strength.

“Chimwemwe was born so small and fragile, I nearly lost hope. But thanks to the care from Neno District Hospital, she’s now growing strong and healthy.”

In March, she was finally healthy enough to be discharged from the hospital in the arms of her mother. Thanks to your support, Chimwemwe is now progressing well and regularly attends the Pediatric Development Clinic for checkups.

A Home for Healing from Tuberculosis

After 4-year-old Pauline Baker recovered from MDR-TB, PIH and community partners helped her family secure a new home in Liberia.

A Home for Healing from Tuberculosis

Liberia_20241106_PulukenCommunityVisit_NChandrasekar_171_600w

Bendu V. Sannoh, PIH Liberia’s Social Protection Coordinator, visits Pauline Baker and her mother Agatha in Puluken, Liberia. Photo by Nishant Chandrasekar / PIH

Housing is one of many factors that can help patients with tuberculosis (TB) recover. After 4-year-old Pauline Baker received treatment for multidrug- resistant TB in Liberia, adequate housing was crucial to her long-term health. 

Dr. Maxo Luma, PIH Liberia executive director and the clinician who initially diagnosed Pauline, collaborated with the local health department and community to build a home for Pauline and her mother, Agatha. Through comprehensive support, our global teams are working to break the cycle of poverty and disease.

Tuberculosis Contact Tracing
Tuberculosis Contact Tracing

After his TB diagnosis, 73-year-old Thobei Tlake’s crowded home became high-risk. PIH Lesotho screened his eight housemates and provided preventive care.

Tuberculosis Contact Tracing

Lesotho_20240420_TBHunterNkau_JDelzo_254_600w

TB screeners Ts'eliso Tobaka and ’Maposholi Posholi visit families in Nkau, Lesotho, as part of PIH’s TB Hunter program. Photo by Janissa Delzo / PIH

After a tuberculosis (TB) diagnosis, the crowded home of 73-year-old Thobei Tlake became a high-risk environment for exposure. Ts’eliso Tobaka and ’Maposholi Posholi, PIH Lesotho TB screeners, visited Tlake’s home to screen the eight others living there for infection. 

When their tests returned negative, Posholi recommended that they take daily TB preventive medication to mitigate their risk. Through thoughtful intervention, PIH Lesotho is bringing hope to families like Tlake’s for a healthier, TB-free tomorrow.

Thoughtful Care for a High-Risk Pregnancy
Thoughtful Care for a High-Risk Pregnancy

After learning she was pregnant, 23-year-old Sia Fengai received high-risk care from PIH Sierra Leone. A safe C-section at Koidu Hospital brought her a healthy baby girl.

Thoughtful Care for a High-Risk Pregnancy

Due to her petite frame and height—less than 5 feet—her pregnancy was classified as highrisk, and she was referred to PIH Sierra Leone. On October 1, 2024, Fengai was admitted to the maternal waiting home at Wellbody Clinic to receive care before her delivery. 

Mother with baby in Sierra Leone

Sia Fengai stopped eating when the smell of fish—her favorite food—became unbearable. At a local health clinic in Sierra Leone, she learned she was pregnant. Chiara Herold / PIH

When she reached 39 weeks and 6 days, Fengai was transferred to PIH-supported Koidu Government Hospital (KGH) for a cesarean section. On October 29, her baby girl, also named Sia, was born. 

From the close monitoring at the maternal waiting home to KGH’s blood bank and the skilled surgeons who ensured a safe and successful C-section, your support enables PIH Sierra Leone to provide quality maternal care for patients like Fengai. With the opening of the Maternal Center of Excellence on KGH’s campus next year, even more women like her will have access to the comprehensive maternal care they deserve.

A Beacon of Hope During Crisis
A Beacon of Hope During Crisis

Amid Haiti’s crisis, PIH’s sister organization Zanmi Lasante delivers care through mobile clinics. For 25-year-old Odilia Paul, that meant free, dignified care.

A Beacon of Hope During Crisis

Haiti_20250611_OdiliaPaulLascahobasMobileClinic_JOlibry_1947_600w

Odilia Paul receives free, dignified care at a PIH mobile clinic in Lascahobas, Haiti. Photo by Johnson Olibry / PIH

As Haiti continues to grapple with severe political instability, escalating violence, and a deepening humanitarian crisis, Zanmi Lasante (ZL), PIH’s sister organization in Haiti, continues providing care and hope for the communities we serve. 

For Odilia Paul, 25, ZL’s mobile clinics have been transformative during this time. Living in a remote mountainous community, Paul has struggled with daily tasks, such as fetching food or medicine, due to reduced mobility from the loss of a foot. When she heard ZL was hosting a mobile clinic in a nearby village, she was one of the first to arrive the next day, where she received medical care, personalized advice, and medication. 

“Thanks to you, I received quality care without spending a penny,” Paul said. “You went where few others dare to go. You treated us with dignity, and I hope these clinics continue so others like me have a chance.”

Supporting Every Child’s Potential
Supporting Every Child’s Potential

In Rwanda, Inshuti Mu Buzima’s Pediatric Development Clinic supports high-risk children and their families with medical care, nutrition, and compassion.

Supporting Every Child’s Potential

Rwanda_20250625_ValentinesJourneyWithPDC_AHabinshuti_0268_600w

Valentine Mukandebe holds her son Felicien outside the Pediatric Development Clinic at Kirehe District Hospital in Rwanda. Photo by Asher Habinshuti / PIH

Inshuti Mu Buzima (IMB), as PIH is known in Rwanda, helps families thrive through its Pediatric Development Clinic. The program offers structured medical, nutritional, and developmental care to high-risk children. 

The program also offers psychosocial support, health education, parenting guidance, and transport assistance for families facing financial hardship. IMB aims not only to treat the child but also to improve the well-being of the whole family.

Intensive Care for Premature Patients
Intensive Care for Premature Patients

At six months pregnant, Belita Lameck delivered premature twins, weighing only 2 pounds each, at PIH-supported Neno District Hospital in Malawi.

Intensive Care for Premature Patients

Malawi_20250730_PrematureBirth_JMizere_07_600w

Belita Lameck holds her baby Chimwemwe, the only surviving twin born at 26 weeks at Neno District Hospital in Malawi. Photo by Joseph Mizere / PIH

In January 2025, at six months pregnant, Belita Lameck discovered she would be having twins and was referred to PIH-supported Neno District Hospital in Malawi. The babies were born the next morning, weighing only around 2 pounds each. 

Both twins were referred to the hospital’s neonatal care unit (NCU) immediately. Unfortunately, one didn’t survive. The other, named Chimwemwe Cham’bwinja, remained in the NCU for another month, receiving around-the-clock care to help her tiny body gain strength.

“Chimwemwe was born so small and fragile, I nearly lost hope. But thanks to the care from Neno District Hospital, she’s now growing strong and healthy.”

In March, she was finally healthy enough to be discharged from the hospital in the arms of her mother. Thanks to your support, Chimwemwe is now progressing well and regularly attends the Pediatric Development Clinic for checkups.

A Home for Healing from Tuberculosis
A Home for Healing from Tuberculosis

After 4-year-old Pauline Baker recovered from MDR-TB, PIH and community partners helped her family secure a new home in Liberia.

A Home for Healing from Tuberculosis

Liberia_20241106_PulukenCommunityVisit_NChandrasekar_171_600w

Bendu V. Sannoh, PIH Liberia’s Social Protection Coordinator, visits Pauline Baker and her mother Agatha in Puluken, Liberia. Photo by Nishant Chandrasekar / PIH

Housing is one of many factors that can help patients with tuberculosis (TB) recover. After 4-year-old Pauline Baker received treatment for multidrug- resistant TB in Liberia, adequate housing was crucial to her long-term health. 

Dr. Maxo Luma, PIH Liberia executive director and the clinician who initially diagnosed Pauline, collaborated with the local health department and community to build a home for Pauline and her mother, Agatha. Through comprehensive support, our global teams are working to break the cycle of poverty and disease.

Your Impact

These numbers help demonstrate what’s possible when people have access to the right care whenever they need it. We encourage you to look at the people behind each statistic, recognizing every number as someone from across the world who receives care and support thanks to your generosity.

3.4 Million

outpatient visits

795,200

home visits

42,400

TB tests performed

4,600

oncology patients in care

3,300

malnutrition patients in care

57,500

facility-based deliveries

2025 Financial Report

PIH is cultivating long-term financial health in alignment with our commitment to bold, sustained action. Guided by our strategic plan, this commitment is rooted in our values and the belief that creating a more financially healthy organization will propel our pursuit of justice for decades to come. This year, PIH has navigated a new landscape with reduced federal global health funding while balancing the need to protect our long-term financial stability to ensure uninterrupted care for patients.

View The Full Financial Report

Voices of PIH

All of the triumphs, healing, and incredible work listed in this annual report are a fraction of the transformative care you make possible every day by supporting PIH’s work. Hear directly from members of the PIH community about what inspires them to give, partner, and stand with us to advance health care as a human right. 

Rick Conti

“I first learned about Paul Farmer and PIH back in 2000, after reading a New York Times profile by Tracy Kidder and traveling to Haiti that same year.”

Rick Conti

Rick-Conti

“I’ve been a steadfast supporter of PIH for more than two decades. I first learned about Paul Farmer and PIH back in 2000, after reading a New York Times profile by Tracy Kidder and traveling to Haiti that same year. I was already interested in supporting Haiti, but what struck me most about PIH was their approach—especially their long-term commitment and true partnership with communities and local health systems. PIH was different, and that’s why I’ve supported them ever since.

In 2025, I found a new way to give back—by dedicating my long-standing annual bike ride to raise awareness and support for PIH. That ride turned into a family affair, with three generations riding together and we’re already planning for next year. As a father and grandfather, I hope to pass on a legacy of compassion and perseverance. Don’t give up—it’s easy to be cynical, but it’s important to keep going.” 

Dr. Lawrence Shulman

“At the Butaro Cancer Center in Rwanda, we’ve since treated over 18,000 patients and as Paul would say, have given a preferential option to the poor.”

Dr. Lawrence (Larry) Shulman

Dr-Lawrence-Shulman

PIH Board of Trustees

“I am a medical oncologist and in the early 1990s, I served as an attending physician at Brigham and Women’s Hospital in Boston, where both Paul Farmer and Jim Yong Kim trained under me. Paul and I were then both mentored by Howard Hiatt, who, among other things, kindled our friendship and showed us our shared public health ethos. 

In 2008, Paul and Jim asked me to help establish cancer programs in Rwanda and Haiti—countries with virtually no cancer care at the time. We opened centers in both, and our partnership deepened. 

Like so many others, Paul touched my inner soul in such unique and powerful ways. At the Butaro Cancer Center in Rwanda, we’ve since treated over 18,000 patients and as Paul would say, have given a preferential option to the poor. For Paul, myself, and so many others, nothing surpassed sitting on the wards at Butaro, caring for patients, and giving them hope for life.”

Laura Joukovski

“We are so proud that our community’s everyday choices are supporting Partners In Health.”

Laura Joukovski

Laura-Joukovski

CEO of Don't Forget to be Awesome

“At Good Store, we’ve seen that even the smallest things—socks on your feet, soap by the sink, a story shared between friends—can add up to something far greater. We are so proud that our community’s everyday choices are supporting Partners In Health as they open the Maternal Center of Excellence in Sierra Leone.”

Darren Back

“The Pfizer Foundation partnered with PIH because of their unwavering commitment to ensuring everyone receives the care they deserve.”

Darren Back

Darren-Back

Vice President, Pfizer Global Health Investments, and Executive Director, The Pfizer Foundation

“The Pfizer Foundation partnered with PIH because of their unwavering commitment to ensuring everyone receives the care they deserve. Their approach—working alongside communities for the long haul—is both powerful and rare. Seeing their work firsthand at PIH Rwanda, especially in strengthening cancer care and public health systems and keeping a patient-centric approach, showed me what’s possible when change is rooted in solidarity and trust. What makes PIH stand out isn’t just their commitment to making care more accessible, but their dedication to making excellent care available to every patient.  

I’m especially inspired by PIH’s focus on working with communities, not just for them. They remind me that meaningful change happens when we lead with humility and persistence.  

What drives me is showing that difficult problems can be solved—if we set bold goals and work together.”

The Pfizer Foundation is a charitable organization established by Pfizer Inc. It is a separate legal entity from Pfizer Inc. with distinct legal restrictions. 

Learn more about PIH's Partnerships

Leaving a Lasting Legacy

“I firmly believe health is a human right, which is why I have included PIH in my trust.”

Leaving a Lasting Legacy

Leaving-Lasting-Legacy-PIH

Dr. Kangar O. Diggs sees a patient during mobile clinic outreach, organized by PIH Liberia, aimed at caring for and treating the sick in underserved areas. Ansumana O.Sesay / PIH

Julia* and Adam* have been longtime supporters of PIH. After working on several medical missions through her college, Julia says, “Having local leaders help guide best practices and conduct home visits is the most impactful and humane way to deliver health care. Instead of coming to a remote location and attending to several hundred patients for a short period and then having no follow-up, I think it’s more impactful and ethical for organizations like PIH to partner with the local community.”  

When Julia read about Dr. Farmer in Mountains Beyond Mountains, she became more hopeful: “He was doing the impossible.” She then enrolled at Harvard to pursue a Master of Public Health in global health. 

Julia and Adam recently joined Tom’s Circle, she said, “I’m in my 40’s now with two young daughters. I want them to grow up to be conscious world citizens. As part of my legacy, I want to ensure PIH can sustain its important programs. I firmly believe health is a human right, which is why I have included PIH in my trust.”  

* Name changed by participant’s request

Learn more about Tom’s Circle and how to join PIH’s Legacy Society

TBFighters

“PIH continues to achieve what many say is impossible, not just by believing everyone deserves the highest level of care.”

TBFighters

TB Fighters

John Green, bestselling author and PIH trustee, speaks to a crowd of TBFighters during a training for the April 2025 Tuberculosis Hill Day. Jessey Dearing / PIH

A Collective Committed to Fighting the Structural Causes of TB

“We were first inspired by John Green, but then our passion for ending tuberculosis grew as we learned more about how devastating—and yet entirely preventable and curable—this disease is. And this led us to PIH. 

PIH continues to achieve what many say is impossible, not just by believing everyone deserves the highest level of care, but by making it happen—and welcoming us to be part of that work. We have seen firsthand the real impact our voices can have through TBFighters and we thank PIH’s expert guidance, mentorship, and unwavering commitment to justice.  

PIH’s accompaniment and partnership model is truly inspiring—and something we wish were more common across all health care and aid systems. This kind of true, committed partnership makes all the difference, and it's what sets PIH apart.” 

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