Pivot
Madagascar has a health district system on paper, but it’s not designed for current realities and isn’t really working for anyone.
The Idea
District Level Healthcare In-a-Box
Total Investment
1500000
Grants
0
Equity/SAFE
0
Debt/Convertible Debt
Funded Since
2018
Geography
Sector
Structure
The Mission
High-quality healthcare for all.
How It Works
Community health workers, clinics, and a district hospital are conceived as a unit. Protocols and training are established for every position. Care is optimized at each level, and referrals happen smoothly. A unified supply chain assures that providers have what they need. Well-conceived data and supervisory systems keep things on track throughout the district.
The Dream
The Pivot model is adopted and replicated throughout Madagascar, run by district government health systems.
Why We're In
We desperately need models for effective public healthcare in settings like Madagascar. Using rigorous methods, Pivot demonstrated a 30% drop in child mortality in their original district—and that was before their rollout of professional community health workers. They recognized that their initial model was too expensive, though, and they did a thorough redesign in advance of their expansion into two new districts. Whether Madagascar can scale this up is an open question, but no other model has a better shot.
Community Health Impact Coalition (CHIC)
Professionalized Community Health Workers (proCHW)
Example Organization
Keep it super literal. Try to keep it ~5 words. Less is better.
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Are you a serious funder and want to learn more?
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