PARTNERS IN HEALTH A NONPROFIT CORPORATION
800 Boylston Street Suite 300, Boston, MA 02199 www.pih.org

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Organizations Filed Purposes: Partners In Health's mission is to provide a preferential option for the poor in health care. Through its work in Haiti, Africa, Peru, Mexico, Kazakhstan, and Navajo Nation, PIH strives to bring the benefits of modern medical science to those most in need of them and to serve as an antidote to despair.

Together with our Haitian sister organization, Zanmi Lasante (ZL), Partners In Health (PIH) has worked hand in hand with the Ministry of Public Health and Population (MSPP) for over 30 years, providing high quality primary, secondary and tertiary care services to a catchment population of over 3.8 million people. PIH/ZL is able to achieve this through a network of 10 health centers, 5 hospitals, and 1 national university teaching hospital and with the help of over 2,500 community health workers (CHWs). In areas such as HIV, TB, malnutrition, cancer care, non-communicable diseases, neonatology, mental health and maternal health, PIH continues to introduce innovations to improve access to comprehensive, patient-centered high quality care while working to train the next generation of specialty nurses and doctors through University Hospital Mirebalais. By pioneering smart investments in healthcare delivery in Haiti, PIH/ZL has changed the lives of millions of people. This year alone PIH/ZL conducted 68,997 outpatient antenatal visits for pregnant women, conducted 21,256 facility-based deliveries of which 4,115 were caesarian sections for more at-risk pregnancies. Through the University Hospital Mirebalais oncology program, PIH/ZL provided care and treatment to over 250 oncology patients from throughout Haiti, with the large majority of cases being cervical and breast cancers. Collectively the 2,500 CHWs made 247,124 home visits to patients' homes in the two provinces in which PIH/ZL work. At the end of June 2020, 12,353 HIV patients were actively receiving care and treatment through PIH/ZL supported facilities and an additional 1100 patients with tuberculosis were treated. In the same period, PIH/ZL provided inpatient care to 23,842 patients hospitalized throughout our network of 15 facilities. As of end of June 2020, there were 1,642 active patients receiving ongoing mental health care, and an additional 2,604 patients enrolled in management of chronic illnesses such as diabetes and hypertension. Throughout the year, PIH/ZL provided graduate medical education to 113 residents through University Hospital Mirebalais and Saint Marc Hospital in internal medicine, obstetrics and gynecology, general surgery, pediatrics, emergency medicine, and family medicine.

Together with our Rwandan sister organization, Inshuti Mu Buzima (IMB), Partners In Health (PIH) focuses on bringing high-quality health care to three rural districts that previously had some of the country's worst health outcomes. This year with the Ministry of Health (MOH), PIH/IMB provided primary and secondary care services to a population of roughly 1,000,000 through three hospitals and 44 health centers, with the help of nearly 6,000 community health workers. In areas such as cancer care, non-communicable diseases, neonatology, and maternal health, PIH continues to introduce innovations that are tested, refined, and taken to scale nationally. By pioneering smart investments in healthcare delivery in Rwanda, PIH/IMB has changed the lives of millions of people. This year alone PIH/IMB supported 19,930 patients in managing chronic illnesses including 2,695 oncology patients; 7,324 patients with non-communicable diseases (such as hypertension, diabetes or heart disease); and 9,911 patients with HIV. In the past year, three IMB-supported hospitals had 441,240 outpatient visits and 33,041 hospitalizations. Additionally, CHWs conducted 671,783 visits to patients. PIH collaborates with the MOH to deliver mental health care through a health center nurse training model called MESH Mental Health. After being scaled to all 19 health centers in Burera District, this model was scaled up to 3 additional districts. The team enrolled 2,484 new patients into the mental health program and conducted over 19,000 mental health visits across the four districts.

Partners In Health (PIH)'s domestic strategy includes three major programs: health system strengthening in Navajo Nation, a US Public Health Accompaniment Unit (USPHAU) to assist states, cities and communities in building a more equitable and comprehensive public health response to COVID-19, and the Community Tracing Collaborative (CTC) project in Massachusetts to investigate all positive COVID-19 cases, reach out to contacts of confirmed cases and connect both cases and contacts to resources. A majority of the expenditures here are related to the CTC project. The CTC project was launched in April 2020 by Governor Charlie Baker's COVID-19 Command Center. PIH works in close partnership with the Command Center, the Massachusetts Department of Public Health, the Commonwealth Health Insurance Connector Authority (CCA), and technology partner Accenture to support 351 local health departments and over 100 institutions of higher education in Massachusetts. Between April 2020 and June 2020, PIH hired and onboarded a peak workforce of approximately 1,900. PIH staffed the CTC call lines seven days a week, 12 hours a day, and developed approximately 40 protocols to ensure safety and quality. By June 2020, PIH reached more than 42,600 individuals who tested positive for COVID-19 and their contacts and placed over 300,000 phone calls. PIH provides an accompaniment model to help vulnerable cases and contacts sustain safe quarantine or isolation: by June 2020, approximately 100 Care Resource Coordinators (CRCs) with social work, nursing, public health and other backgrounds connected individuals to existing services for food, housing, medication and safety. 7,623 Massachusetts residents were referred to CRCs, with 74% connected to support (33% for food referrals).

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