Since 2014, Pivot Works’ approach to enhancing community-based health care delivery in Madagascar has helped appreciably improve quality of care and outcomes for patients interacting with community health workers. Pivot not only works on the ground to train and supervise community health workers but also conducts research to evaluate and demonstrate the efficacy and replicability of its practices. This research revealed that patients living more than five kilometers from a healthcare facility were not seeing the same benefits.
A 2025 SNF grant made as part of its Global Health Initiative (GHI) will equip hundreds of community health workers in Madagascar’s Ifanadiana District with mobile devices to support remote treatment of patients unable to reach health care facilities. The grant also supports the development of new digital tools, modules that guide community health workers through providing care to specific patients based on who they are and what their diagnosis is, which are designed to be interoperable with the national health information management system.
Building on a successful pilot that resulted in significantly improved health and quality of care outcomes, SNF’s grant to Pivot will make Ifanadiana the first of Madagascar’s 114 Districts to have all of its residents covered by community health workers, providing a potentially scalable model for remote health care delivery.
In 2023, SNF supported Pivot’s response to the long-term impacts of Cyclone Freddy, when the nonprofit worked to identify and treat cases of acute and moderate malnutrition in children.