Pivot (Madagascar)

Pivot's mission is to save lives, transform health systems, and catalyze global change. Since 2014, we have been partnering with Madagascar's Ministry of Public Health (MoPH) to strengthen their public health system. Our goal over the past decade has been to design, implement, and refine a district-level model system of universal health coverage that can be replicated at scale. With an unparalleled evidence base to prove the impact of our model, the MoPH invited Pivot to expand its model from the district to the regional level in 2022 – a process that remains actively underway as we triple our geographic coverage and quintuple the population served from 200,000 to 1,000,000 people.