PARTNERS IN HEALTH A NONPROFIT CORPORATION

Zanmi Lasante (ZL), PIH's affiliated organization in Haiti, is the country's largest health care provider outside of the government. ZL serves a direct catchment area of 1.2 million people in primary care alone and nearly 3.9 million with secondary and tertiary care. ZL's more than 5,000 staff members, including 2,300 community health workers, provide health and social support services through 17 hospitals and health centers in the Central Plateau and lower Artibonite regions. ZL's key health services include primary care, maternal and child health care, HIV and tuberculosis services, and more advanced secondary and tertiary care. Throughout the escalation in violence in recent years, ZL has done everything possible to provide a stable presence in the communities we serve, continuing to provide expert care across these and other clinical areas. Each year, two-thirds of the clinical services ZL delivers globally are provided to women and children-with more than two million health visits and deliveries each year. In Haiti, our innovative Journey to 9 Plus (J9) program accompanies women and their newborns with constant care and support throughout pregnancy and the first year of the baby's life. The core pillars of J9 Plus are group antenatal care, group pediatric care, and community-based care including home visits and psychosocial support. Drawing on the strength of community, ZL's accompaniment model, and evidence-based clinical care, J9 holistically addresses the needs of mothers and infants, reducing maternal and infant mortality while building trust in the health system. As of 2025, more than 6,500 women and 5,000 newborns had participated in J9. In a country where only one in three physicians has the opportunity to train in a medical specialty through a residency program, ZL is one of the major partners of the public sector in medical education. The medical education program trains aspiring health care providers while encouraging them to practice in Haiti through valuable placements and continued education. ZL's medical education program includes nine residency programs in pediatrics, general surgery, obstetrics and gynecology, nurse anesthetist, emergency medicine, internal medicine, orthopedic surgery, emergency nursing, and family medicine, as well as three fellowship programs in neurology, plastic and reconstructive surgery, and emergency ultrasound. Since 2012, ZL's medical education program has trained 287 Haitian clinicians across 10 different specialties. Together, these highly trained professionals are bolstering Haiti's health system, one new graduate at a time.

PIH began working in Sierra Leone in 2014 at the invitation of the Ministry of Health and Sanitation (MoHS) to respond to West Africa's historic Ebola outbreak. While leading efforts to care and treat Ebola patients and contain the spread, PIH made a long-term commitment to support the government in revitalizing the country's health sector and improving access to care for millions of Sierra Leoneans. Since that time, PIH has led targeted programming to radically improve health outcomes at PIH-supported Koidu Government Hospital, Wellbody Clinic, and eight additional facilities throughout the country, with a particular focus on maternal health. Today, in partnership with the Government of Sierra Leone, PIH supports 10 health facilities and works across eight districts to build systems that protect every Sierra Leonean's right to health, especially those most vulnerable to sickness and injustice. With a team of over 900 staff members, 94% of whom are Sierra Leonean nationals, PIH's model utilizes a public-private partnership with Ministry of Health, leveraging Kono District as a model for the provision of integrated, patient-centered care across all levels of health care delivery. Ultimately, PIH aims to ensure holistic health systems strengthening through continuous, comprehensive investments, and quality improvement initiatives that respond to emerging needs informed by research and community voices. Despite the early successes of PIH's efforts, the lifetime risk of a woman dying in pregnancy or childbirth in Sierra Leone is 1 in 74. This is catastrophically high. PIH built the Maternal Center of Excellence (MCOE) to drive that rate towards zero. The MCOE expanded the campus of PIH-supported Koidu Government Hospital (KGH), dramatically increasing the number of beds, services, and facilities available to mothers and babies. A product of investment in the community and partnership with the Ministry of Health, the MCOE will save lives and protect the right to health of Sierra Leoneans for generations. The MCOE first opened its doors to patients in February 2026 with 120 beds, including 39 beds in a cutting-edge neonatal intensive care unit (NICU), increasing KGH's current 48-bed maternal ward and special care baby unit. Care for pregnant and lactating mothers is offered free of charge. Even under the most conservative read, the MCOE represents the single largest leap in safe, equitable maternal and newborn care in Sierra Leone's history. Through serving the community year after year, PIH will gather evidence of the transformative power of the MCOE, building a case for catalytic investment in maternal health and health systems-nationally and globally-through government accompaniment, advocacy, and the transfer of knowledge and innovation.