25YEARS of INNOVATION and IMPACT
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CELEBRATING • of INNOVATION 25 YEARS and IMPACT 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 ANNUAL REPORT SAVING LIVES, Twenty-five years ago, Partners In Health was founded to support a tiny health clinic serving a destitute squatter settlement in rural Haiti. Today, the community- REVITALIZING COMMUNITIES, based approach used in Cange has helped to transform global health, and Partners In Health continues to provide high-quality health care to poor people in Haiti and TRANSFORMING GLOBAL HEALTH. nine other countries, including the United States. Cover: A community health worker vaccinates a woman in rural Haiti. Above: Pregnant women stay at a mothers’ waiting house to deliver their babies in a clinic with skilled attendants. Photo by Jon Lascher Photo by Charles Howes EXECUTIVE DIRECTOR’S MESSAGE Dear Friends, In 2012, we celebrated our 25th year In 25 years, we’ve treated millions of patients and proved that at Partners In Health. As we look back complex treatments can be delivered effectively in settings of across the span of a quarter-century, poverty. We’ve developed the infrastructure necessary to deliver Paul Farmer and I are proud of what high-quality care: hospitals and community health facilities and PIH has accomplished in Haiti, Rwanda, the pharmacies, supply chains, and medical technologies to Boston, and beyond, as a beacon of support them. Globally, we’ve insisted that we look more closely what is possible in service to the poor. at the notion of cost, whether for a drug or an intervention, when it We feel lucky to still be doing this work impedes the delivery of lifesaving care. together alongside many of our original partners. Most of all, we are grateful for the PIH family—for the parish in whose attic Friends often ask me what is in store for PIH’s next 25 years. Paul slept during medical school, for the gradeschoolers hosting You’ll read about some exciting new projects in this annual report, fundraising bake sales, for all of you donors, partners, friends—for but the core of our innovation—this year, over the last 25 years, the extraordinary community whose support, in all senses of the and going forward—is bringing high-quality health care to the word, has made the work of these 25 years possible. poor, overcoming the challenges posed by staggering burdens of disease, remote geographies, lack of basic infrastructure, and This year, we formalized the Global Health Delivery Partnership— scarce resources. Year in, year out, we persevere. We are codifying the collaboration among Partners In Health, Brigham and Women’s the health care model that has proved what’s possible in poor Hospital, and Harvard Medical School that integrates global health communities around the world. And together with communities, education, service, training, and research. In July, President Clinton governments, and many, many partners, we are transforming the joined us in Rwanda for the inauguration of the Cancer Center of landscape of global health. Excellence at Butaro Hospital, the first center for comprehensive cancer care in rural East Africa. More recently, we celebrated the completion of Hôpital Universitaire de Mirebalais (HUM) in Haiti with our friend and Partners In Health co-founder, Dr. Jim Yong Kim. Jim visited HUM in his new role as President of the World Bank Group—a remarkable appointment, and heartening for all of Ophelia Dahl us committed to breaking the cycle of poverty and disease. Executive Director, Partners In Health 4 Left: A patient receives treatment at the Butaro Cancer Center of Excellence, opened this year in Rwanda. 1 Photo by Aubrey Davis TABLE of CONTENTS OUR MISSION 25 YEARS OF INNOVATION AND IMPACT......................................... 5 Our mission is to provide a preferential option for SITES .................................................................................................... 8 the poor in health care. By establishing long-term Haiti ...................................................................................................................................... 8 relationships with sister organizations based in Dominican Republic .........................................................................................................11 settings of poverty, Partners In Health strives to achieve Rwanda ...............................................................................................................................12 Lesotho ...............................................................................................................................14 two overarching goals: to bring the benefits of modern Malawi ...............................................................................................................................16 medical science to those most in need of them and Peru .....................................................................................................................................18 to serve as an antidote to despair. We draw on the Mexico ...............................................................................................................................19 resources of the world’s leading medical and academic Russia ................................................................................................................................20 Kazakhstan ........................................................................................................................21 institutions and on the lived experience of the world’s Navajo Nation, U.S. ........................................................................................................ 22 poorest and sickest communities. At its root, our Boston, Mass., U.S. ........................................................................................................ 23 mission is both medical and moral. It is based on PROGRAMS ....................................................................................... 24 solidarity, rather than charity alone. When our patients Medical Informatics .......................................................................................................24 are ill and have no access to care, our team of health Monitoring, Evaluation, & Quality .............................................................................. 25 Advocacy & Policy ..........................................................................................................26 professionals, scholars, and activists will do whatever Training ............................................................................................................................. 27 it takes to make them well—just as we would do if a Research ...........................................................................................................................28 member of our own families or we ourselves were ill. Partner Projects ..............................................................................................................29 FINANCIAL REVIEW ..........................................................................30 Letter from Vice President of Finance .......................................................................30 • Financial Snapshot ..........................................................................................................31 Statements of Activities ............................................................................................... 32 Balance Sheets ................................................................................................................ 33 Post-Earthquake Spending ...........................................................................................34 Thank You to Our Supporters ..................................................................................... 35 Governance ......................................................................................................................39 2 Right: This year, PIH/Inshuti Mu Buzima celebrated the opening of the Cancer Center of Excellence at Butaro Hospital. 3 Photo by Matt Craven 25 YEARS of INNOVATION and IMPACT Through partnerships with Harvard Medical School, Brigham and Women’s Hospital, communities, governments, and other organizations, Partners In Health has served millions of poor patients, tackling diseases that others deemed too expensive and too difficult to treat. Time and again, we’ve proven the quality and efficacy of integrated, community-based care. We’ve been a leader in the movement that helped to catalyze initiatives such as the Global Fund to Fight AIDS, Tuberculosis and Malaria, and PEPFAR, the U.S. President’s Emergency Plan for AIDS Relief, which have invested billions of dollars in global health. This year, as we celebrate 25 years of innovation and impact, we have seen the theme of transformation extend through new projects realized with the help of our partners. In Haiti, for example, we delivered an oral cholera vaccine and completed construction of Hôpital Universitaire de Mirebalais; in Rwanda, we opened the Cancer Center of Excellence at Butaro Hospital. • 4 Left: Dr. Abelardo Vidaurreta examines a patient in Chiapas, Mexico. 5 Photo by Balam-ha’ Carrillo 25 YEARS of INNOVATION and IMPACT TREATING “UNTREATABLE” DISEASE IN PERU “In developing countries, people with multidrug-resistant TACKLING ROOT CAUSES OF DISEASE STRENGTHENING HEALTH SYSTEMS When Partners In Health uncovered an