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2016 Annual Report [PDF, 4 1 WHERE WE WORK 2 4 ANNUAL REPORT 2016 We go. We make house calls. We build health systems. We stay. dear friends, When Partners In Health first responded to the government’s invitation to go to Rwanda, we weren’t thinking much about cancer. We certainly weren’t thinking of Contents it as a disease that we could treat effectively with our most basic infrastructure still in its infancy, in a country without a single oncologist, without diagnostic pathology, and with no available chemotherapy. But from the moment we opened our doors there, in 2005, cancer patients flooded Together in from all over—many of them children with advanced disease. It was an unusual position for PIH to find itself: our organization had grown used to running toward the We . We make . We build . We . go house calls health systems stay 4 fire, and now the fire was running toward us. We had to find a way to treat cancer where few had before. Snapshot One of our early patients was a 7-year-old boy named Sibo Tuyishimire. He’d spent two years feeling hopelessly ill before his family was able to bring him to our A look at our work in Liberia. 14 hospital. PIH doctors soon diagnosed him with Hodgkin’s lymphoma and set him on course to a full, if difficult, recovery. CEO Dr. Gary Gottlieb visits Peru for the site’s 20th anniversary celebration. You + Sibo was kind enough to drop by our Boston office over the holidays. Now, nearly Photo by William Castro Rodríguez a decade in remission, he’s applying to high school here in the U.S. It’s pretty You make our work possible. 16 remarkable that he’s alive—and it’s thrilling that he is thriving with a great future ahead of him. It’s even more remarkable that our cancer program in Rwanda, today a beacon of hope for all of East Africa, might never have existed if not for Sibo and his Financials family—and many people like them—having the guts to stand up, walk through our Our fiscal year summary. 28 door, and say, “This is what we need.” Thank you all for hearing that call and answering it with your own unfettered support, in Rwanda and all around the world. The stories that follow in this year’s Leadership annual report testify, in many different ways, to the power that grows from the Our board, officers, and country directors. act of listening. It is the most essential element of empathy and the backbone of 32 accompaniment and caregiving. With these pages we offer our gratitude for the privilege of knowing each patient’s voice, collecting it with yours, and forging in their union a better way to spread care and kindness to the people who need it most. In solidarity and with great warmth, . Previous page: (from left) Social worker Laurence Mukantaganda, oncology program coordinator Jean Bosco Bigirimana, and a community health worker walk to a patient’s home in Burera District, Rwanda. Photo by Cecille Joan Avila Dr. Gary L. Gottlieb, M.D., MBA Chief Executive Officer 7 Together We go We make house calls We build health systems We stay 8 Social worker Laurence Mukantaganda visits breast cancer survivor Elisabeth Nyiramana in her home in Burera District, Rwanda. 9 Photo by Cecille Joan Avila We go TOGETHER, WE GO / We make house calls / We build health systems / We stay / We build health systems house calls / We make / We hen Hurricane Matthew began lashing a father with HIV, that’s an emergency. And when exists. or barely is limited health care where places in remote In Health works Partners Haiti’s southwest corner last October, there are no medicines to fight a teenager’s cancerous Wwe—like many of you—knew the tumor, that’s an emergency. devastation would be profound. And indeed it was: 1,000 lives lost, 15,000 people displaced, and a sharp spike in the number of people needing health care— PIH isn’t a disaster relief organization by including those suffering from cholera. conventional standards. But to most of our patients, we are that and more. Because of our long history in the country, we could respond immediately, partnering with local and national Haitian officials to support Les Cayes’ Immaculate Conception Hospital, the sole public The disasters we see are generational, and that’s why facility for that region’s 1.5 million people. We your partnership is so vital. With your support this repaired the roof and other structures damaged year, we’ve been able to continue solving complex, by the storm, purchased a generator that provides longstanding health challenges in ways that improve electricity 20 hours a day, and installed a chlorine lives and communities. machine that helps decontaminate and maintain sanitation in wards. We’re using new tools, for example, to battle an often deadly strain of tuberculosis. As collaborators in a We also supported a nearby cholera treatment center project called endTB, we’re bringing the first new by providing medications and supplies. Perhaps tuberculosis drugs developed in 50 years to patients most significantly, we helped Haiti’s Ministry of in 14 countries—this year in Peru, Lesotho, and Health in its vaccination campaign against cholera. In Kazakhstan. November, 729,000 people received a vaccination— which means mothers, fathers, and children are safe We also began a new partnership with the Sicangu from a diarrheal disease that can kill within 24 hours. Lakota Nation, applying what we’ve learned in the Navajo Nation to help strengthen the health care That’s impact. system of this 27,000-member tribe in southern South Dakota. Partners In Health isn’t a disaster relief organization by conventional standards. But to most of our Your help enables us to go where we’re needed. patients, we are that and more. When a mother Together, we’re showing how comprehensive, doesn’t have enough food for her malnourished child, sustainable health systems can transform lives all that’s an emergency. When there is no doctor to treat over the world. 10 PIH co-founder Dr. Paul Farmer stands with Mirlande Estenale in front of her collapsed home in Les Cayes, Haiti, following 11 Hurricane Matthew. Photo by Elizabeth M. Campa We go / go We TOGETHER, WE MAKE HOUSE CALLS treatment. medication and guide them through deliver In Health visits patients in their homes to Partners ur efforts to tackle the Ebola virus in West proved vital in finding these survivors and getting Africa were among the most challenging them to treatment. Ultimately, we screened 3,058 We make house calls make We Oin our history. When the number of new Ebola survivors and treated 379 for uveitis. Ebola cases finally dropped in Sierra Leone, it was a welcome relief. These are the transformations we strive for, and see, daily. And it’s because of our community-based But soon we learned of a new problem facing Ebola model that our care is successful. In our work around survivors. An increasing number suffered from an eye the world, we visit people in their homes to check disease called uveitis, an inflammation of the eye that, vital signs, encourage them to take their medicine, if left untreated, can lead to blindness. and determine when they need more advanced care. Then we connect them with that care. Thousands of people had survived one of the worst epidemics in the world, only to face the loss of their vision. / We build health systems / We stay / We build health systems / We “People helping people. That’s what I We needed to find as many Ebola survivors as do,” says Mohamed Lamin Jarrah, a possible and screen them for uveitis. Roughly 100 of community health worker in Kono our community health workers, many of them Ebola District, Sierra Leone. “There are survivors themselves, fanned out across the district in thousands like me, willing to do the which we work to spread the word about uveitis and hardest work there is.” its risks. Going house to house, they convinced neighbors and community members wary of doctors and hospitals “People helping people. That’s what I do,” says to come to an eye clinic we had established with the Mohamed Lamin Jarrah, a community health worker Ministry of Health. In just one month, we screened in Kono District, Sierra Leone. “I have witnessed the 277 people and successfully treated 50 more for darkest moments of my neighbor’s life, and I have uveitis. seen the joy of relief in their eyes. There are thousands like me, willing to do the hardest work there is.” Based on our success, we worked with government and international partners to expand this work You are an integral part of this work. With your nationally. In June, we coordinated screenings and partnership, we provide the kind of one-on-one care treatments for Ebola survivors across the country, in that heals and saves lives. As you accompany us, we every district. Again, our community health workers accompany our patients. 12 Community health worker Mohamed Lamin Jarrah transports Elizabeth Mbayoh to the Lengema Health Clinic for medication. 13 Photo by Jon Lascher Partners In Health works closely with national governments and other partners to improve and expand health services. and expand improve and other partners to closely with national governments In Health works Partners We go / We make house calls / make / We go We TOGETHER, WE BUILD HEALTH SYSTEMS he baby boy arrived 14 weeks early and medicine, family medicine, and pediatrics.
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