Years of Health Care, Delivered

ANNUAL IMPACT REPORT 2020

Mission VillageReach transforms health care delivery to reach everyone.

Photo Credit: Paul Joseph Brown IN 2020, VILLAGEREACH: This past year was filled with unprece- Mozambique expanded from three provinces dented change and heartbreaking loss. The to eight provinces, covering more than 75 COVID-19 pandemic exposed what so many percent of the country’s health facilities, know too well from personal experience— where it distributes essential medicines and Supported increased access to quality health care for although we were all in the same storm, how vaccines directly to health workers. we survived varied drastically across race, nationality and gender lines. This past year We did not let COVID-19 halt our progress. tested the health sector like never before. As you make your way through our annual Through it all, the VillageReach team stepped report, you’ll see several examples of how up and spent our twentieth year doing what VillageReach pivoted our focus to COVID-19 we do best: building systems that deliver. and continued essential services, building on what we know works in collaboration with 46 Million When the pandemic began, we saw a rise in government leaders and our partners. people in sub-Saharan Africa misinformation throughout communities in Malawi, Mozambique and the Democratic As the year drew to a close, we saw hope Republic of Congo. People were searching with the first COVID-19 vaccines arriving in for key steps they could take to protect the US and Europe, and we started counting MESSAGE FROM THE PRESIDENT MESSAGE themselves from the virus. We also noticed a the days until vaccines would also arrive in worrying trend among the workforce tackling the countries where we work in Africa. While COVID-19 head on. Health workers—including we waited, two of our US team members Improved Community Health Workers (CHWs)—were joined the King County team to help create working without adequate personal protective high-volume vaccinations sites in Washington equipment (PPE), risking their lives to keep State, using the knowledge and experience performing their vital tasks. from our work in Mozambique and the Democratic Republic of Congo to support US VillageReach jumped into action and used our vaccine distribution. Other team members 250,000 existing Health Center by Phone solution to provided their expertise in vaccine planning disseminate rapid response communications and delivery to governments and global health workers’ ability to deliver to the general population and to provide organizing mechanisms. Our work in logistics, products and quality health services health workers with phone-based training. cold chain infrastructure, data systems We then joined the COVID-19 Action Fund and health workforce capacity prepared us to the most under-reached for Africa as the supply chain lead to protect for this moment, and we will help ensure CHWs with over 66 million pieces of PPE governments are ready to meet their vaccine in 20 African countries, advocating with delivery challenges. governments about the need for CHWs to be equipped, trained, compensated, protected 2020 may forever be ingrained in history and supported as part of a well-functioning as the year of the COVID-19 pandemic. But health system. here at VillageReach, we will remember Collaborated to improve 2020—our 20th Anniversary—as the year To stop the tide of COVID-19, we knew we that reconfirmed our passion, drive and health product availability at had to carry on in our mission to strengthen commitment to creating a world where and accelerate responsive health systems. everyone has the health care needed to thrive. Our twenty years of work in strengthening supply chains paid off as we were able to All the best, effectively continue routine medicine and vaccine deliveries, use those same supply 2,000 chains to distribute PPE to CHWs and advance health facilities our Drones for Health efforts in remote areas. Emily Bancroft In fact, the Last Mile Supply Chain program in President, VillageReach

A road in Niassa province, Mozambique. 2 Photo Credit: Denis Onyodi 3 2000 2005 2008

VillageReach is founded to VillageReach coverage in VillageReach opens improve access to vaccines Mozambique reaches two a Malawi office and and medicines in Mozambique. provinces and 290 health Kwitanda Community centers serving 5 million Health Project. 2011 people. 2015 2012 2017 VillageReach helps start Chipatala Cha Pa Foni, or Health Center by Phone, a community health hotline for maternal VillageReach helps integrate third party Malawi College of Health and child health needs in Balaka logistics providers into Mozambique Sciences and VillageReach VillageReach opens a country district, Malawi. office in Democratic Republic supply chain as a proof of concept for an collaborate to open the of Congo (DRC) and launches outsourced delivery model. Pharmacy Assistant VillageReach named leader of Training Program. OpenLMIS open source logistics Next Generation Supply Chain. VillageReach starts Drones for Health. management information system.

2018 2019 2020

VillageReach joins the COVID-19 Action Fund for Africa. Chipatala Cha Pa Foni VillageReach kicks off Supply Chain for health hotline goes Community Health Workers program in Liberia VillageReach transitions Chipatala Cha nationwide and expands with Last Mile Health. Pa Foni to the Malawi Ministry of Health. to include information on all health topics. Drones for Health in DRC conducts successful Mozambique’s outsourced supply chain program flight demonstrations in Equateur province. reaches eight provinces and 800 health facilities serving 18 million people.

Aerial view of Niassa Province, Mozambique. Photo Credit: Denis Onyodi 4 5 HEALTH CENTER BY PHONE Total Call Volume To Malawi National Health Hotline over the last year Number of Number of calls callers who heard answered a health message Fighting COVID-19 has grown by 114,000+ has grown by misinformation Calls Were 117% 604% Answered By with mobile phone Hotline Workers solutions 1,274,000+ People Listened To Pre-Recorded PRE-COVID DURING COVID PRE-COVID DURING COVID Health Messages FY 2019 FY 2020 FY 2019 FY 2020

“CCPF has become a national household resource and it’s done a lot in changing the health-seeking behaviors of the masses, giving them hope and trust in the health system.” CCPF Hotline Worker Florence Banda answers calls from people across Malawi. Photo Credit: Katie Reynolds In the early months of 2020, that has built trust and confidence VillageReach helped develop COVID-19 UPILE KACHILA Malawians watched as COVID-19 in the overall health system of the modules for hotline workers to answer Senior Program Manager, Health Center by Phone spread rapidly around the world. country,” Upile Kachila, Senior caller questions and added pre-recorded When the president announced the Program Manager for Health Center by messages that callers could listen to first coronavirus case in April 2020, Phone, said. from a reliable, qualified source. Chipatala Cha Pa Foni (CCPF), or callers’ health needs, allowing the Health Center by Phone, was flooded The MoH leveraged CCPF as the go-to When individuals call about COVID-19, government to tailor their public health with new callers seeking COVID-19 resource for COVID-19 information. they receive prevention tips and communication strategy. VillageReach information. symptom information. If they do has begun to replicate this model have symptoms of the virus, they are in Mozambique and the Democratic The Malawi Ministry of Health (MoH) referred to a testing facility. The hotline Republic of Congo. had just taken on full operation of the is also conducting follow-up calls 24-hour, free national health hotline with those tested and providing care “Health Center by Phone’s value goes before COVID-19 hit. But with so many instructions to those who test positive. beyond the clients. It will spill over calls coming in, the government CCPF is even providing information to the entire health system, to the needed its partners to bring pandemic in regards to the COVID-19 vaccine to health workers at the health facility information to the hotline as quickly as dispel misinformation and encourage level and to the decision makers at the government level, allowing everyone to possible. vaccine adoption. Community member calling make informed decisions that will bring CCPF from her home. “Clients who interact with the Health hotlines provide value beyond improvements to the health system. Photo Credit: Paul Joseph Brown hotline know they’re getting a direct disseminating health information. This translates into an improved connection to the health system, and They can be used to get a pulse on livelihood for all,” Kachila said. Photo Credit:Jodi-Ann Burey

6 7 RADICAL COLLABORATION Protecting Community Health

Bébé Bola is a community health worker Workers in DRC in the Limete health district in Kinshasa. Photo Credit: Benedicte Waula PPE arrives at N’djili airport in Kinshasa, DRC. Photo Credit: Bems Baruti

Community health workers However, receiving, storing and against polio across 35 health districts. (CHWs) like Bébé Bola in the transporting PPE is not like other Armed with PPE, CHWs vaccinated over Democratic Republic of Congo (DRC) health products—its size and volume one million children in Kinshasa. help their communities every day. Bola meant large scale collaboration sees her role in the COVID-19 pandemic between DRC government, partners As PPE was distributed across nine DRC as raising awareness. and provincial ministries of health. provinces, CHWs like Bola could finally take a deep breath. Bola knows her “We do not abandon our work,” she Once received, warehouse workers community needs her to keep working said, even if that means working In April 2020, VillageReach united with over 30 had to be trained to safely unpack the no matter what. She said, “They come A group of CHWs wearing donated PPE arrive without personal protective equipment PPE at the national warehouse and to me when someone is in trouble, at an island in the Kinshasa province during the organizations and 20 governments to form the COVID-19 polio vaccination campaign in October 2020. (PPE) to keep herself and her then repack in smaller containers for they come to me for solutions even at Action Fund for Africa (CAF-Africa), with a goal to provide Photo Credit: Bems Baruti community safe. transport to provincial warehouses night. They look for me to help them.” PPE to CHWs during the pandemic and raise awareness and individual health facilities. In As PPE became scarce around the Equateur province, one of the hardest about their vital role in community health. world, VillageReach joined CAF-Africa to reach provinces in DRC, PPE was to help CHWs like Bola. VillageReach flown in via VillageReach’s Drones for worked with the DRC government’s Health program. COVID-19 Response Committee to quantify the PPE needs for CHWs, and When PPE reached CHWs in Kinshasa plan for its arrival and distribution to province, it was used to protect 17,000+ 3.3 Million the last mile. workers as they vaccinated children CHWs in DRC received PPE PPE items procured

To date, CAF-Africa has committed 26,000+ 66 Million 1 Million+ A child being vaccinated for polio in Kinshasa. Health Workers received PPE PPE items across 20 African countries Children vaccinated in Kinshasa by CHWs with CAF-Africa PPE Photo Credit: Bems Baruti

8 9 LMSC EXPANSION Getting vaccines and medicines to people—even 7,200+ 439,000+ 880+ during a pandemic deliveries kilometers driven health facilities

As COVID-19 disrupted health services around the world, expanding or starting new programs seemed impossible. But in Mozambique, we met this challenge. 18 Million+ people have access to facilities reached by LMSC Since 2018, VillageReach has been working with the govern- ment of Mozambique to implement the Last Mile Supply Chain program, an innovative solution for medicine and vaccine distribution via outsourcing to the private sector.

The Last Mile Supply Chain (LMSC) During 2020, LMSC’s growth was protective equipment into routine program started 2020 serving three something to celebrate. It delivered deliveries, allowing health workers to provinces, but by the end of the year health products to over 800 health stay safe while treating their patients it had expanded to eight out of 11 facilities, 500 more than 2019. Even during a pandemic. provinces. with the constraints of COVID-19, LMSC was able to ensure uninterrupted Thanks to hard work and the power This incredible growth would deliveries of essential medicines and of partnership, LMSC expanded not have happened without the vaccines, which meant more health during COVID-19 to reach more strong, collaborative partnership workers had the lifesaving supplies for health facilities and ultimately save of VillageReach, the Mozambique patient care. more lives. Ministry of Health, USAID and private sector partners Bolloré and Agility. In addition to LMSC’s geographic LMSC’s trusted partnerships allowed expansion it also seamlessly integrated the government to be confident in its the transport of donated personal ability to get products to people across Distribution worker gets health products to the Health worker immunizes child at Niassa the country during a pandemic. last mile in Zambezia province, Mozambique. province health center, Mozambique. Photo Credit: Denis Onyodi Photo Credit: Denis Onyodi 10 11 John Dew, Board Chair Margaret Griffith 2020 Sena Kwawu, Board Vice Chair Will Poole Mari Anderson Paul Suzman Board of Valerie Nkamgang Bemo, M.D., MPH Iyabo Tinubu-Karch, MD Leadership Circle Stephan Coonrod, JD Vivien Tsu, PhD Directors Richard Fant Allen Wilcox We are honored by the generosity of these Leadership Circle donors who contributed $500 or more between October 1, 2019 and September 30, 2020. Revenue and Expenses A woman and her child in Makanza, DRC. Photo Credit: Henry Sempangi Sanyulye In-kind Interest and 2020 REVENUE Contributions Dividends Individual 0.1% < 0.1% Donations 1.3% Other Income Grants and Contracts $20,771,473 < 0.1% CHAMPIONS FRIENDS CONTRIBUTORS Individual Donations $272,442 Dean and Vicki Allen Paulo Abecasis* Ron and Sally Bancroft Mari Anderson and Terry Green Corin Anderson and Melinda Owens M. Barusch and Greg Price* Alexandra Brookshire and Bert Green Julie Averill and Cindy Bolam Valerie Nkamgang Bemo and Tano Malentin In-kind Contributions $32,299 Joan Egrie Lucia Ballard* Brandon and Kevin Bowersox-Johnson* Rebecca Hatton Judy and Mark Bloomberg Ian Craig* Interest and Dividends $1,310 Grants and Contracts Jascha Hoffman Jennifer Crouch* Nancy Geiger and Michael Krasik* Murray Family Foundation Jane Dalrymple-Hollo Carrie George Other Income $501 Tim and Melissa Stumbles Emer Dooley and Rob Short Daniella Jaff-Klein 98.5% Maia Suhr and Tim Carver Richard and Myrna Fant Stefan Krasowski and Tess Zhao Allen Wilcox and Connie Collingsworth Michael Free and Judith Van Arnam Peter Kuliesis Total $21,078,025 Steven Hakusa Ellen Lackermann and Neal Stephenson INNOVATORS Laura Hattendorf Benjamin Maslow* Fraser and Deidre Black Christine Huddle Jason McCann Cheryl Butler Yumi Iwasaki and Anoop Gupta Beverly and Thomas Miller Stephan Coonrod and Cheryl Clark Claire and Jesse Johnson Vincent Recco Ashby Jones Iyabo Tinubu Karch and Brynn Karch Christine and Douglas Rohde Management and General Fundraising Sena and Jennifer Kwawu Brian and Sharon Kidd Brooks Simpson 15.3% 1% Stephen Langdon and Sarah Dale Mike Kinney Sheldon Stone H. Clay McEldowney Carla and Donald Lewis Angela Weinman 2020 EXPENSES Admiral Bill Owens and Monika Owens Trevor Lillywhite Kristen Wilhelm G. Mark and Monica Simpson Jason Oubre and Arezoo Orouji Andy Zhu Anonymous (4) Luc and Susie Pelland Diane Scott Program $14,566,831 ADVOCATES Vivien Tsu Emily Bancroft and Andy Johnson* Gerald and Veronika Walton John Dew Christopher Young Management and General $2,658,707 Program William Dolan and Katharine Hunt* Margaret Griffiths* Fundraising $180,397 83.7% Christine Larsen and Glen Cooper David Mentz and Pamela Smith Mentz Johanna Miller* Total $17,405,935 William Poole and Janet Levinger Randall Rasmussen and Heather Ross* Paul and Linda Suzman Delivery truck in Mozambique delivers Melissa and Lowry West* *Member of the ChangeMakers Club, health products to Zambezia province. Anonymous (2) providing monthly support for VillageReach Photo Credit: Denis Onyodi 12 13 Annual Donors Organizational Supporters & Partners Thank you to these donors who kindly supported VillageReach between October 1, 2019 and September 30, 2020. ORGANIZATIONAL FUNDERS ONSE MATCHING CORPORATIONS A to Z Impact Foundation Open Road Alliance Apple Agence Nationale de Vaccination et des Soins PagerDuty Bill and Melinda Gates Foundation Bronwyn Acosta Janelle Estrada Dick and Bobbie Johnson Zhi Min Sim Carolyn Spolidoro de Sante-Primaire Panorama Global Boeing Tim Aerts* Patrick Fanizza Efstathea Jones George Miranda Dennis and Cindy AmazonSmile Patrick J McGovern Foundation Costco Wholesale Mustafa Afzal John Faryan Chad Kalmes Connor Mundy Stalsberg Bill & Melinda Gates Foundation PATH Google Deborah Allen Ashley Finch Ramie Kamarakeh* Pamela and Glenn Nagami Trevor Steeves Chemonics International Pfizer Foundation Micron Technology Shaa-Ann Davis Jane Flinn Dean Kardassakis Tyler Nelsen Pat and Bill Stein The Crown Family The Posner Foundation of Pittsburgh Microsoft Corporation Scott Bastek Jared Forsythe Kathryn and Michael Kevany Ricky Ng Kelsie Stevenson David Weekley Family Foundation Preston Werner Family Foundation Milliman Emily Bennighof* Jennifer Freed Barbara Keys Possum Nuada Charles Stewart Direct Relief PwC PagerDuty Erin Berge Melinda Gardner John Kimball Rachel Obstler Nora Stockhausen EYElliance RBC Wealth Management Pfizer Catherine Berglund Dan Gempesaw Robert Kimbui John ODonnell Deborah Stone Fidelity Charitable Fund The Robert McEldowney Jr. Foundation VMWare Scott Bergstrom Davide Gerbaudo Rebecca Kline Chris Onken Mary Stutz Focusing Philanthropy Sall Family Foundation Elias Block* Julia Masters Gest and Alejandra Klorig Guy Patching* David Sugiman and Nicole FDCO Schwab Charitable Fund Adam Boone Scott Gest Kelsey Kobayashi* Jennifer Potter Lim Si Ru GAVI, the Vaccine Alliance The Seattle Foundation IN KIND DONORS Kyle Brace Carl Ghoreichi Lawrence Kondel Olivia Price* Ian Sylvestre-Williams GIZ Shifo Foundation K&L Gates Ethan Brownell Stacey Giamalis Malcom Konner James Prostka Sarah Tallent-Dennis JBJ Foundation Skoll Foundation Microsoft Teresa Brzozowski Nicholas Gipe Paul Kostek Dan Purnell Peter Tatrai Johnson & Johnson Foundation TempTime Telecom4Good Lawrence Buell Jordan Gronkowski David Kuttruff Derek Ralston Steve Thiele MacroEyes Tides Foundation Antonio Campa Zarah Gulamhusein Lyon Lay Sandhya Ramachandran Randy Thomson* Management Sciences for Health (MSH) UBS Optimus Foundation Edward Carr Carolyn Guss Aaron Lee Maria Celia Ramos Katlen Tillman Merck UNICEF Nicholas Castle George Hahm Viola Lee Bellenzani* May Tong Milliman USAID Tim Chinchen Turner Hancock Joep Leussink Lisa Rasmussen Andrew Udesehi MJ Murdock Charitable Trust VanGuard Charitable Doris Chow Scott Hazelton Alisa Liebowiitz Karin and Jeff Reed* Yael Unterman MSD for Mothers Vitol Foundation Minami Coirin Susan Hennen Jonathan Lilienthal Jonathan Rende Chiedu Uriah Mulago Foundation Wellcome Trust Andrea Constantinides Julie Herendeen Rudi Lion Debra Revere and Paul Devender Varma Office Timeline Marcus Cooper Sherida Hess Dauda Majanbu* Schwartz Vijay Venkataraman Jessica Crawford* Sean Hiller Apoorva Mallya Loren Reynolds Sean Ward Mary Kay and Mike Crouch Karen Hollins Scott McAllister Sophie Reynolds Alex Weinstein Aimee Cunningham Heather Holyoake Ian McCulla Carl Schlichting* Adam Weiss Jarrod Daniel Dirk Hommer Cara McDermott and Scott Jodi Schrobilgen Brett Willemsen Anthony De la Cruz* Jillian Hostenske* Gardner Kylie Severson Howard Wilson Patricia Devereux Darren Huggins Lucy McKnight Manraj Singh Dennis Wong Michael DiMicco Clarke Hung* Lizzy McNaney Jasmeet Singh Biance Wood Jeff Dossett Catherine Hutton James McNaul Kam Smedley Jennifer Wulff George Draper Paul Jaffe Miriam Melnick* Rita Smith* David Wyman* Kyle Duffy Anna Jenkins James Mendelsohn Gerardo Snyder Sarah Yu James Ericson Kabeer Jhaveri Melissa Miller Paul Spangler Etan Zapinsky

VillageReach also wants to acknowledge our collaborative partners: ministries of health in the Democratic Republic of Congo, Malawi and Mozambique, private sector partners, and trusted allies and friends.

Patients at Bwaila Maternity Hospital in Lilongwe, Malawi. Woman walking home in Malawi. 14 Photo Credit: Paul Joseph Brown Photo Credit: VillageReach 15 For more information or to donate to our work, visit villagereach.org

Photo credit:Paul Joseph Brown 16