[4] The organization builds hospitals[5] and other medical facilities, hires and trains local staff, and delivers a range of healthcare, from in-home consultations to cancer treatments.
Its mission is to analyze the impact of poverty and inequality on health, and to use findings to educate academics, donors, policy makers, and the general public.
[19][20][21] Notable supporters include Hank and John Green,[22] Madonna,[23] actor Meryl Streep,[24] Ryan Lewis,[25] Win Butler[26] and Régine Chassagne of Arcade Fire,[27] and Matt Damon.
The small clinic that started treating patients in the village of Cange in 1985, has grown into the Zanmi Lasante (ZL) Sociomedical Complex, a 104-bed hospital with two operating rooms, adult and pediatric inpatient wards, an infectious disease center (the Thomas J.
[29] PIH's community-based model has proved successful in delivering effective care both for common conditions like diarrhea, pneumonia, and childbirth that are often fatal for Haiti's poor and malnourished, and for complex diseases like HIV and tuberculosis.
The main key to this success and to the PIH model of care pioneered in Haiti has been training and hiring thousands of accompagnateurs (community health workers).
The PIH model of accompagnateur care is outlined in the 5-SPICE framework, a scholarly article detailing the tenets of a successful community health worker program.
[citation needed] Focusing on minimizing the implications of structural violence is the key to the PIH model's success and to the improvement of treatment of chronic disease in rural Haiti.
Clinics that previously stood empty now register hundreds of patients each day at twelve sites—Cange, Boucan Carré, Hinche, Thomonde, Belladère, Lascahobas, Mirebalais, and Cerca La Source in the Central Plateau plus additions in the Artibonite region: Petite Rivière, Saint-Marc and Verrettes.
In addition to providing care to the hundreds of thousands who fled to Haiti's Central Plateau and Artibonite regions, ZL established health outposts at four camps for internally displaced people in Port-au-Prince.
[citation needed] The earthquake leveled most of the health facilities in and around Port-au-Prince, including Haiti's only public teaching hospital and nursing school.
[33] The Haitian Ministry of Public Health and Population (MSPP) and PIH/ZL broke ground on the world-class national referral hospital and teaching center.
It has telemedicine technologies installed in meeting and operating rooms that link US-based medical professionals to help educate and train students and residents working there.
Funded by a National Institutes of Health grant of US$6 million in 2007, the project seeks to understand how MDR-TB and XDR-TB spreads among people living in close quarters.
[42][43] The residents of the southern Mexican state of Chiapas, including millions of indigenous Maya, have long struggled with poverty, political violence, and dismal health conditions.
[44] CES aims to provide a more reliable, community-based alternative by training and employing local community health promoters, called promotores.
[citation needed] Over the past two decades, EAPSEC has partnered with dozens of indigenous and rural communities throughout Chiapas to develop local health capacity.
From a base in the region of Tomsk Oblast, Siberia, PIH has been working since 1998, in collaboration with the Russian Ministry of Health, to combat one of the world's worst epidemics of drug-resistant tuberculosis (MDR-TB).
Initially, PIH and CHAI began by implementing a pilot project in two rural districts, Kayonza and Kirehe, in Rwanda's Eastern Province.
[citation needed] Building off of PIH's approach in Haiti, the project was designed as a comprehensive primary health care model within the public sector.
The approach used HIV/AIDS prevention and care as the entry point to build capacity to address the major health problems faced by the local population.
[57] In late 2014, PIH heeded calls from the governments of Liberia and Sierra Leone, and other international partners, to join the fight against Ebola in West Africa.
PIH began work in Liberia in November 2014, focused on responding to Ebola in Maryland County, a 20-hour drive south from the capital of Monrovia.
Since Ebola came under control in Liberia in March 2015, PIH has focused on helping rebuild the health system, primarily for a population of roughly 100,000 in Maryland County.