Partners In Health July 2006

1. PartnersIn HealthJuly 2006

2. The history of PIH • Founded in 1987 by Paul Farmer, Thomas White, and Todd McCormack; later joined by Jim Yong Kim and Ophelia Dahl • Supported by individual donors, foundations, multilateral and bilateral organizations, academic institutions, etc. • Significant growth (financial, projects, personnel) within past couple of years

3. Partners In Health: Mission • Our mission is to provide a preferential option for the poor in health care.  By establishing long-term relationships with sister organizations based in settings of poverty • To bring the benefits of modern medical science to those most in need of them and to serve as an antidote to despair.  • At its root, our mission is both medical and moral.  It is based on solidarity, rather than charity alone. 

4. Partners In Health around the world • Boston • Tomsk, Russia Mexico ● • Haiti Guatemala● • Rwanda • Peru • Lesotho

5. Executive office Project oversight Finance Development/fundraising Communications Electronic medical records Drug procurement Advocacy Research Administration Boston headquarters Support the work at the sites!

6. Peru: Socios En Salud • Peru’s largest health NGO; clinical and research program focused on improving tuberculosis treatment and control • Pilot outpatient treatment project for MDR TB patients in the slums of northern Lima initiated in 1996; cure rate ~72% • Exceptional treatment outcomes changed WHO policy for global treatment of MDR TB • Close and ongoing collaboration with Ministry of Health, which now oversees treatment nationwide • With support from the Gates Foundation, the Global Fund, etc., a consortium of partner institutions convened to develop a model national-level MDR TB treatment and training program that can be replicated in other resource-limited settings • Epidemiological, operational, and biosocial research • Extensive training initiatives and community projects

7. Boston: Prevention and Access to Care and Treatment (PACT) Project • Brigham and Women’s Hospital program started in 1999 through Partners In Health • Addresses the health needs of Boston’s poorest neighborhoods • Community health workers improve access to care and promote harm reduction; work in conjunction with physicians, medical students, social scientists • Daily directly observed therapy for AIDS patients who have failed to thrive under conventional treatment models; based on Haiti/ZL model • Community development and youth leadership programs programs

8. Russia: Партнеры во имя Здоровья • Since 1998, collaboration with a group of nonprofit organizations, government bureaus, and international health agencies to extend MDR TB treatment model in civilian and prison populations • Projected cure rate of nearly 80% in initial cohort of 630 patients • Extensive training initiative for physicians, nurses, and health outreach workers, in collaboration with the Eli Lilly Foundation • Assisted Tomsk partners in securing $10.8 million from the Global Fund for scale-up of TB treatment efforts in Tomsk Oblast; PIH is serving as principal recipient on the five-year grant • Ongoing research to identify critical barriers to treatment success; areas of focus include DOTS, DOTS-Plus, program management, TB mortality, and alcohol abuse

9. Rwanda: Inshuti Mu Buzima • Launched in 2005 • Integrated AIDS prevention-and-care project in rural areas, based on the experience of Zanmi Lasante in Haiti • Collaboration with the Clinton Foundation HIV/AIDS Initiative and the Rwandan Ministry of Health • Within one year: • >1,000 patients on ART • ~10,000 people tested for HIV • ~1,200 food packages distributed monthly to HIV and TB patients

10. Lesotho: Bo-Mphato Litšebeletsong tsa Bophelo • Launched in June 2006! • Community-based AIDS treatment project • Remote mountain areas (accessible only by plane) • Collaboration with the Clinton Foundation HIV/AIDS Initiative and other partners • >30% of the adult population is HIV-infected • By the end of 2007, PIH hopes to be working in nine rural health clinics serving more than 300,000 people

11. Supported projects Chiapas, Mexico Since 1986, the Equipo de Apoyo en Salud y Educación Comunitaria (Health and Community Education Support Team) has trained hundreds of community health workers who now work throughout southern Mexico to provide health care to the destitute sick. Huehuetenango, Guatemala Since 1998, the Equipo Técnico de Educación en Salud Comunitaria (Technical Team for Education in Community Health) has been providing legal, psychological, and logistical assistance to the survivors of Guatemala’s bloody Civil War (1960-1996).

12. Building a health care movement Comprehensive patient care Clinical and operational research Training and infrastructural support Advocacy and policy change

13. Program in Infectious Disease and Social Change Department of Social Medicine, Harvard Medical School Division of Social Medicine and Health Inequalities Department of Medicine, Brigham and Women’s Hospital François-Xavier Bagnoud Center for Health and Human Rights Harvard School of Public Health The “Four Pillars” Partners In Health (Zanmi Lasante, Socios En Salud, PACT Project, Партнеры во имя Здоровья, Inshuti Mu Buzima, Bo-Mphato Litšebeletsong tsa Bophelo)