Care 2 Communities

Care 2 Communities (C2C) is innovating a community-based, social enterprise clinic network that delivers reliable, affordable, high-quality primary care through a public-private partnership with the Ministry of Health in Haiti. We are preventing and treating illness and proving that low user fees can sustain clinic operations over time even in very impoverished and remote areas of the Western Hemisphere’s poorest nation.

We have three central goals:

• To ensure that communities and families most in need are able to access high-quality health services

• To improve health outcomes for local communities by treating illness, preventing disease, and addressing the most urgent local health threats

• To create viable social businesses that ensure health services to a community in perpetuity

Most public clinics in Haiti are chronically under-resourced, suffering from financial deficits, lack of management and supply chain, no data collection, and (usually) no electricity or running water. The government saw a potentially transformative solution in C2C’s work: our commitment to primary care excellence, our high standards for cost-effective operations, and our focus on community integration. Together we seized an opportunity to join forces through a PPP that would--rather than launch new clinics to fill service delivery gaps--rehabilitate existing underperforming government clinics across the country by adopting C2C’s management and operational structure.

Our model for primary healthcare delivery provides a novel solution to the healthcare crisis in Haiti. Key components of the model include: our PPP with the Ministry of Health; “one stop shop” services; specialty services including maternal healthcare, family planning, and malnutrition care; community health education; local supply chains; locally hired and trained staff; custom electronic medical records (EMR); and financial sustainability.  

C2C’s network of seven community-based, primary care clinics in Northern Haiti serves 35,000+ patients annually and is growing rapidly. In 2018, C2C established a formal agreement with the Haitian Ministry of Health to create a public-private partnership (PPP) that will ensure sustainability and scalability of our effort. Through the PPP, C2C “rehabilitates” existing public clinics across the region to achieve high benchmarks for service delivery and quality, by adopting the C2C model for clinic management. We leverage the existing resources of the government (e.g., the clinic building, existing staff on the government payroll) and rehabilitate the operational systems that are necessary for high-quality primary care: inventory and supply chain, financial management, human resources (HR), technology and medical records, staff training, and community health and education.

Since the launch of our PPP with the Haitian Ministry of Health in 2018, C2C has accomplished the following:

  • Increased C2C’s annual patient reach from 16,000 to 23,000 in 2018, and from 23,000 to 35,000 in 2019.
  • Reached 80% cost-recovery at each business unit (up from 70% in 2018)
  • Achieved 90% patient satisfaction from patient surveys
  • Rehabilitated 4 public clinics, to bring our network to a total of 7 clinics in 2020
  • Lifted Haitian government clinic quality scores from 40-80% pre/post C2C involvement, measured by the Haitian government’s composite scoring system.
  • At newly integrated PPP clinics, C2C improved the followings service delivery and quality metrics:
    • Increased patient volume by 50% (from an average of 8 patients a day to 12 patients a day)
    • Increased lab capacity by 66% (from average of 9 tests to 15 tests available)
    • Increased pharmaceuticals by 300% (from average of 29 meds to 88 meds available)
    • Reduced prices on average 15% for labs and 25% for medications
  • Received recognition from the Innovations in Healthcare network at Duke University, and as a finalist for the P3 Impact Award, created by Concordia, the University of Virginia Darden School of Business, and the U.S. Department of State’s Office of Global Partnerships.


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