2018 Annual Report

2018 Annual Report

Letter from the Executive Director

Dear Supporters,
As the still relatively “new” Executive Director, I would like to take just a moment to share some highlights of what was a simply amazing year at Care 2 Communities.

I joined C2C in October because it is so clearly an organization poised to break through to an entirely new level of scale thanks to the incredible dedication of our team in Haiti, our Founder Liz Sheehan and my predecessor Allison Howard-Berry. In 2018 we served over 23,000 patients (nearly double our 2017 levels) and also nearly doubled our clinic network by negotiating,
finalizing, and delivering on a social enterprise-based, public-private partnership with the Haitian Ministry of Health. We have opened up a path to reach many more communities and to create a far bigger impact in the coming year.

Through our partnership with the Ministry, we invest in under-resourced public clinics that serve communities that often have no other healthcare options for miles or hours of travel. When we rehabilitate these clinics, the building itself requires substantial improvement, but we also equip the facility with C2C’s operational and clinical expertise: an electronic medical record (EMR) system, central supply sourcing, human resource services, “one-stop-shop” medical testing and pharmaceutical supply facilities all under one roof. These improvements have doubled the Ministry’s own measures of clinic quality. At the same time, our earned revenue model from health services delivered ensures that the clinics we run are sustainable for the long-term.

As we map out our plans for this coming year our path to continued growth is clear. The Ministry would like our partnership to take on more clinics as soon as our resources allow. We want to substantially grow our clinic footprint this year and double it by 2020, surpassing 50,000 patients served per year. Our only limiting factor is prioritizing our limited resources.

Nevertheless, with new investment from supporters like you, we can reach these goals and surpass them.

We simply can’t do it without you. Your support has and will continue to make a real, lasting impact in the lives of those who need it and are counting on our help!

Thank you for your continued support and friendship. Onward to 2019!

With gratitude,

Why Primary Care?




The Importance of Primary Care in the Developing World

Today, half the world’s population still lacks access to essential health services, the majority of which can be delivered through strong primary health care. Primary care is a person’s first and main point of contact with the health system, and connects people with trusted health care providers who can meet most of their health needs throughout their lives.

According to the World Health Organization, 80-90% of peopleʼs health needs across their lifetime can be covered by primary health care. Good primary health care leads to better health outcomes, improved quality of care and longer life expectancy.

In October 2018, the world came together at the Global Conference on Primary Health Care to renew a commitment to primary health care to achieve universal health coverage and the Sustainable Development Goals.

Primary health care is the most efficient and effective way to achieve health for all. But too often, it is the most under-resourced part of the health system, with the biggest gaps in poor and marginalized communities. Most of what communities suffer from could be treated at the primary health care levels in a more cost-effective way.

At C2C, we believe that primary health care is uniquely placed to provide the spectrum of care required to meet most of the health needs of Haitian communities- from prevention and treatment to rehabilitation and palliative care. Our services are aimed to prevent, treat and educate the communities we serve in northern Haiti and beyond.

A doctor with a patient


Educators at a Haiti clinic doing patient education

Health Education

A pregnant woman receiving an ultrasound

Maternal Care

A malnourished child receiving a checkup


2018 Accomplishments

A graphic of 2018 accomplishments, showing 74% cost recovery, total expenses of 1.02 million, and relative across four clinics, with Sinek as the highest.