PSI: POSITIONED FOR TOMORROW 2013 PROGRESS REPORT
UNLEASHING THE POTENTIAL FOR GIRLS AND WOMEN:
POSITIONED FOR TOMORROW We are at a historic moment in time, when the investments we make today can end extreme poverty within our lifetime. Healthy girls and women are the surest investments to realize this future.
PSI is investing in the health of girls and women by using proven business practices like marketing to tackle the greatest challenges that they face today and will face tomorrow. We’re bringing diverse global
TABLE OF CONTENTS
ABOUT PSI
CONNECT WITH PSI
02
HEALTH IMPACT
PSI is a global health organization dedicated to
04
PSI: POSITIONED FOR TOMORROW
improving the health of people in the developing
WEBSITE psi.org
world by focusing on serious challenges like a lack of 04
ANTICIPATING HEALTH NEEDS OF TOMORROW
06
CONNECTING GLOBAL PARTNERS
08
DEVELOPING GAME-CHANGING PILOTS
10
DELIVERING INTEGRATED SOLUTIONS
12
THE RESULT: HEALTHY, EMPOWERED GIRLS & WOMEN
family planning, HIV and AIDS, barriers to maternal health, non-communicable diseases and the greatest threats to children under five, including malaria, diarrhea, pneumonia and malnutrition. A hallmark of PSI is a commitment to the principle that health services and products are most effective when they are accompanied by robust communications and
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PSI NETWORK
15
FINANCIAL STATEMENT
16
LEADERSHIP
distribution efforts that help ensure wide acceptance and proper use. In each of its platforms, PSI works in partnership with local governments, ministries of health and local organizations – creating health
IMPACT MAGAZINE PSIimpact.com BLOG blog.PSIimpact.com TWITTER @PSIimpact
partners together to pilot game-changing health interventions that deliver solutions where, when and how they are needed.
When girls and women are healthy, they go to school, join the work force, support their local economy and lift themselves and their families out of poverty. We are acting today to unleash the potential of millions of girls and women tomorrow.
FACEBOOK Population Services International YOUTUBE Population Services International
PSI President & CEO Karl Hofmann meets 5-yearold Jovitte Kezakimana, who lost three siblings to malaria. Since her family started using a PSI mosquito net last year, she has been malaria-free and is excited about attending school regularly.
EMAIL info@psi.org
solutions that are built to last. Cover Photo: ©Hank Badenhorst / ISTOCK This page: ©Jake Lyell
©Benjamin Schilling
01
HEALTH IMPACT
PSI ADDED 35.2 MILLION YEARS OF HEALTHY LIFE
SERVICES PROVIDED
WITH THE PRODUCTS WE DISTRIBUTED AND SERVICES WE PROVIDED IN 2012.
THE SCALE OF PSI PROGRAMMING IN 2012 PRODUCTS MARKETED & DISTRIBUTED
inserted (including implants and intrauterine devices), empowering women and couples
24 million long-lasting insecticide-treated nets, protecting families from malaria.
MDG 6
long-acting, reversible contraceptives
MDG 4&6
MDG* 5
627,000 20,000 courses of directly observed therapy, saving lives by treating tuberculosis.
voluntary adult medical male circumcisions performed, preventing HIV and other sexually transmitted infections (STIs).
1.3 billion male condoms, preventing transmission of HIV and other STIs and empowering women and couples to plan for the families they desire.
MDG 4&8
MDG 6
186,000
MDG 5&6
to plan for the families they desire.
731,000 pre-packaged antibiotics, saving children’s lives by treating pneumonia.
HOW DOES PSI CALCULATE YEARS OF HEALTHY LIFE ADDED? PSI estimates the impact of its health interventions
voluntary testing and counseling sessions for HIV and other STIs conducted, reducing transmission rates and increasing
MDG 4
MDG 6
1.7 million
2.5 million diarrhea treatment kits, saving children’s lives by reducing the severity and duration of diarrheal disease.
access to treatment through referrals.
MDG 4&8
using the Disability-Adjusted Life Year (DALY), a unit of measurement developed by the World Bank
15.4 million courses of artemisinin–based
and the World Health Organization to estimate
combination therapy, saving
years of life lost due to death and disability. We
children’s lives by treating malaria.
track each product we deliver and service we
14,000 Maternal deaths prevented
16.9 million 27.7 million 29.9 million 31.9 million 49.4 million 35.2 million
*2011 was an exceptional year for long-lasting insecticide-treated net (LLIN) distribution. In 2011 alone, PSI distributed 42 million LLINs, accounting for 56% of the total DALYs averted in 2011. In 2012, the LLIN distribution dropped to 24 million
16.6 billion
MDG 4&7
MDG 4,6&7
prevented
MDG 5
MDG 5
MDG 6
IMPACT OF PSI INTERVENTIONS HIV infections
2007 2008 2009 2010 201 1* 2012
provide. We then use technical models to calculate the DALYs averted by our work.
203,000
OUR IMPACT:
237,000 Deaths due to malaria,
ONE DALY AVERTED = ONE YEAR OF HEALTHY LIFE ADDED.
LLINs, accounting for 31% of the total DALYs averted in 2012.
To stay at the forefront of our field, we have
(2) The Lives Saved Tool provides us access to
aligned the way we estimate DALYs averted with
estimates of deaths averted by a range of products
two external tools widely used by the global health
and services for children under the age of five.
5.2 million
community: (1) The 2010 Global Burden of Disease
These estimates are based on the most current,
Unintended
Study and (2) the Lives Saved Tool.
peer reviewed data available.
Litres of water treated
diarrhea & pneumonia prevented
pregnancies prevented
(1) The 2010 Global Burden of Disease Study introduced more accurate methods for calculating a DALY. *MDG = Millennium Development Goal
02
For more information on our health impact, go to psi.org/psi-2012-impact to read the 2012 Impact Report.
03
ANTICIPATING HEALTH NEEDS OF TOMORROW.
GROWING BURDEN OF NON-COMMUNICABLE DISEASE Between 1990 and 2010, there was a 61% growth in the
The growing burden of non-communicable and treatable diseases threaten decades of progress in global health. We follow evidence and build solutions to address these tough challenges, ensuring that investments are best aligned with need.
burden of cervical cancer in Zambia. In response, Society for Family Health, PSI’s network member in Zambia, is training public sector clinicians to conduct cervical cancer screening alongside family planning services.
DECADES OF GLOBAL MALARIA CONTROL EFFORTS UNDER THREAT
serious threat to global efforts to eliminate malaria.
widespread availability and use of partial courses
were screened for cervical cancer
of oral artemisinin monotherapy (oAMT) in the
last year, representing
informal private sector, instead of artemisinin-based combination therapy (ACT). This has been a serious problem in Myanmar, in particular.
of all family planning clients served
for abnormal cells on the cervix, and eight were referred for loop electro surgical excision procedure
“GLOBAL BURDEN OF DISEASE [DATA FROM] 2010 SHOWS THE REMARKABLE HEALTH ACHIEVEMENTS OF THE PAST TWO DECADES, AS WELL AS THE CONTINUING, AND EMERGING, CHALLENGES THAT REQUIRE ACTION.” Jim Yong Kim, President of the World Bank1
at the University Teaching Hospital.
Olga Akakulubelwa is one of the women who were referred to the Lusaka University Teaching
51%
antimalarial drug (artemisinin) in Southeast Asia is a
women in the Copperbelt province
Of these, 75 women received cryotherapy treatment
Availability of oAMT decreased from 51% to 36%:
Emerging resistance to the most effective
One of the key drivers of resistance has been the
in clinics that offer the screening.
63 %
27%
36%
1,362
28%
Availability of ACTs increased from 27% to 63%:
Most impressive, the market share of ACTs relative to oAMT in priority outlets increased from 3% to 73% over this period: 3%
73%
What does this mean? A sustained price subsidy combined with an oAMT importation ban and intensive communication campaigns can bring about rapid changes in antimalarial markets where
In response, PSI/Myanmar implemented an
an urgent intervention is justified.
emergency country-wide program focused on addressing access and pricing in the private
Donors: UK Department of International
sector by flooding the market with heavily
Development, Bill & Melinda Gates Foundation,
subsidized ACTs. The program was supported
and Good Ventures
by intensive communication campaigns, and the Ministry of Health’s efforts to prevent further importation of oAMT.
Hospital. When she was told her results, Olga broke down. “I’m crying because I’m happy the
After just nine months, significant changes in
problem has been found and will be addressed.
the availability of ACTs were observed in more
I don’t know what would have happened to me
than 3,500 outlets surveyed, particularly among
had I not heard about the service,” she said.
pharmacies, retail stores and itinerant drug vendors
Today, Olga is a self-appointed ambassador for
that historically provided the bulk of oAMTs.
early cervical cancer screening. Donor: Dutch Ministry of Foreign Affairs 04
1
Kim: Data for better health—and to help end poverty. The Lancet 380 (Number 9859):2055 ©Chris James White
05
CONNECTING GLOBAL PARTNERS
A PUBLIC–PRIVATE SECTOR SOLUTION
1,628 Women like Nakiranda Sabirah delivered safely in PACE franchise clinics in less than nine months.
50 X
PSI connects government donors, corporations, foundations and philanthropists to improve the health of
Nakiranda had never been to an antenatal clinic.
giving birth than women in the developed world.
While she was pregnant with her fourth child, Mr. Kirira, a MUM outreach worker, encouraged
and business models that can tackle the unmet needs of girls, women and families.
The MSD (aka Merck & Co.) for Ugandan Mothers (MUM) partnership was created to reduce this high maternal mortality. Working in collaboration with the US government’s “Saving Mothers, Giving Life” initiative, the MUM partnership will:
“WE WANT TO BE SUCCESSFUL AND SUSTAINABLE WHILE INCREASING OUR POSITIVE IMPACT ON SOCIETY. . . . THIS IS NOT CORPORATE SOCIAL RESPONSIBILITY ANYMORE; THIS IS TAKING CO-OWNERSHIP TO CONTRIBUTE TO ISSUES OF HEALTH AND SANITATION, OF FOOD SECURITY, OF EQUITABLE GROWTH.”
my pregnancy and realized my baby was not
and services in private sector clinics and
families to find the needed materials. • Households do not have the required cash on hand. • Entrepreneurs do not have access to financing to invest in selling toilets.
Nakiranda to come regularly for checkups until the baby’s birth via caesarian section. “If it had
might have died,” says Nakiranda.
PSI partnered with Water for People India, Monitor Group and PATH to launch a sustainable, marketbased solution in Bihar to make investment in toilets attractive to families and the private sector. Key components of the project include:
Donor: Merck for Mothers • Mapping the existing sanitation market
• Expand PACE’s ProFam franchise network by training 522 providers in basic emergency
program to serve 3,500 members.
A SUSTAINABLE, MARKET–BASED SOLUTION
In 2012, Unilever Foundation and PSI taught
The MUM partnership is led by PSI, PACE
200,000 CHILDREN
(member of the PSI network), the Association of
• Developing business models that coordinate supply and demand • Designing an affordable toilet that families aspire to own • Increasing access to financing for both
2.5 BILLION people lack access to
across three countries how to correctly
• The supply chain is fragmented; it is difficult for
pharmacies.
• Develop a community health insurance
IN 400 SCHOOLS
want one. Why?
fine,” says Nakiranda. The providers advised
quality maternal health information, products
obstetric care.
Paul Polman, CEO for Unilever 1
her to go to a health clinic. “The doctor checked
not been for Mr. Kirira’s advice, my child and I • Increase availability of and demand for
India, have no toilet facilities, even though they
• Affordable, quality toilets are unavailable.
A woman in Uganda is 50 times more likely to die people in resource poor settings in the developing world. These partnerships fuel sustainable approaches
However, more than a third of rural families in Bihar,
adequate sanitation.
households and entrepreneurs • Exploring business opportunities for fecal waste management • Creating demand for sanitation
Obstetricians and Gynecologists of Uganda, Save
> 1 BILLION
for Health Uganda, and Transaid.
people are forced to defecate in the open.
and consistently wash hands with soap.
The project will provide a sustainable, marketbased solution to sanitation for families in Bihar. Donor: Bill & Melinda Gates Foundation
A toilet not only provides privacy, particularly for girls and women, it prevents the spread of diarrhea and other diseases, which kill 1.8 million children each year. 06
1
Quote as appeared in Trends Talk: A Vision for Sustainable Living. Impact Magazine 12: 20 ©Benjamin Schilling
2012 PROGRESS REPORT
07
DEVELOPING GAME-CHANGING PILOTS
A MULTI–SECTOR, INTEGRATED SOLUTION
Massa, a 31-year-old single mother of six,
2. Protect women and babies at childbirth
was one of these women. “I am not ready to be a grandmother,” said Massa. “I want
In partnership with the Education Development
my daughter to complete high school
Solutions to some of the greatest health problems for girls and women exist, but delivering them in
Center, PSI/Liberia launched a pilot within
and college before she starts to have her
sustainable, cost-effective ways poses a barrier. PSI and partners on the ground have developed new
USAID’s Advancing Youth Program to promote
own children.” Massa and her 16-year-old
projects that change the way health is delivered and will make it easier for generations of girls, women
sexual and reproductive health among out-of-
daughter chose a contraceptive implant.
and families to be healthier.
school youth ages 13-35.
Nearly 600,000 women and 1 million newborns die every year from complications during childbirth. In Uganda, PSI is arming community health workers with improved Safe Delivery Kits that can be used at home or in a clinic. The kit contains:
Donor: US Agency for International Development The pilot is a week-long curriculum, culminating in a one-day, community-wide celebration with on-site HIV counseling and testing and family planning services.
PILOTS THAT INTEGRATE LIFE-SAVING SOLUTIONS
SOAP
RAZOR
STERILE CLOTH
GLOVES
along with two additions – chlorhexidine (prevents
1,350
1. Prevent cervical cancer
out-of-school youth were reached by the program in the first six months.
newborn infections) and misoprostol (prevents lifethreatening bleeding). Supported by friend and philanthropist Sara Ojjeh.
India bears one-fifth of the global burden of
“FOCUSED INVESTMENTS IN ‘GAME-CHANGING’ INNOVATIONS CAN DRAMATICALLY IMPROVE HEALTH FOR THE POOREST BY INCREASING THEIR ACCESS TO LIFE-SAVING INTERVENTIONS AND CARE, PARTICULARLY AT THE COMMUNITY LEVEL.”
72%
cervical cancer – about 74,000 deaths every
received HIV counseling
and preventative treatment into India's existing
and testing.
network of private clinics to save millions of lives
year. PSI will integrate cervical cancer screening 3. Break the cycle of violence
from this easily preventable disease.
1,481
Supported by friend and philanthropist Kathy Vizas.
One in three women is physically or sexually
women received a hormonal
abused in her lifetime. In India and Trinidad and
contraceptive method.
Tobago, PSI is addressing gender-based violence through the provision of essential health services for survivors and transforming negative gender
Dr. Ariel Pablos-Mendez, Assistant Administrator for Global Health at the US Agency for International Development1
norms within communities. Supported by Indrani’s Light Foundation.
08
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Quote as appeared in Trends Talk: Dr. Ariel Pablos-Mendez. Impact Magazine 12: 9 ©Ollivier Girard
09
DELIVERING INTEGRATED SOLUTIONS
INTEGRATED CARE FOR THE MAJOR KILLERS OF CHILDREN
The people we serve seek solutions for all their health needs – not just one. PSI provides integrated
South Sudan has one of the highest childhood
solutions to address the complex needs of the hardest-to-reach girls, women and families when, where
mortality rates.
Between April and September 2013, the distributors provided:
When couples like Lovemore and Fungai visit one of
95,605 children with antibiotic treatment for pneumonia.
120,636 children with oral rehydration
and how they are needed.
1 IN 10 children dies before the age of five.
ALMOST 1/2
425,452
Professor Babatunde Ostotimehin, Executive Director for UNFPA1
greatest health challenges.
New Start clinics provide the following services:
• Counseling and referral for voluntary adult
the Global Fund to Fight AIDS, Tuberculosis and Malaria
Torit – are working with the government of South
a one–stop shop to protect Zimbabweans from their
combination therapies for malaria.
medical male circumcision to prevent HIV • Screening and treatment for sexually transmitted infections
and pneumonia together.
“ONE ARGUMENT FOR INTEGRATION IS THAT YOU CAN HAVE THE ONESTOP SHOP SITUATION WHERE ONE, TWO, THREE TRAINED PROVIDERS CAN DELIVER SERVICES AT THE SAME TIME. WHEN YOU LOOK AT THE COMPONENTS OF AN INTEGRATED SYSTEM, IT IS VERY EASY TO SELL. IT MAKES SENSE FOR GOVERNMENTS TO BUILD AND PUT THIS TOGETHER.”
reproductive health and family planning services in
• HIV counseling and testing
attributed to malaria, diarrhea
Consortium, BRAC, and Catholic Diocese of
HIV prevention and treatment as well as sexual and
children with artemisinin-
Donors: UK Agency for International Development and
Committee, Save the Children, Malaria
HIV counseling and testing. PSI provides integrated
salts and zinc for diarrhea.
of these deaths can be
PSI and partners – International Rescue
PSI’s 15 New Start clinics, they receive more than just
• Tuberculosis screening and treatment
COMPREHENSIVE CARE FOR THE GREATEST HEALTH CHALLENGES
• Point–of–care CD4 cell count and other HIV– related laboratory services • Antiretroviral therapy • Female and male condoms • Family planning services with a wide range of
Sudan to improve the health of children. Lovemore met Fungai a year ago. “We had This partnership has equipped 7,862 community-
so much in common – both in our thirties,
based distributors in remote areas with the skills and
divorced with a child,” says Fungai. Recently,
drugs to diagnose and treat malaria, diarrhea and
Fungai saw a TV ad for PSI’s New Start HIV
pneumonia. They also learned to screen for acute
clinics, which showed a couple who tested for
malnutrition and refer severe cases of diseases to
HIV before getting married. With her wedding
health facilities.
to Lovemore fast approaching, Fungai thought
options, including intrauterine contraceptive devices, implants and emergency contraception • Cervical cancer screening and cryotherapy • Services for survivors of sexual abuse
Donors: UK Agency for International Development and US Agency for International Development
it was a good idea. “Lovemore and I are starting a new life together,” she says. “We should know each other’s HIV status, especially since we’ve been married before.”
10
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Quote as appeared in 7 Questions with Professor Babatunde Osotimehin. Impact Magazine 7: 5 ©Eric Gauss
11
THE RESULT: HEALTHY, EMPOWERED GIRLS AND WOMEN
LAVERNE
OANH
Belize
Vietnam
“Those of us who live with HIV know each other and build informal networks,” says Laverne,
“This question haunts me daily: How will
a peer outreach worker in Belize. Laverne conducts home visits with people living with HIV and
my daughter’s life be if I get HIV?” says
AIDS. She talks about the importance of adherence to antiretroviral therapy, consistent condom
Oanh, the wife of an HIV-positive injecting
use, and proper nutrition, and provides referrals to a combination of preventative and care
drug user and mother of a 10-year-old. When
PSI’s programs empower generations of girls and women to take control of
services. “When people notice that their friends stop their medication or stop going to the clinic,
Oanh’s husband first wanted to buy a new,
their health and the future of their families, communities and countries.
they ask us to go see them.” In just a year, Laverne and her colleagues increased by 300% the
more expensive needle and syringe (N/S),
number of people living with HIV and AIDS that PASMO (PSI’s local network member) reaches.
she did not allow it. Later, PSI informed her that the N/S reduces HIV and Hepatitis C
Donor: US Agency for International Development
risk. Oanh and her husband tested negative
“ONCE WOMEN AND GIRLS EXPERIENCE A MIND-SHIFT – THE KNOWLEDGE THAT THEY HAVE POWER OVER WHEN THEY HAVE CHILDREN OR THAT THEY CAN TAKE ACTION TO INCREASE THEIR CHILD’S CHANCE OF SURVIVAL – THEY START TO FEEL EMPOWERED IN OTHER AREAS OF LIFE AND ARE BETTER ABLE TO LIFT THEMSELVES, THEIR FAMILIES AND THEIR COMMUNITIES OUT OF POVERTY.” Melinda Gates, co-chair of the Bill & Melinda Gates Foundation1
for Hepatitis C the very next day. “If the N/S was available three years ago, my husband
WHITNEY
might not have even gotten HIV,” she said. Thinking of her daughter’s future, Oanh
Liberia
ARACELY El Salvador “I know how hard it is to be a single mother. That’s why I can relate to them,” says Aracely, who conducts combination prevention outreach with female sex workers to prevent the transmission of HIV. “Most women who are sex workers are single mothers, and do it so that they can support their children,” she adds. Aracely provides pre- and posttest HIV and sexually transmitted infection counseling for women in her community. She also provides referrals to complementary or structural services, such as violence prevention, treatment for alcohol and drug abuse, and family planning services. Last year, the program reached 3,369 sex workers in El Salvador. Donor: US Agency for International Development
told her husband: “You should use the new “I use family planning,” said 18-year-old
generation N/S. Better late than never.”
Whitney, a veteran radio host and youth
Donor: Merck
advocate. Whitney educated young girls while she was a host on PSI/Liberia’s youthcentered weekly radio show, “Let’s talk about sex.” Designed by youth, the show addresses
DR. AYE AYE MU
youth-related health issues. As part of the
Myanmar
program, Whitney also distributed condoms to female sex workers, some of whom are
“My family has sought medical advice from Dr. Aye Aye Mu for over 10 years now,”
her age. Just last year, the show aired 176 live
says Ma Ei Shwe, a 36-year-old mother of three. “Her clinic is open at convenient
episodes and the program distributed more
times, her medical products are affordable, and she always explains the options
than 840,000 condoms.
available in a confidential and safe environment.” Dr. Aye Aye Mu is one of 1,500
Donors: United Nations Population Fund & the Global Fund to Fight AIDS, Tuberculosis and Malaria
doctors who belong to PSI/Myanmar’s Sun Quality Health franchise. Annually, they treat more than 16% of TB cases nationwide, provide more than 1.5 million reproductive health consultations, and treat approximately 60,000 cases of malaria and 100,000 children for pneumonia.
12
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Quote as appeared in 7 Questions with Melinda Gates. Impact Magazine 13: 4
13
THE PSI NETWORK
DR. KRISHNA JAFA
FINANCIAL STATEMENT
VALUE FOR MONEY
Dr. Krishna Jafa started her PSI career in India Strong HQ
Higher Quality Programs
+
+
Strong Partners
Stronger Health Systems
Strong Affiliates
and Afghanistan. She then joined the US Centers
2012 REVENUE BY DONOR
for Disease Control & Prevention’s Epidemic
5%
Intelligence Service, after which she returned Greater Capacity on the Ground
to work for PSI in Zimbabwe. Today, she is Vice Stronger health of the people we serve
PSI’s local partners lead health programming for the network in 69 countries around the world. These strong, on-the-ground programs, with a lasting presence and deep local roots, are the backbone of the PSI network. Together, we have added more than 245 million years of healthy life in the last 10 years.
President of PSI’s Sexual & Reproductive Health & Tuberculosis department.
Dr. Jafa leads a team of more than 20 staff across three continents, supporting PSI network members
14%
41%
Other
U.S.
Foundations & Corporations
Government
With every $16.36 you invested in PSI in 2012,
15%
you added a year of healthy life.
25%
International Organizations
Non-U.S.
DONORS*
Governments
and partners with technical expertise, capacity building, project management, and technical
GLOBAL SERVICES VALUE
representation. Dr. Jafa is passionate about connecting local, regional and global technical
2002
2012
7.5 cents / dollar
6.5 cents / dollar
resources to improve quality of care for clients today
Australian Government Overseas Aid Program
that directly reach the people we serve. The rest – 6.5 cents – connects the network, providing members access to the following:
has invested in me
• Best practices and lessons learned help maximize efficiency. • Technical experts who help network members design and implement cost–effective programs, and provide technical oversight and quality control. • Growth and transition within the network for high–performing, local staff.
says Dr. Jafa.
2011 2010
$502.2
$35.2
Global Fund to Fight AIDS, Tuberculosis & Malaria $0.3
$637.2
KfW Entwicklungsbank Merck & Co., Inc.
$35.3
Ministry of Health of Cambodia
$0.4 $550.0
Ministry of Health of Malawi
$36.1
National AIDS Control Organisation of India
$0.3
Netherlands Government Ministry of Foreign Affairs
the opportunity
P&G
to work with a
Three Diseases Fund
diverse and highly skilled group of colleagues; to use marketing
• Strong financial and compliance oversight.
techniques to make being healthy easier and
• Vital support in proposal development, management, training, marketing, external
more fun; and, to lead an outstanding team
relations, procurement, contracts, research, metrics, and program management.
Centers for Disease Control & Prevention
Fundraising
ExxonMobil Foundation
for over a decade,” “I’m thankful for
• Knowledge and expertise of more than 8,900 employees worldwide.
Canadian International Development Agency
while strengthening local capacity for tomorrow.
“The PSI network
93.5 CENTS
Management & General
Program
2012 For every dollar invested in PSI, 93.5 cents goes to programs
Bill & Melinda Gates Foundation
EXPENSES BY YEAR (IN MILLIONS)
committed to the health of our clients.”
REVENUE BY YEAR 2012 2011 2010
United Kingdom Department for International Development United Nations Children’s Fund
$546,449,232
United Nation’s Population Fund $682,802,373
United States Agency for International Development United States Department of Defense
$585,021,282
World Health Organization
* 14
© Laetitia Lemoine/PSI
The figures on this page are excerpted from statements and schedules issued by PSI’s external auditors. Copies of audited statements are available upon request from PSI in Washington, DC. Please email info@psi.org.
Donors listed contributed a minimum of U.S. $1 million in 2012 15
LEADERSHIP
EXECUTIVE LEADERSHIP KARL HOFMANN President & Chief Executive Officer
COUNTRY LEADERSHIP
PETER CLANCY Executive Vice President & Chief Operating Officer
JAN AKKO ELEVELD Angola
ALISON MALMQVIST Senegal
KIM SCHWARTZ Senior Vice President & Chief Financial Officer
DONATO GULINO Somaliland
BRIAN SMITH Senior Vice President & Chief Strategy & Resources Officer
DANA WARD Bangladesh
NICOLAS BETSI Côte d’Ivoire LAZARE GOUSSOU Côte d’Ivoire (AIMAS)
ANTHONY OKOTH PS Kenya LEILA KUSHENOVA Kyrgyzstan, Kazakhstan and Tajikistan
GUADALUPE HUITRON Belize
ERIC SEASTEDT Dominican Republic
MEGAN WILSON Benin
NESTOR ANKIBA Democratic Republic of the Congo
PIERRE-LOUP LESAGE Lesotho
CORNELIUS GAETSALOE (ACTING) Botswana
NURIA CANIZALEZ El Salvador
REID MOORSMITH Liberia
SIMPLICE TOE Burkina Faso
STACIANN LEUSCHNER Ethiopia
CHARLES SZYMANSKI Madagascar
ELIZABETH BROGAARDALLEN Burundi
PILAR SEBASTIAN Guatemala SALIFOU COMPAORE Guinea
YASMIN MADAN Cambodia
SHAZINA MASUD Nepal GUADALUPE CANALES Nicaragua LEGER FOYET Niger
SCOTT BILLY South Africa (SFH)
BRIGHT EKWEREMADU Nigeria
GUY ROGERS South Africa
CHRISTOPHER CONRAD Pakistan
NANA FRIMPONG South Sudan
SARATIEL KARICA Panama
PAMELA FAURA Swaziland
SARAH GIBSON Malawi
SALVATORE GABRIELE GANCI Papua New Guinea
DR. SUSAN MUKASA Tanzania
RODIO DIALLO Mali
SONIA MARCHEWKA Paraguay
ROBERT GRAY Laos
MARTIN FINNEGAN Haiti
RICARDO ROMAN Mexico
LUIZA ROTARU Romania
JULIO ZUNIGA Honduras
IULIAN CIRCO Mozambique
GALINA KARMANOVA Russia
MARINA HILAIREBARTLETT Caribbean
PRITPAL MARJARA India
BARRY WHITTLE Myanmar
CAITLIN UNITES Rwanda
MARCELA CUBERO Costa Rica
CHRIS JONES Kenya
LAVINIA SHIKONGO Namibia
MANASSEH GIHANA WANDERA Rwanda (SFH)
AUGUSTE KPOGNON Cameroon & Central African Republic
16
ANDREW BONER Thailand KUASSI KONTEVI Togo ZACCH AKINYEMI Uganda JOSSELYN NEUKOM Vietnam DR. NAMWINGA CHINTU Zambia LOUISA NORMAN Zimbabwe
© Bouba Diarra
KATE ROBERTS Senior Vice President Corporate Partnerships & Philanthropy DESMOND CHAVASSE Senior Vice President Malaria Control and Child Survival
KRISHNA JAFA Vice President Sexual & Reproductive Health & TB DOUG CALL Vice President Southern Africa LISA SIMUTAMI Vice President East Africa MOUSSA ABBO Senior Regional Director West & Central Africa
JUDI HEICHELHEIM Senior Regional Director Latin America & the Caribbean MICHAEL CHOMMIE Director PSI/Europe & Strategic Partnerships Unit ALAMELU DEIVANAYAGAM Acting Director People Department COLLEEN GREGERSON Director New Business Development
MARUSYA LAZO Director, Global Internal Audit KIM LONGFIELD Director Research & Metrics DANIEL MESSER Chief Information Officer CAROL SMITH Senior Director, Procurement, Grants & Contracts MARSHALL STOWELL Director, External Relations and Communications
STEVEN HONEYMAN Director Learning & Performance
DAVID WALKER Director, Social Marketing
BARBARA BUSH President & Co-Founder Global Health Corps New York, NY
PUNAM KELLER, PH.D. Professor of Marketing Tuck School of Business at Dartmouth Hanover, NH
BILL SANDERS President & Partner 400 Capital Management LLC New York, NY & Washington, DC
FRANS ENGERING Former Netherlands Ambassador Netherlands Ministry of Foreign Affairs The Hague, The Netherlands
SALMA MAZRUI-WATT Chief Executive Officer Kibeni Ltd Nairobi, Kenya
GOVERNOR TOMMY THOMPSON CEO Thompson Family Holdings Madison, WI
GILBERT OMENN, M.D. Professor of Internal Medicine, Human Genetics & Public Health University of Michigan Ann Arbor, MI
REBECCA VAN DYCK Head of Consumer Marketing Facebook Menlo Park, CA
MARCIE COOK Senior Regional Director Asia and Eastern Europe
BOARD OF DIRECTORS FRANK LOY Chair of Board, Former Undersecretary of State for Global Affairs U.S. Department of State Washington, DC REHANA AHMED, M.D. Reproductive Health Specialist Nairobi, Kenya J. BRIAN ATWOOD, PH.D. Professor & Chair of Global Policy Studies Humphrey H. School of Public Affairs at University of Minnesota Minneapolis, MN DAVID BLOOM, PH.D. Professor, Department of Global Health & Population Harvard School of Public Health Boston, MA
KATHRYN A. FORBES, CPA Vice President Administration and Chief Financial Officer, Electric Applications Inc. Phoenix, AZ SHIMA GYOH, M.D. Chairman, Nigerian Medical & Dental Council Nkar, Benue State, Nigeria
MALCOLM POTTS, M.D. Director of Bixby Center for Population, Health & Sustainability School of Public Health, University of California, Berkeley Berkeley, CA
17
PSI NETWORK RUSSIA ●■ PSI / EUROPE KAZAKHSTAN ●◆ ROMANIA ●
UZBEKISTA N ●◆ TURKMENISTAN ●◆
PSI / WASHINGTON
MEXICO ●■
GUAT EMALA ●■
BELIZE ●■■
HONDURAS ●■ NICARAGUA ●■■
HAIT I ●■▲■▼
PANAMA EL SA LVADOR COSTA RICA ●■ ●■■■ ●■
PAKISTAN ▼■◆■
CARIBBEAN ●■■
DOMINICAN REPUBLIC ●■ ■ JAMAIC A ●■ ■
MALI ●▲▼■ SENEGAL ●▼■
BURKINA FASO ●■
NEPAL ●▲ ■ INDIA ●▼■◆■ ■
NIGER ■
BANGLADESH ■ ▼■ MYANMA R ●▲▼■◆■
NIGERI A ●■▲▼■◆■
ZIMBABWE NAMIBI A ●▲▼■◆ ● ▲▼ ■ MOZAMBIQUE BOTSW ANA ●▲▼■ ■ ●■
PARAGU AY ●■
LAOS ● ■ ◆▼ ■
THAILAND ●
SOUTH SOMALILAND CENTRA L SUDAN ■▼■ AFRICA N ● ▲ ▼ ◆ ■ ETHIOPIA REPUBLIC ● ▼ ● ■ LIBERIA CAMEROON UGAND A ●▼■ ●▲▼■◆■ ●▲▼■■ DEMOCR AT IC CÔTE D’IVOIRE KENYA REPUBLIC ●▼ ●▲▼■■■ OF CONG O RWANDA ●▲▼■◆ ●▲▼■ TO GO UNITED REPUBLIC ●■▲■ OF TA NZANIA BURUNDI BENIN ●▲▼■ MALAWI ●▲■ ●▲▼■ ●▲▼■◆ ANGOLA ●▲▼ ZAMBIA ●▲▼■ ■■
GUINEA ●▲▼■ SURINAME ●■■
KYRGYZSTAN ●◆ TA JIKISTAN ●◆
SOUTH AFRICA ●■
VIETNAM ●▼◆■ ■ CAMBODIA ●▲▼■◆
PHILIPPINES ●
PAPAU NEW GUINEA ●▲▼■ ◆
MADAGASCAR ●▲▼■◆■ ■
SWAZILAND ●■ LESOTH O ●■■
➤ HEALTH AREA KEY ● HIV = HIV ■ CS
= Child Survival Includes Nutrition and Neonatal Care
▲ MAL = Malaria
▼ DD = Diarrheal Disease Includes Safe Water, Oral Rehydration and Hygiene ■ RH = Reproductive Health Includes Maternal Health and Family Planning
◆ RI
= Respiratory Illness Includes TB and Pneumonia
■ NCD = Noncommunicable Disease Includes Cardiovascular Disease, Cancers, Diabetes, and Chronic Obstructive Pulmonary Disease