Our 2026 Annual Report is here, and it follows a story that’s been unfolding for two decades: what it takes for quality primary healthcare to continue to deliver as it reaches more people, and for the approaches and impact to belong to the communities and governments who sustain it.
In the report, you’ll spend time with Community Health Worker Koutom Laré in Koundoum, Togo. Her rounds take her house to house, checking on children and following the pregnant women in her care. It’s the Integrated Primary Care Program (IPCP) in a single story, many pieces working together so families have reliable, high-quality care.
This year brought confirmation that this model holds up at scale. A five-year study published in Pediatrics found that when scaled to four districts, the IPCP maintained a 29% decrease in the risk of death for children under five. These results were achieved at around $10 per person a year, data we provide our government partners with so they can accurately budget for their own programs.
When governments have the right knowledge, skills, and tools to lead their own health systems, the impact can be unmatched. In the Kara region of Togo, Integrate Health has partnered with regional health authorities to train midwives to provide ultrasounds to pregnant women. Since 2022, more than 37,000 ultrasounds have been performed completely free of charge. Now, the Kara Regional Health Department is taking the lead developing reference tools for broader government use, working clinicians and universities with support from Integrate Health.
Health systems that provide lasting care are not built in a day. They require government’s commitment to lead, showing the way for other communes, districts, and countries that a healthier tomorrow is possible. They value women’s experiences and leadership, recognizing that gender equity helps everyone thrive. And they reach farther, from the most rural areas to our new regional hub in Senegal. Download the full report here to read about these milestones and more.
Any questions or feedback may be directed to Integrate Health’s Senior Director of Partnership, Melanie Joiner at mjoiner@integratehealth.org.