The mission of Integrate Health is to make quality primary healthcare accessible to all.

Half of the world’s population, 3.8 billion people, lacks access to essential health services.
This shortage has deadly consequences.

Globally, 15,000 children under age five and 810 women die each day from preventable causes.

 


In Togo, one in fifteen children  die before their fifth birthday.  The maternal mortality rate is

than in high-income countries.

“My two-year-old daughter was burning with a fever. I couldn’t get to the health center because I had just given birth and was very tired. I had no idea what to do. That day, an Integrate Health-supported Community Health Worker came to our house during her home visits. I immediately told her about my child. She checked on him and gave him the necessary medication. That afternoon, my child felt much better, and his fever disappeared. I now feel more relieved because I know there is someone in my community, close to home, who can provide care and all the necessary medications to treat my children.”
— Céline Natta on how her child was cared for by a Community Health Worker

Health <span>for all</span> is within our reach

A primary care model that works

In the communities where Integrate Health works, we observed a

decrease in under-five mortality over five years.

Integrated Primary Care Program

The Integrated Primary Care Program delivers key innovations designed to address the major barriers to seeking care in Togo and ensure high-quality, accessible, and patient-centered primary healthcare delivery.

 

“The challenge we face right now is to silence the fear within us so that we can continue to care for the communities around us.”
— Justine Takeda, Integrate Health-supported Community Health Worker

Community Health Workers, like Justine, have remained an essential lifeline for communities during the COVID-19 pandemic.

Maintaining High-quality Service Delivery

While the COVID-19 pandemic intensified around the world, healthcare delivery continued at all Integrate Health-supported sites. Integrate Health-supported Community Health Workers have maintained their presence in the community using personal protective equipment. Although vaccine accessibility remains a challenge, 90% of health workers across Togo are vaccinated, including 100% of Integrate Health-supported Community Health Workers. Integrate Health is focused on providing information to health center staff, Community Health Workers, and communities so that they can continue to keep each other safe.

Since July 1, 2020, Integrate Health has completed…

0
Consultations of children under five
0
Community Health Worker visits
63

qualitative interviews conducted in the field while adhering to social distancing and PPE precautions

2

research studies successfully funded through partnerships with academic institutions

1

peer-reviewed manuscript accepted for publication

Adapting Our Research

The COVID-19 pandemic forced Integrate Health to change the way we do research. Before the pandemic, Integrate Health’s research team visited more than 10,000 households each year to gather information on health behavior, access to care, and outcomes from community members themselves. In 2020, due to COVID-19 safety precautions, Integrate Health paused household survey data collection. Our effectiveness study is being adjusted to account for this gap in data collection but will still be able to evaluate both effectiveness and implementation of the Integrated Primary Care Program. Despite the challenges in conducting research presented by the COVID-19 pandemic, the team has accomplished much over the last year. Click the blue circles to read more about their achievements.

“This pandemic teaches us the need to accelerate the strengthening of the health system here in Togo as elsewhere in the world, and the importance of mobilizing and involving communities in the management of public health and epidemics.”
— Integrate Health Country Director, Christophe Sesso Gbeleou

Reinforcing Government Partnership

This year, Integrate Health has strengthened our collaboration with the government of Togo to support the response to the COVID-19 pandemic and expand our impact. Integrate Health continues to attend weekly Ministry of Health COVID-19 task force meetings to discuss the current situation in the country and provide support when solicited. Integrate Health has also played a key role in procuring protective equipment for 11,000 Community Health Workers throughout Togo via an ongoing partnership with the COVID-19 Action Fund for Africa. Integrate Health has become a key partner to the Ministry of Health in Togo’s pandemic response.

The Year in Numbers

166,418
166,418
Total Population Served
18
18
Health Centers Supported:
5,305
5,305
Women Started on Family Planning

30
30
Nurses & Midwives Mentored

4,439
4,439
Facility-Based Deliveries
139
139
Community Health Workers

The Year in Numbers

0 %
0%
TIMELINESS (cases of childhood illness that were treated within 72 hours of symptom onset)
101% of target met
64%
64%
Postnatal Consultation Coverage (Number of women who attended first postnatal consultation, out of total recorded births)
128% of target met
230,372
230,372
Community Health Worker Visits
112% OF TARGET MET
0 %
0%
Facility-Based Delivery Coverage (Number of women who delivered at a health facility, out of total recorded births)
110% of target met
0 %
0%
Effective Pediatric Referrals
111% of target met
0 %
0%
Modern Contraceptive Prevalence (Number of women effectively protected by a modern family planning method, out of eligible women)
131% of target met
0 %
0%
Prenatal Consultation Coverage (Number of women who attended four prenatal visits, out of women who delivered at a health facility)
92% of target met

In October 2020, the Government of Togo unveiled a national development plan, Togo Roadmap 2025, with a central focus on achieving Universal Health Coverage for all eight million Togolese. The government of Togo is on the brink of Universal Health Coverage. Our role is to help them get there.

The challenge is no longer “what” but “how.”

Click here to read more.

The Big Shift

To help governments optimize primary healthcare delivery and make progress towards Universal Health Coverage, Integrate Health focuses on three key levers of change.

Implementation of the Integrated Primary Care Program within government systems is critical to show the efficacy of key health system innovations. Integrate Health demonstrates and documents the impact of its innovative approach, delivering lifesaving care to a population of over 166,000 across some of the hardest-to-reach communities in Togo.

“I always wanted to be a healthcare worker which is why I applied to be a Community Health Worker. Too many women and children do not have access to healthcare in my community, and I wanted to change that.” – Tchéké Timarakou, Community Health Worker in Kokou-temberma in the district of Kéran

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Launching in the Kéran District

This year, Integrate Health worked relentlessly with community members and government partners to launch the Integrated Primary Care Program in the district of Kéran. The launch was initially planned for July 2020, but the COVID-19 pandemic created restrictions across Togo during the critical preparation phase from February to May 2020. To address safety concerns, Integrate Health proposed a new extended timeline that accounted for more training to allow for smaller groups. In October 2020, the Integrated Primary Care Program officially launched in five clinics and their surrounding communities, now serving over 166,000 people.

At Integrate Health, women lead health system design and delivery.

0 %
of Community Health Workers are women
0
women served by the Integrated Primary Care Program

“I felt more effective and confident in the diagnosis and treatment I provided because I used the new assessment tool from my phone. I learned a lot during the Community Health Worker training, but it’s helpful to have this simple application as another resource to do my job well.”​​
— Tado Mougni N’Dolighin, a Community Health Worker in the Dankpen district

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Aligning with the Government

Integrate Health strengthened our ability to capture the right data needed to improve care and guide policymakers. This year, Integrate Health aligned our indicators with the Ministry of Health, piloted a cutting-edge mobile health technology to guide Community Health Worker decision-making, and reinforced staff’s data analysis capabilities. Through these efforts, we are able to provide staff, partners, and community members with timely access to data to continuously improve healthcare delivery.

We continuously collect, analyze, and utilize data to inform service delivery.

0
Community Health Workers using mHealth
0
Integrate Health staff trained in DHIS2

At every step of the way, Integrate Health has partnered with the Government of Togo as a key ally at the district, regional, and national levels. By identifying gaps in existing policy relative to global best practices and aligning stakeholders around the inclusion of effective design elements in national policy and implementation plans, Integrate Health is helping the government achieve their ambitious Universal Health Coverage goals.

“Integrate Health is doing incredible work in Togo… Today, Integrate Health is in 18 health facilities in the Kara region, but we believe it should be extended throughout the country.”​​
— Dr. Essotoma Beweli, Director General Ministry of Health

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Laying the Foundation for Universal Health Coverage

In February 2021, Integrate Health, in partnership with the Ministry of Health and the Community Health Impact Coalition, organized the national Community Health Harmonization Workshops, which brought together participants from the government and technical and financial partners across Togo to evaluate the current community health system using the Community Health Worker Program Assessment and Improvement Matrix. By building buy-in from diverse stakeholders, the workshops cemented a foundation of collaboration for reform.

The workshops utilized a participatory approach to cultivate a winning coalition to drive Universal Health Coverage.

0
meeting participants
0
regions across Togo represented

The Integrated Primary Care Program is replicable at a low cost with a 10:1 economic return on investment. Scaled across Togo, this approach would save over 100,000 lives and create thousands of jobs. Integrate Health is helping the Government of Togo map existing and future revenue streams to ensure a sustainable funding pathway to move toward Universal Health Coverage.

“After several months of preparations, my country has given the guarantee to pregnant women that they can give birth without cost. I am even prouder because Integrate Health has played a determining role in this process. From the study of the feasibility of this program to its implementation, Integrate Health was a key actor who accompanied the Ministry of Health and helped determine the package of care offered by the new maternal health reform called ‘WEZOU,’ blood of life.” – Anita Kouvahey-Eklu, Deputy Country Director

Informing the National Maternal User Fee Removal Program

In November, the Government of Togo asked Integrate Health to model the costs of an essential package of maternal health services. This analysis was used to inform the national user fee removal program for pregnant women, called Wezou. Through this work, the government was given a clearer understanding of the costs associated with removing user fees for pregnant women and were provided with an implementation plan to put the policy in place. Integrate Health is continuing to support the roll-out of the program.

To succeed in catalyzing the transformation of national health systems, Integrate Health remains a highly efficient, well-resourced, and values-driven organization where people love to work.

Racial Justice and Equity

Integrate Health recognizes that racism, sexism, and neo-colonialism exist. We live and work in the context of deep power imbalances. Far too often our efforts to “solve” social problems reinforce those power dynamics. Integrate Health is committed to changing that.

This year, Integrate Health published our Culture Code, which outlines how we aim to live our values as we work to dismantle systems of opression.

This year also marks the first year that we developed a racial justice and equity checklist to guide all decision-making across the organization.

“Stopping our lifesaving work is not an option, and ignoring the climate emergency isn’t possible either. We’re committed to holding ourselves accountable to address both as best as possible.” — Emily Bensen, Chief Partnership Officer

Emily has joined the Climate Accountability in Development steering committee to lead the way as the coalition launched this year.

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“Integrate Health has given me the opportunity to manage the research team. It is both an honor to serve on this new team in this position of responsibility but at the same time, a huge challenge that I am ready to take on with the support of my colleagues.”​​
— Désiré Dabla, Research Manager 

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Opportunities for Growth

Integrate Health’s greatest asset is our people. Our goal is to keep staff engaged in their work and provide opportunities for growth.

Désiré Dabla joined Integrate Health in 2017 as the Executive Assistant to the Partnerships team. The same year, he enrolled in a PhD program at the University of Lomé. Désiré was drawn to Integrate Health because of his interest in how mobile health can improve the effectiveness of Community Health Workers.

Simultaneously, he began his research for his thesis on the same topic, and how Information and Communication Technology can elevate health systems in low- and middle-income countries. This year, Désiré finished his PhD program and was promoted to Research Manager at Integrate Health.

TOTAL REVENUE : $10,125,504

$ 9,687,939 GRANTS
$ 216,085 INDIVIDUALS
$ 221,480 IN KIND

*Total revenue amount includes multi-year grants to be implemented in the future.

total expenses: $5,305,272

$ 4,799,599 PROGRAM
$ 350,351 FUNDRAISING
$ 155,322 GENERAL & ADMINISTRATION

Aid for Africa
Amazon Smile
BELAY Solutions
Cartier Philanthropy
Construction For Change
CRI Foundation
Crown Family Philanthropies
DAK Foundation
David Weekley Family Foundation
Deerfield Foundation
Direct Relief
Formanek Foundation

Global Giving
Godley Family Foundation
Gould Family Foundation
Herrnstein Family Foundation
Intel Corporation
Jascha Hoffman Giving Fund
Jasmine Social Investments
Jester Foundation
KKR & Co.
Mulago Foundation
Netri Foundation
Northwestern University, Institute for Global Health

Panorama Global
Partners for Equity
Peery Foundation
Planet Wheeler Foundation
Preston Werner Ventures
RA5 Foundation
Ray and Tye Noorda Foundation
Rotary Club of Lansing
Rotary Club of South Everett/Mukilteo
Sall Family Foundation
Segal Family Foundation
T&J Meyer Family Foundation

ThankYou
The Adventure Project
The Waterloo Foundation
Together Women Rise
UBS Optimus Foundation
University of Iowa
Ventura Family Fund
Viacom
Vitol Foundation
Wagner Foundation
Weyerhaeuser Family Foundation
World Centric

Clementina Aceves
Arlene Andrzejewski
Anonymous
Joseph Anzalone
Kübra Aydin
Marilyn and Thomas Aylward, Sr.
Lila Bankston
Sandra Barstow
Alexandra Batchelor
Jessica Beckerman and Ari Johnson
Cynthia and Steve Bensen
Eleanor and Kenneth Bensen
Emily Bensen
Julia Berman
Iris Biblowitz
Leslie Bradshaw
Gloria and Anthony Braganza
Lyndon Braganza
Sandra Braganza

Barbara Brister
Barbara Burge
Delia Burnett
Hugh Callman
Leila Celestin
Michelle Chapman
Catherine Chenard
Robert Choo
Joan Cook
Nancy Cosyns
Katherine Crosson
Elissa Dakers
Davy Denke
Lauren Dockweiler
Gayle and James Dunham
Jacqueline Edwards
Kristen Finney
Deborah and Kevin Fiori, Sr.
Dawn Fiori

Thomas Fiori
Jenny and Kevin Fiori, Jr.
Jack Foster
Andrew Fullem
Michael Gadomski
Diane and Stephen Gadomski
Christiane Geisler
Rachael Gerber and Jeremy Horowitz
Penny and Mark Gillette
Charles Gillig
Susan Gillig
Eric Goldman and Kuan Kuan Wu
Susan Hafford
Jessica Halikias
Christopher Hamon
Kalli Hansen
Emily Hansman
Michael Harvey
Michael Hathaway

Mary Grace and Robert Heine
Shannon Heuklom
Teresa Hillis
Jane Hirschhorn
Lisa Hirschhorn
Jeannette Hobson
Pernille Høj
Søren Høj
Madeline and David Holder
Sharon Holst
Thomas Hulscher
Danielle Jaeggi Murphy
Madeline Jenkins
Melanie and Fred Joiner
Diane Jones
Kate Kasberger
Ismail Kassam
Karen Keating
Michal Kennell

Leah Knowles
Justin Kopa
Katherine and John Koschwanez
Louise and Donald Krumm
Sanpak Kuhacharoen
Steven Lamm
Paige and David Lapen
Jon Lascher
Diana Lee
Madeline and Paul Lentini
Jacquelyn Lewis
Julie Lewis
Virginia Lezhnev
Liz Lightner
Jered Lindsay
Tara Loyd
Carolyn Makinson
Marc Manashil
Carl Manlan

Carolyn Marr
Clark Maturo
Ryan McCannell and Jon Breeding
JoAnn McCarthy
Lisha McCormick and Gordon Krefting
Catherine Merschel
Amanda Messinger
Margaret Mintz
Dodji Modjinou
Kim-Thao Nguyen
David O’Brien
Abisola Olaogun
Phyllis and David Oxman
Megan and Gavin Oxman
Patricia and Stephen Oxman
Sarah and Christopher Pallas
Kathleen Parker
Shirley and Frederick Paulette
Maureen and Alan Phipps

Anna Ramond
Alison and Bryan Rash
Chelsie Rattanni
Travis Rave
Joseph Rhatigan
Lauren Rice
Marcus Richard
Elizabeth and Brad Robins
John Robinson
Mary Kelly and Steve Rossow
Reise Sample
Scott Schaedel
James D. Schechter
Martin Schneider
Tony Schneider
Dan Schwarz
Joseph Scipione
Jana Shih
Marina Sideli

Alicia Singham Goodwin
Kathy Smith
Kim Soviero
Helen Stein
Nancy Stevens
Brenda Steward
David Strauss
Marybeth Turner
Karen and Randy Veeh
Sean Walsh
Donald Weaks
Susan White
Raymond G. Whitham
Jessica and Casey Whitsett
Alice Williams
Patricia Yeh and Lawrence Lue

While we are taking this moment to celebrate our achievements, we are not letting up. Integrate Health is positioned to help the government of Togo achieve their commitment to Universal Health Coverage while maintaining quality and advancing equity.

Led by global best practices, the Integrated Primary Care Program can translate across multiple contexts. This year, Integrate Health created a new three-year strategy. Within this strategy, Integrate Health is looking towards expanding our reach globally. Using years of on-the-ground replication experience in Togo, Integrate Health is excited to increase access to high-quality primary healthcare to more people in new regions.