| Issue/Objective |
In Haiti, the barrier to healthcare is not demand - it is reliability. Families seek care, but fragmented services, inconsistent follow-up, and weak community linkage erode trust and drive disengagement. The result is reactive, episodic care that fails to address underlying health needs.
Care 2 Communities (C2C) was built to close this gap. In partnership with Haiti's Ministry of Health, C2C has developed a Haitian-led, community-anchored model of primary care that integrates community health workers (CHWs), clinic-based services, and digital health tools into a single continuous care pathway, demonstrating how public-private partnership (PPP) can strengthen health systems from the ground up. |
| Methodology/Approach |
C2C operates eight full-service community clinics across northern Haiti, transforming underutilized public facilities into reliable centers of care. The model rests on four pillars: operational excellence (consultations, diagnostics, and medications under one roof, run by over 150 locally hired Haitian staff members with EMR-supported continuity); collaboration (co-managing existing public clinics with the Ministry of Health rather than building parallel infrastructure); revenue generation (low user fees, in-kind government support, and targeted philanthropy moving toward financial sustainability); and community values (services include community health, maternal health, family planning, malnutrition treatment, and sexual and reproductive health education). |
| Results |
C2C delivers nearly 120,000 patient visits annually, including over 24,000 community-based engagements. More than 65% of patients are women and children from the most marginalized communities. Patient return rates signal restored trust: patients visit more than twice annually on average.
Financially, clinics taken over at near-zero utilization reach an average of 60 patients per day and achieve 90% core cost recovery within 18 months, generating over $1 million in total annual network revenue and covering more than 100% of core operating costs. |
| Discussion/Conclusion |
C2C's model demonstrates that continuous, community-anchored primary care is achievable even in fragile health environments, and that reliability, not just access, drives utilization and trust. This affirms the value of PPPs built around community infrastructure, digital continuity, and local leadership. C2C aims to scale from 8 to 20 clinics by 2030, reaching over 750,000 patient visits annually - but achieving primary healthcare at scale in Haiti requires systemic investment in continuous, community-level care. |
| Presenters and Affiliations |
Racha Yehia Care 2 Communities (C2C) |
