Our Approach

PIH’s “Five S’s”

We look at health system strengthening as a mix of five fundamental ingredients: staff, stuff, space, systems, and social support. Removing any one item would result in a weaker health system overall.

1. Staff

We make it a priority to have well-trained, qualified teams in sufficient quantity to respond to needs around the globe. The roles of our staff are diverse and fall into nearly two dozen categories, such as community health, mental health, operations, nursing, program management, development, and communications.

2. Stuff

The list of “stuff” we need is vast and includes everything from proper and ample vaccinations and medications, such as antibiotics to treat tuberculosis, to IV fluid and oxygen supplies. PIH’s global supply chain team has a list of 2,518 different items selected to streamline procurement orders, standardize requests from health facilities to warehouses, and align with the different protocols in country. Because of their efforts, our colleagues have the tools and resources they need for care delivery and administration.

3. Space

In order to treat patients, we need safe, appropriate spaces equipped with electricity and clean water. Sometimes these spaces already exist, but in most cases, facilities need to be renovated or built from the ground up. In collaboration with partners, PIH creates, expands, and equips spaces so that they meet clinicians’ needs and provide a healing environment for patients.

4. Systems

This area of the 5 S’s seems invisible, but is no less important. Many systems must work in harmony to ensure consistent, quality care for patients around the world, including a leadership and governance structure for solid decision-making, financial and accounting systems to track income and expenses, supply chain management to ensure well-stocked health facilities, medical informatics expertise for nimble record-keeping, and more.

5. Social Support

To ensure effective care, we provide basic necessities and resources, including food, housing, transportation, and financial support for patients and their families. PIH’s social support programming across all sites focuses on treating the whole patient, not just their condition.

Social support has proven an essential part of patient care and made the difference between a patient’s ability to recover from sickness and maintain good health over the long term. This support comes in many forms such as food for patients on taxing tuberculosis treatment regimens.

Government Accompaniment

For over 18 years, PIH Lesotho has supported the government of Lesotho by providing health services and strengthening the health system. PIH Lesotho offers a unique model of accompaniment. It extends across staffing, infrastructure, systems, policy development, and service delivery.​

Technical Assistance To Ministry Of Health (MOH)

• Policy e.g. Mental Health Policy, VHW policy, Oxygen SOPs​.
• Oxygen scale-up strategy, laboratory strategic plan, TB & HIV strategic plan​.
• Covid-19 guidelines development, Emergency referrals, standard treatment guidelines, and critical care. ​
• Technical Working Groups: TB, HIV, MH, O2, SI, PMTCT, Digital Health, community health, MCH, QI, supply chain, EPI​.
• Conducted decentralization readiness assessments in four districts; Mohale’s Hoek, Leribe, Mafeteng, Butha-Buthe​.
• Professionalization of VHWs program​.

Bio-medical Engineering Support

• Advocacy for a bio-medical Center of Excellence for long-term sustainability maintenance of medical equipment.
• Training of government operators and technicians.
• Install and maintain hospital equipment.

Oncology Support​

• PIH collaborates with MOH to bring specialists from Dana Farber Cancer Institute and the University of Pennsylvania to enhance Lesotho’s cancer program and treatment outcomes e.g. breast surgery, telepathology, internet access, and chemotherapy mixing machines.

Next Generation Of Doctors

• Accompanying the Ministry of Health to train the next generation of doctors.