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2022

Our mission is to create a model for sustainable community based healthcare in Haiti that empowers people to live healthier lives The strength dedication and resilience of the communities we care for inspire us to continue our vision of providing accessible affordable high quality healthcare today and in perpetuity CARE2COMMUNITIES ORG 2022 ANNUAL REPORT

TO OUR SUPPORTERS Dear Friend Over the past decade your ongoing support has allowed Care 2 Communities to transform lives Since 2010 we ve cared for Haiti s most vulnerable populations adapting our model to make the most impact and provide a long term solution to healthcare deficits in Northern Haiti And while Haiti has faced many uncertainties throughout 2022 C2C remains an anchor of care within the communities we serve Our public private partnership with Haiti s Ministry of Health ensures that low income people can access healthcare no matter what You have helped us keep our doors open despite recent violence fuel shortages rising inflation and disease outbreaks You are part of our community of individuals and foundations who believe in our healthcare model and its ability to change how healthcare is delivered in one of the world s most challenging health markets Because of you we can treat and prevent illness now and well into the future As we look ahead we will continue to adapt our services to reach more people at the community level expand our maternal and pediatric programs and implement changes to increase immunization rates preventative care and follow up visits With your ongoing support we will continue to transform lives I am honored to share our year s successes and plans for the future Thank you for being an integral part of the C2C community In gratitude Racha Yehia Managing Director Cap Haitien Haiti racha care2communities org 77 739 TOTAL PATIENT VISITS Communities

OUR MODEL 74 COST RECOVERY THE PROBLEM HAITI S HEALTHCARE SYSTEM REMAINS FRAGILE AND FINANCIALLY PRECARIOUS COMMUNITY BASED CLINICS CREATED TO SERVE AS THE BACKBONE OF THE PUBLIC HEALTH SYSTEM ARE PROFOUNDLY UNDER RESOURCED LACK MANAGEMENT AND FINANCIAL HEALTH AND AREN T ABLE TO OFFER QUALITY SERVICES TO THOSE IN NEED OUR SOLUTION PUBLIC PRIVATE PARTNERSHIP WE PARTNER WITH HAITI S MINISTRY OF HEALTH TO ENHANCE PATIENT OUTCOMES IN NORTHERN HAITI BY IMPROVING THE INFRASTRUCTURE SERVICE QUALITY AND OPERATIONAL EXCELLENCE OF UNDERPERFORMING GOVERNMENT CLINICS OUR MODEL HARNESSES STRENGTHS OF THE PUBLIC SECTOR AND INTEGRATES BEST PRACTICES AND INNOVATION FROM THE PRIVATE SECTOR TO DELIVER SUSTAINABLE HEALTHCARE SERVICES IN ONE OF THE WORLD S MOST CHALLENGING HEALTH MARKETS IN HAITI PATIENTS PAY FOR HEALTHCARE C2C CLINICS BELOW MARKET RATE FEES GENERATE REVENUE TO FUEL SUSTAINED SERVICES WE STRIVE TO ENSURE THAT PRICES ARE LOW AND ACCESSIBLE TO PATIENTS LOCAL ONE STOP SHOP EACH CLINIC PROVIDES DOCTOR NURSE CONSULTATIONS A PHARMACY AND LABORATORY TESTING UNDER ONE ROOF WE ALSO OFFER MATERNAL HEALTH SERVICES FAMILY PLANNING SERVICES AND CHILD MALNUTRITION SERVICES AT MOST OF OUR CLINICS 2022 ANNUAL REPORT CARE2COMMUNITIES ORG 14 946 VACCINES ADMINISTERED Children

OUR PROGRAMS COMMUNITY HEALTH Only 23 of the entire population of Haiti including just 5 of the rural population has access to high quality primary care despite over 90 living within 5km of a health facility Our Community Health Workers visit households to follow up with patients convene weekly health screenings and promote healthy behaviors nutrition and vaccination coverage through education 24 123 PATIENTS REACHED THROUGH COMMUNITY HEALTH WORKERS MATERNAL HEALTH According to the National Institutes of Health Haiti has the highest maternal and neonatal mortality rates in the Western Hemisphere Our Maternal Health Program offers mothers consultations by an OB GYN midwife nurse two ultrasounds all necessary lab tests medications vitamins birth planning and counseling 2 952 PRE NATAL VISITS Mothers

SEXUAL REPRODUCTIVE HEALTH EDUCATION FOR ADOLESCENTS We offer peer cohort based education to girls and boys about anatomy contraception gender based violence sexually transmitted diseases and consent In 2022 we welcomed over 438 adolescents into the 20 week long program FAMILY PLANNING We provide unbiased family planning counseling empowering patients to make the best decisions for their reproductive health We provide short term and long term family planning methods PEDIATRIC CARE In Haiti 6 in 10 children are not fully vaccinated Pneumonia accounts for 40 of child mortality in children ages 1 5 The need for high quality affordable health services for children in Haiti is urgent C2C clinics care for over 15 000 children annually providing vaccinations and screenings for pneumonia anemia and other illnesses CARE2COMMUNITIES ORG 8 502 CHILDREN UNDER FIVE SEEN FOR THE FIRST TIME 2022 ANNUAL REPORT

2022 FINANCIALS 2022 ANNUAL REPORT 53 616 CLINIC VISITS Grandparents CARE2COMMUNITIES ORG

A S P E C I A L T H A N K S T O T H E O N G O I N G S U P P O R T O F THE FOLLOWING FOUNDATIONS CAMPBELL AND HALL CHARITY FUND WE ARE GRATEFUL FOR THE GENEROUS SUPPORT OF Christine Candio Richard Dwyer Connie Eagan MA James Gallerani David Hodnett John P Mullman Sandy Logan Mullman Robert Kate Niehaus Nicole Ned Sahin Elizabeth Sheehan Gerald Maureen Sheehan Carmel Shields Dune Thorne Kim Wilson Maureen Alphonse Charles Amy Jeffrey Annis Mary Elizabeth Bacon Jane Mark Berry Jeanette Callahan Michael Diamond Claire Dillavou Jarashow Karen Edwards Martin Lowenthal Laurie Emrich Lynda En Mary Flynn Myers Lynda William Glavin Dr and Mrs Glennon O Grady Janet Thomas Gorman Paula Graham Dwyer Christopher Dwyer Mary Michael Guilfoile Susan Weston Howland Allison Howard Berry Agnes Donald Hunsicker Elizabeth Johansen Katharine King Naike Ledan Elizabeth Louis Charles Lower Sarah Matousek Nancy William Meyer Kristin Mumford Alison Bob Murchison Glenn Paredes Maureen Partyka Margaret Kenneth Perkins Sue Bernie Pucker Ella Tedd Saunders Kristen John Sheehan Mrs Marie and Dr Nicholas Spellman Richard Sugarman Elizabeth Tangusso Brian McGuire Megan Tim Walls Lisa Mark Walsh C2C IS GRATEFUL FOR THE ENDURING IMPACT MADE POSSIBLE BY THE GENEROSITY OF ELIZABETH SHEEHAN GERALD MAUREEN SHEEHAN JACK CONNORS AND MILTON MILLMAN THEIR CONTRIBUTIONS TO OUR MISSION HAVE ENABLED C2C TO CREATE A BLUEPRINT FOR THE FUTURE OF HAITI S HEALTHCARE SYSTEM

LOOKING AHEAD We are committed to increasing the reach of our healthcare services through operational and programmatic expansion while continuing to evaluate the impact of our core primary care service model on the health outcomes of the patients we serve Over the next year we plan to tackle the pediatric immunization gap through health education programs clinician patient counseling and utilizing community health workers to reach children in their homes expand our maternal health program by increasing the number of days we offer antenatal consultation implementing the program in more clinics and leveraging our community health nurses adopt new interventions to meet people in their homes and eliminate barriers to care like high transportation costs by expanding our community health program We believe that public private partnership in healthcare is the most effective sustainable way to strengthen healthcare in developing countries Our model harnesses the assets of the public sector leveraging medical expertise and systemic capabilities and integrates best practices and innovation from the private sector to deliver best in class sustainable healthcare services in one of the world s most challenging health markets As we look globally at healthcare needs and opportunities C2C is dedicated to sharing information about the success of our operations and replicable business model

C2C 2022 Board of Directors Allison Howard Berry Chair Kim Wilson MD MPH Christine Candio LFACHE Claire Dillavou PhD Na k Ledan Elizabeth Louis PhD Sarah Matousek PhD Glenn Paredes Sheila Phicil Rupal Ramesh Shah Victor Silva Richard Sugarman JD MBA C2C Leadership Team Racha Yehia Managing Director Dr Wilnick Richard Chief Medical Officer Dr Weedjney Destouches Director of Operations Shanna Ungate Development Communications Manager care2communities org donate care 2 communities care_2_communities care2communities org Your generous gift is fully tax deductible Scan me to donate 54 Street 27 A Cap Haitien Haiti 24 School Street 2nd Fl Boston MA 02108 USA