244 - Why a Global Health Organization Let Most of its U.S. Employees Go

Public Health On Call

The Johns Hopkins Bloomberg School of Public Health

Medicine, News, Health & Fitness

4.6 • 644 Ratings

🗓️ 1 February 2021

⏱️ 14 minutes

🔗️ Recording | iTunes | RSS

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Summary

Until 2020, PIVOT, an NGO in Africa, had an operations model that looked much like many organizations of its type: a 200-person team on the ground in Madagascar and a 10-person administrative team in the US. But early in 2020, the organization decided to let the majority of US employees go and shift operations to Madagascar and the communities that PIVOT serves. Executive director and Hopkins alum Tara Loyd talks with Lindsay Smith Rogers about how this transition was managed and what the change means not only for the organization, but for global health care. You can read Loyd's commentary in Stanford Social Innovation Review: https://ssir.org/articles/entry/moving_closer_to_the_problem_and_closer_to_the_solution

KEYWORDS: international health; community health workers

Transcript

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0:00.0	Welcome to Season 3, a Public Health On Call, a podcast from the Johns Hopkins Bloomberg School of Public Health.
0:12.3	I'm Josh Sharfstein, Vice Dean for Public Health Practice and Community Engagement, and a former secretary of Maryland's Health Department.
0:19.6	Our goal is to bring scientific evidence
0:22.4	and experience to the public health news of the day through informative interviews with scientists,
0:27.8	community leaders, policy experts, public health officials, clinicians, and more. If you have ideas
0:34.4	or questions for us to cover, please email us at public health question at jh.edu.
0:41.2	That's public health question at jh.edu for future podcast episodes.
0:47.7	Today, Lindsay Smith Rogers speaks with Tara Lloyd,
0:50.8	executive director of Pivot, a nonprofit organization in Africa that partners with communities to provide health care. In early 2020, Pivot let the majority of U.S. employees go and shifted operations to Madagascar and other communities that Pivot serves. They talk about how they manage this transition and what the change means not only for the
1:12.8	organization, but for global health care. Let's listen. Terrell Lloyd, thank you so much for
1:20.0	taking the time to be with us today. So first off, you were the first employee of the NGO Pivot
1:26.2	seven years ago, and now you served as the executive
1:29.0	director for two years.
1:31.1	Can you tell us a little bit about Pivot, what the organization does on its mission?
1:35.3	Sure.
1:36.1	Pivot is a health system strengthening NGO.
1:38.1	We work at the invitation of the government of Madagascar to strengthen the public health
1:42.5	system in and around the Rana Mafauna National
1:44.8	Park, which is a UNESCO World Heritage Site rainforest. And we're a deep believers in the
1:50.7	connection between people and planet in terms of our future. And so we're working to save
1:55.5	lives around the park and to build systems for the country of Madagascar to really have
2:00.5	universal health coverage
	...

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