CLINTON HEALTH ACCESS INITIATIVE INC
Programs
Program 1 [2020]
OUR PROGRAMS AIM TO SAVE LIVES AND REDUCE DISEASE, WHILE HELPING GOVERNMENTS CREATE SUSTAINABLE HEALTH SYSTEMS. WE OPERATE 13 PROGRAMS ACROSS FOUR HEALTH AREAS, WITH A GLOBAL TEAM OF SCIENCE, BUSINESS, AND TECHNICAL EXPERTS SUPPORTING THE ENTIRE ORGANIZATION.INFECTIOUS DISEASES: SEE SCHEDULE O FOR CONTINUATIONINFECTIOUS DISEASES: COVID-19: FOR YEARS, FOUR INFECTIOUS DISEASES DROVE MOST ILLNESS AND DEATH WORLDWIDE- HIV, HEPATITIS, TUBERCUOSIS (TB), AND MALARIA. IN 2020, A NEW ILLNESS, COVID-19, OVERTOOK THESE DISEASES AS THE LARGEST CAUSE OF GLOBAL MORTALITY BY AN INFECTIOUS DISEASE. CURRENTLY CHAI IS WORKING WITH GOVERNMENT PARTNERS AND THE GLOBAL HEALTH COMMUNITY TO QUICKLY RESPOND TO THE PANDEMIC WHILE ENSURING THAT OTHER LIFESAVING HEALTH SERVICES CONTINUE.THE RAPID SPREAD OF COVID-19 REQUIRED QUICK RESPONSE FROM PUBLIC HEALTH INSTITUTIONS TO UNDERSTAND THE VIRUS AND PROVIDE GUIDANCE AND ASSISTANCE TO COUNTRIE AND GOVERNMENTS WHO NEEDED SUPPLIES TO PREVENT OUTBREAKS AND TREAT THE DISEASE. TO SUPPORT THIS RESPONSE, CHAI SECONDED DOZENS OF STAFF TO MINISTRIES OF HEALTH AT VARIOUS GOVERNMENT'S REQUEST. IN SOUTH AFRICA, WE HELPED DEPLOY A FREE DIGITAL COVID-19 INFORMATION SERVICE TO DELIVER AUTOMATED MESSAGES TO THE PUBLIC WITH MILLIONS OF USERS. THE SERVICE HAS BEEN ADOPTED IN MULTIPLE COUNTRIES AND BY THE WHO. TO INCREASE ACCESS TO TESTING, CHAI HELPED NEGOTIATE AGREEMENTS TO MAKE 120 MILLION AFFORDABLE, HIGH-QUALITY COVID-19 ANTIGEN RAPID TESTS AVAILABLE TO LOW- AND MIDDLE-INCOME COUNTRIES. CHAI WORKED WITH PARTNERS AND GOVERNMENTS TO SUSTAINABLY INCREASE ACCESS TO OXYGEN TREATMENT, WITH AN AVERAGE INCREASE OF 32 PERCENT IN OXYGEN THERAPY IN COUNTRIES WHERE CHAI WORKS. TO ENSURE OTHER HEALTHCARE SERVICES CONTINUED, WE COLLABORATED WITH GOVERMENTS TO DEVELOP CREATIVE SOLUTIONS SUCH AS HIV SELF-TESTING AND MULTI-MONTH MEDICATION DISPENSING, ALONG WITH VIRTUAL TRAININGS FOR HEALTH WORKERS. CHAI WORKED WITH PARTNERS AND GOVERNMENTS TO HELP PREPARE FOR COVID-19 VACCINES, ACCELERATING VACCINE INTRODUCTION PROCESSES THAT WOULD OTHERWISE TAKE YEARS TO MONTHS. CHAI HAS SUPPORTED COVAX TO ENSURE ACCESS TO VACCINES FOR LOW- AND MIDDLE-INCOME COUNTRIES.HIV/AIDS: CHAI WAS FOUNDED WITH THE MISSION OF SAVING THE LIVES OF MILLIONS OF PEOPLE LIVING WITH HIV/AIDS. THIS WORK HAS HELPED SAVE THE LIVES OF OVER 11 MILLION PEOPLE WHO OTHERWISE WOULD HAVE DIED FROM THE DISEASE. TODAY OVER 21 MILLION PEOPLE LIVING WITH HIV ARE RECEIVING TREATMENT, MAKING IT A CHRONIC ILLNESS AS OPPOSED TO A DEATH SENTENCE; AN INCREASE OF OVER 150 PERCENT OVER THE PAST DECADE. OVER 900,000 CHILDREN ARE RECEVING TREATMENT, FROM LESS THAN 100,000 WHEN CHAI'S WORK BEGAN AND THE COST OF MEDICATIONS HAS FALLEN SIGNIFCANTLY. IN 2020, CHAI REACHED A LANDMARK PRICING AGREEMENT TO LAUNCH THE FIRST-EVER GENERIC PEDIATRIC VERSION OF DOLUTEGRAVIR (DTG), THE RECOMMENDED TREATMENT AT THE COST OF US$36 PER CHILD, PER YEAR; A 75 PERCENT REDUCTION FROM THE EXTISTING STANDARD OF CARE. THE AGREEMENT LOWERED THE TOTAL COST OF PEDIATRIC HIV TREATMENT FROM US$480 PER CHILD, PER YEAR TO LESS THAN US$120.MALARIA AND OTHERS: CHAI'S EFFORTS TO TRACK AND TREAT MALARIA CASES, WITH THE GOAL OF ELMINATION, HAS HELPED LEAD TO SIGNIFICANT DECLINES IN MALARIA PREVALENCE. CHAI HAS HELPED TO SIGNIFICANTLY REDUCE THE COSTS OF LIFESAVING TREATMENTS FOR TUBERCULOSIS AND HEPATITIS, INCLUDING UP TO A 97 PERCENT REDUCTION IN COST-PER-PATIENT TREATED FOR HEPATITIS C. OVER 100,000 PATIENTS HAVE BEEN TREATED FOR HEPATITIS C WITH CHAI SUPPORT.GeographiesNot indicatedDatesJan 1, 2020 – Dec 31, 2020Source990No causes providedNo populations provided–$92.8MProgram 2 [2020]
WOMEN & CHILDREN'S HEALTH: SEE SCHEDULE O FOR CONTINUATIONWOMEN & CHILDREN'S HEALTH: WOMEN AND CHILDREN SUFFER THE GREATEST BURDEN FROM DISEASE GLOBALLY. CHAI HAS SIGNIFICANTLY INCREASED ACCESS TO RECOMMENDED TREATMENTS FOR DIARRHEA AND PNEUMONIA, THE LARGEST KILLERS OF CHILDREN UNDER FIVE; MADE CRITICAL VACCINES THAT PROTECT AGAINST CHILDHOOD ILLNESSES MORE AFFORDABLE; IS COMBATTING CHRONIC MALNUTRITION; AND IS DRAMATIALLY AND SUSTAINABLY REDUCING MATERNAL AND NEWBORN DEATHS AND ENSURING WOMEN HAVE ACCESS TO THE TOOLS THEY NEED TO SAFELY PLAN THER FAMILIES TO IMPROVE HEALTH OUTCOMES AND ECONOMIC WELL-BEING. THROUGH THIS WORK, CHAI HAS SIGNIFICANTLY INCREASED ACCESS TO LIFESAVING TREATMENTS FOR DIARRHEA (ZINC AND ORAL REHYDRATION SALTS) AND PNEUMONIA, INCLUDING OPTIMAL MEDICATIONS AND OXYGEN THERAPY, AS WELL AS TOOLS FOR DIAGNOSIS. CHAI'S WORK TO SAVE THE LIVES OF WOMEN AND NEWBORNS THROUGH INTEGRATING HEALTH SYSTEMS AND INCREASING ACCESS TO LIFESAVING CARE HAS CONTRIBUTED TO SUSTAINED AND SIGNFICANT REDUCTIONS IN DEATH IN COUNTRIES WHERE WE WORK, INCLUDING A NEARLY 40 PERCENT REDUCTION IN MATERNAL MORTALITY AND A 43 PERCENT REDUCTION IN NEWBORN DEATHS IN A 12-MONTH PERIOD IN TARGET STATES OF NORTHERN NIGERIA. CHAI HAS ALSO HELPED TO SIGNIFICANTLY LOWER THE COST OF LIFESAVING MEDICAL EQUIPMENT AND FAMILY PLANNING TO SAVE THE LIVES OF WOMEN AND IS HELPING GOVERMENTS DECREASE CHRONIC MALNUTRITION THROUGH DEVELOPMENT OF LOCALLY-BASED, FORTIFIED FOODS, IMPROVING NUTRITION PROGRAMS, AND REDUCING ANEMIA. THIS WORK HAS REACHED NEARLY THREE MILLION WOMEN AND CHILDREN IN INDIA AND OVER 100,000 IN RWANDA. CHAI HAS ALSO SIGNIFICANTLY DECREASED THE COSTS OF LIFESAVING CHILDHOOD VACCINATIONS INCLUDING THE ROTAVIRUS VACCINE (67 PERCENT COST REDUCITION), PENTAVALENT VACCINE (45 PERCENT COST REDUCTION), AND THE INACTIVATED POLIO VACCINE (57 PERCENT COST REDUCTION). AN ESIMATED 157,000 DEATHS PER YEAR HAVE BEEN AVERTED THROUGH THE ROLLLOUT OF ROTAVIRUS AND PENTAVALENT VACCINES.GeographiesNot indicatedDatesJan 1, 2020 – Dec 31, 2020Source990No causes providedNo populations provided–$48.6MProgram 3 [2020]
NON-COMMUNICABLE DISEASES: SEE SCHEDULE O FOR CONTINUATIONNON-COMMUNICABLE DISEASES: EACH YEAR, 15 MILLION PEOPLE DIE FROM NON-COMMUNICABLE DISEASES BETWEEN THE AGES OF 30 AND 69. OVER 85 PERCENT OF THESE DEATHS OCCUR IN LOW-AND MIDDLE-INCOME COUNTRIES. CARDIOVASCULAR DISEASES ACCOUNT FOR THE MOST DEATHS, FOLLOWED BY CANCERS, RESPIRATORY DISEASES, AND DIABETES. CHAI BEGAN WORK IN THIS AREA WITH THE LAUNCH OF OUR CANCER PROGRAM IN 2015. CANCER IS A GROWING ISSUE IN SUB-SAHARHAN AFRICA, WHERE INCIDENCE IS PROJECTED TO INCREASE BY 85 PERCENT IN THE NEXT 15 YEARS. CHAI IS WORKING WITH THE AMERICAN CANCER SOCIETY TO LOWER THE COST OF LIFESAVING CHEMOTHERAPIES, INCREASE ACCESS TO DIAGNOSIS AND TREATMENT, AND HELP GOVERNMENTS DEVELOP PLANS TO COMPREHENSIVELY MANAGE THE DISEASE INCLUDING ADDRESSING PAEDIATRIC CANCER. CHAI'S WORK HAS HELPED TO LOWER THE COSTS OF 20 ESSENTIAL CANCER TREATMENTS BY 59 PERCENT. IN ETHOPIA, TREATMENT RATES FOR CANCER PATIENTS HAS MORE THAN DOUBLED. CHAI ALSO LAUNCHED A PROGRAM TO REDUCE DEATHS FROM CERVICAL CANCER IN 2019. WITHIN SIX MONTHS OF LAUNCHING THE PROGRAM, CHAI NEGOTIATED A PRICE REDUCTION FOR TWO LIFESAVING TOOLS: HPV TEST KITS FOR SCREENING AND PORTABLE THERMAL ABLATION DEVICES FOR TREATMENT. THE AGREEMENTS ENABLED POINT-OF-CARE TREATMENT AT LESS THAN US$0.50 PER WOMAN TREATED, ASSUMING A DEVICE CAN BE USED AT LEAST 2,000 TIMES.GeographiesNot indicatedDatesJan 1, 2020 – Dec 31, 2020Source990No causes providedNo populations provided–$18.9M
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