Care 2 Communities (C2C) is a social enterprise working in rural Haiti to address major gaps in access to primary healthcare caused by under-resourced clinics, staffing shortages, and weak infrastructure. Although C2C partnered with the government to rehabilitate clinics and introduce digital tools, it faced operational inefficiencies and limited funding for innovation. Through partnership with Innovations in Healthcare and support from the Global Health Innovation Grants (2019–2022), C2C expanded its model—strengthening clinics, building a community health workforce, investing in digital systems, and improving training and care delivery. The program’s flexible, risk-tolerant funding allowed C2C to test and refine solutions tailored to Haiti’s context.
As a result, C2C evolved into a comprehensive primary healthcare system that combines facility-based care with strong community outreach. It significantly expanded its workforce, improved vaccination coverage and chronic disease management, and became a leader in digital health in rural Haiti. Investments in training and standardized protocols raised clinical quality, while solar-powered infrastructure ensured continuity during political and supply disruptions. A hybrid financing model—combining patient fees, government support, and donor funding—has improved financial sustainability and reduced reliance on external aid. Overall, the case demonstrates how flexible funding, local leadership, and integrated community-based approaches can build resilient and scalable healthcare systems in fragile settings.
This case study was produced with funding support from The Pfizer Foundation.