Integrate Health

Make quality primary healthcare accessible to all.

Medway, MA   |


The mission of Integrate Health (IH) is to make quality primary healthcare accessible to all. IH works alongside governments and the local community to implement and study an integrated approach to strengthening primary healthcare delivery in order to achieve universal health coverage. By integrating professional community health workers with improved care in public clinics, this approach creates a patient-centered health system that is accountable to the community and dramatically reduces mortality in severely resource-limited settings.

Ruling year info


Principal Officer

Ms. Jennifer Schechter

Main address

PO Box 605

Medway, MA 02053 USA

Show more contact info

Formerly known as

Hope Through Health



NTEE code info

Community Health Systems (E21)

International Development, Relief Services (Q30)

Management & Technical Assistance (R02)

IRS filing requirement

This organization is required to file an IRS Form 990 or 990-EZ.

Sign in or create an account to view Form(s) 990 for 2021, 2021 and 2020.
Register now


Programs and results

What we aim to solve

SOURCE: Self-reported by organization

The West African nation of Togo suffers from some of the lowest health outcomes in the world. Over the past decade, the burden of poor maternal and child health outcomes in Togo has been decreasing at a slower rate than in most of the world. Nationally, the maternal mortality ratio is an estimated 368 per 100,000 live births, placing it among the highest in the world. Togo has an under-five mortality rate of 73 per 1,000, above the average rate for all low-income countries of 69 per 1,000. The burden of disease in Togo continues to be driven by diseases of poverty, such as malaria, diarrhea, pneumonia, HIV, and malnutrition, all of which are preventable or treatable at low cost. Though diagnosis and treatment for the leading causes of death in Togo are widely known, these solutions remain unavailable for the majority of the population. This gap between what is known and what is done in practice is commonly referred to as the know-do gap.

Our programs

SOURCE: Self-reported by organization

What are the organization's current programs, how do they measure success, and who do the programs serve?

Maternal and Child Health

In Togo, the national maternal mortality ratio is an unacceptably high 368 deaths per 100,000 live births; child mortality is equally staggering at 78 deaths per 1000 live births. That’s 15 times the rate for developed countries. The majority of these deaths are from diseases that are entirely treatable at very low costs, diseases like malaria, diarrhea, and pneumonia. Unfortunately, Togo lacks the functioning healthcare system required to deliver effective treatments to women and children in need. Essential healthcare systems, including personnel, supplies, and training, are currently absent or insufficient throughout much of the country.

In 2012, after being approached by a group of women who had successfully delivered HIV-free babies through our prevention of mother-to-child transmission program, Integrate Health began to consider how the HIV model could be applied to the child mortality crisis. We began with a baseline study that allowed us to really look at the problem in depth. We conducted intensive interviews, hosted community meetings, and talked to the people directly impacted who could provide the most input. Our MCH program built best practices and community insight into a model that already worked.

Integrate Health demonstrated the initial effectiveness of this model through an interrupted time series study. Over 18 months, preliminary data revealed an observed 70% reduction of under-five mortality in the communities where we worked. Additional results will be gathered from 30-month data to be collected via an annual household survey of reproductive-age women in early 2018.

Population(s) Served
Women and girls

Family Planning is a highly effective way to reduce maternal mortality by limiting unwanted pregnancies. Myths and misconceptions about family planning are common in West Africa. These rumors can have life or death consequences. Integrate Health works to curb these negative outcomes through improving access to high-quality family planning services and investing in reproductive health education. Community Health Workers, nurses, and midwives are equipped with the tools and training necessary to delivery education and high-quality family planning services to women and their partners at home and in the clinic.

Fundamentally, family planning allows couples to determine the spacing of pregnancies and attain their desired number of children using contraceptive methods, which helps save lives. At a deeper level, it empowers women to make informed decisions about their own health, helping to advance gender equity. Our Community Health Workers, nurses, and midwives, most of whom are women, as well as male Peer Educators, are equipped with the tools needed to debunk contraception myths, provide counseling targeted to specific community concerns, and help women and girls to fully realize their human rights.

Population(s) Served
Women and girls

One of the key components of Integrate Health’s approach is to ensure access to safe spaces by making basic infrastructure improvements when necessary. Integrate Health works with a range of partners to transform public health clinics into buildings that match the quality of healthcare received inside. Installing wells and water towers to create access to running water, bathrooms, and places to wash up and bath. Building solar panels to run electricity. Adding ventilation systems and wire mesh to keep air flowing through and bugs and vermin out.

Renovations in rural health centers, as with other components of the model, change the culture around health. By bolstering the infrastructure of the entire healthcare system, Integrate Health does more than improve facilities; it instills a sense of dignity for patients who have often been forgotten.

Population(s) Served

Where we work

Our results

SOURCE: Self-reported by organization

How does this organization measure their results? It's a hard question but an important one.

Under-five mortality (deaths per live births)

This metric is no longer tracked.
Totals By Year
Population(s) Served

Infants and toddlers, Children

Related Program

Maternal and Child Health

Type of Metric

Outcome - describing the effects on people or issues

Direction of Success


Context Notes

Integrate Health’s Integrated Primary Care Program contributed to a 30% decline in under-five mortality over a five-year period (from 51.1 per 1000 live births in 2015 to 35.8 in 2020).

Our Sustainable Development Goals

SOURCE: Self-reported by organization

Learn more about Sustainable Development Goals.

Goals & Strategy

SOURCE: Self-reported by organization

Learn about the organization's key goals, strategies, capabilities, and progress.

Charting impact

Four powerful questions that require reflection about what really matters - results.

Since 2004, Integrate Health has worked alongside community leaders, government officials, and public health experts, first to build and scale one of the most effective HIV care programs in Togo and then to reduce maternal and child mortality through the Integrated Primary Care Program (IPCP). The IPCP demonstrates the key innovations necessary to strengthen primary healthcare delivery at scale. This approach integrates professional Community Health Workers with improved care in public clinics. This powerful combination transforms how primary healthcare is delivered and saves lives.
The IPCP delivers key innovations designed to address the major barriers to seeking care in Togo and ensure high-quality, accessible, and patient-centered primary healthcare delivery. These innovations are delivered using a learning health system approach whereby rigorous data is collected and used to drive continuous quality improvement as well as to share with policy-makers to inform national scale. This package includes:

1. Community Health Workers. Trained, equipped, supervised, and salaried Community Health Workers (CHWs) conduct proactive case-finding and provide home-based care to ensure population-level coverage.
2. Clinical Capacity-Building. A trained peer coach provides clinical mentorship to nurses and midwives in public clinics to ensure competent care providers and effective care.
3. Supply Chain and Infrastructure. Pharmacy managers are trained in improved supply chain management, and basic infrastructure improvements are made to ensure that providers have the tools they need.
4. User Fee Removal. Point-of-care fees for pregnant women and children under five are removed to eliminate financial barriers.

Together this package of services creates a seamless system of healthcare delivery that ensures access to high-quality care, supporting government’s UHC targets, at a replication cost of roughly $10 per capita.
This approach is currently being implemented in 18 public clinics serving a population of over 160,000 in the northern Kara region of Togo. Integrate Health has demonstrated the effectiveness of this model. Preliminary data revealed a 30% reduction in under-five mortality in the pilot communities where Integrate Health works, from 51.1 per 1000 at baseline to 35.8 per 1000 after six years. These results have been submitted for publication in collaboration with Togolese public sector partners and are currently under review by a peer-reviewed scientific journal.

IH envisions a world where everyone, everywhere has access to high-quality healthcare, without suffering financial hardship, regardless of where they were born. The mission of IH is to make quality primary healthcare accessible to all.
Ensuring access to high-quality healthcare for women and children left out of the current healthcare system has always been and will always be IH’s first priority. IH believes that the best way to ensure quality primary healthcare for the greatest number of people is to work directly with governments who hold the mandate for national healthcare. IH aims to reinforce the public system, rather than build a parallel solution. As IH approaches 200,000 people directly served by the IPCP, the organization is looking to ensure quality primary healthcare for all six million people living without access to care across rural Togo. In order to achieve the goal of strengthened national primary healthcare for all in Togo, Integrate Health has established four strategic priorities for the next three years described in the table below.

1. Implementation: Continue to demonstrate key innovations in quality primary healthcare delivery through direct implementation of the Integrated Primary Care Program (IPCP) with data systems to monitor progress and implementation science research to evaluate impact and document lessons for national scale.
2. Mandate: Identify gaps in existing policy relative to evidence-based global best practice and align stakeholders around the inclusion of key design elements in national policy and implementation plans.
3. Financial Ownership: Define clear costs associated with key design elements and map existing and future revenue streams to demonstrate a sustainable funding pathway for Togo’s government to move toward UHC.
4. Sustain IH: Ensure IH has sufficient resources to meet scale targets and strong internal systems to remain an exceptional place to work.

IH requires $24 million dollars over the next three years to accomplish our vision. We project these resources will come predominantly from philanthropic capital in the form of grants from family and corporate foundations as well as charitable contributions from key individuals. IH will look to current partners to sustain and increase their investments, as well as work to bring on new funders at catalytic, mezzanine levels. IH also is developing resource mobilization capacity in our Lomé office to mobilize additional funds flowing directly into the country office. To measure progress towards our three-year funding goal, IH aims to maintain a nine-month funding runway, with six months of expenses available on the operating account and three months in the reserve account. IH tracks retention rates year on year, with the goal of retaining 75% of funders, with 25% of funders increasing their gift amount. IH invites impact-oriented investors to make grant-based investments to achieve this vision.

IH’s projected expenses for fiscal year 2021 of $6,082,657 represent a 64% increase from fiscal year 2020 actual expenditure. IH projects annual budget increases of 30% in fiscal year 2022 and 26% in fiscal year 2023, respectively. IH administrative and fundraising costs represented 16% of total expenditure in fiscal year 2020, and IH anticipates this cost category will remain under 15% of total expenditure moving forward. IH will continue to deepen the organization’s budgetary analysis to ensure spending aligns to the organization’s strategy and values.

Integrate Health (formerly Hope Through Health) was initially founded in response to an acute need for HIV/AIDS care and treatment in northern Togo. In 2004, a group of United States Peace Corps Volunteers, including Chief Executive Officer Jennifer Schechter and Chief Science Officer Kevin Fiori, began working with a community-based association of individuals living with HIV/AIDS, known as Association Espoir pour Demain (AED-Lidaw). The members of AED-Lidaw had come together to advocate for access to HIV/AIDS treatment, which was not yet available in northern Togo. The group of Peace Corps Volunteers refused to accept that people were dying from AIDS simply because of where they lived, and, as a result of this crisis, Integrate Health was founded.
Since 2004, Integrate Health and AED-Lidaw have built and scaled one of the most effective HIV treatment programs in Togo using the Integrate Health approach. Community Health Workers (CHWs) provide adherence and psychosocial support to patients in their homes, and the quality of clinical care is improved through training and mentoring for physicians, nurses, and midwives. Thanks in part to this work, HIV is no longer a death sentence in Togo, but instead is a manageable chronic condition. Since its founding, Integrate Health’s HIV program has directly saved thousands of lives. In 2020, Integrate Health served 2,000 individuals living with HIV through five district hospitals.
IH is on track to launch the final step in the four-year IPCP replication phase in the Binah district in July 2021. Further expansion of direct program implementation will be designed in close collaboration with the MOH to align to the national rollout of the strengthened community health strategy and could include implementing the national community health strategy across the entire Kara region, as requested by the MOH. Additional implementation could also serve to answer new questions that will undoubtedly emerge from the national policy development process. IH will work with government partners to identify the ideal implementation and research strategies to answer key questions and support national rollout, further leveraging IH’s role as an innovation center designed to help the government achieve its UHC goals. IH won’t stop delivering healthcare to people who need it until everyone across Togo has access to high-quality healthcare.

How we listen

SOURCE: Self-reported by organization

Seeking feedback from people served makes programs more responsive and effective. Here’s how this organization is listening.

done We shared information about our current feedback practices.
  • Who are the people you serve with your mission?

    Segment of Togolese population in nothern Togo, with focus on maternal and child health.

  • How is your organization collecting feedback from the people you serve?

    Electronic surveys (by email, tablet, etc.), Paper surveys, Focus groups or interviews (by phone or in person), Community meetings/Town halls,

  • How is your organization using feedback from the people you serve?

    To identify and remedy poor client service experiences, To identify bright spots and enhance positive service experiences, To make fundamental changes to our programs and/or operations, To inform the development of new programs/projects, To identify where we are less inclusive or equitable across demographic groups, To strengthen relationships with the people we serve,

  • What significant change resulted from feedback?

    Initially, this project focused primarily on women as the main customers for family planning services. Over the project’s first 6 months, community feedback forums revealed that men also played an important role in a family’s decision to initiate family planning. IH staff also learned that women felt unable to consent to family planning adoption without their husband’s permission and that men expressed a strong desire to be part of the conversation. In response, IH introduced a male peer educator component to this project. The male peer educators have reported significant success in persuading men to support their wives in family planning, and in shifting men’s opinions on family planning for unmarried women and teens.

  • With whom is the organization sharing feedback?

    The people we serve, Our staff, Our board, Our funders, Our community partners,

  • Which of the following feedback practices does your organization routinely carry out?

    We collect feedback from the people we serve at least annually, We take steps to get feedback from marginalized or under-represented people, We aim to collect feedback from as many people we serve as possible, We take steps to ensure people feel comfortable being honest with us, We look for patterns in feedback based on demographics (e.g., race, age, gender, etc.), We look for patterns in feedback based on people’s interactions with us (e.g., site, frequency of service, etc.), We engage the people who provide feedback in looking for ways we can improve in response, We act on the feedback we receive, We tell the people who gave us feedback how we acted on their feedback, We ask the people who gave us feedback how well they think we responded,

  • What challenges does the organization face when collecting feedback?

    Rural access can be challenging for surveys; COVID required shifts in how we collect information.,


Integrate Health

Unlock financial insights by subscribing to our monthly plan.


Unlock nonprofit financial insights that will help you make more informed decisions. Try our monthly plan today.

  • Analyze a variety of pre-calculated financial metrics
  • Access beautifully interactive analysis and comparison tools
  • Compare nonprofit financials to similar organizations

Want to see how you can enhance your nonprofit research and unlock more insights?
Learn more about GuideStar Pro.


The people, governance practices, and partners that make the organization tick.


Connect with nonprofit leaders


Build relationships with key people who manage and lead nonprofit organizations with GuideStar Pro. Try a low commitment monthly plan today.

  • Analyze a variety of pre-calculated financial metrics
  • Access beautifully interactive analysis and comparison tools
  • Compare nonprofit financials to similar organizations

Want to see how you can enhance your nonprofit research and unlock more insights? Learn More about GuideStar Pro.


Connect with nonprofit leaders


Build relationships with key people who manage and lead nonprofit organizations with GuideStar Pro. Try a low commitment monthly plan today.

  • Analyze a variety of pre-calculated financial metrics
  • Access beautifully interactive analysis and comparison tools
  • Compare nonprofit financials to similar organizations

Want to see how you can enhance your nonprofit research and unlock more insights? Learn More about GuideStar Pro.

Integrate Health

Board of directors
as of 03/08/2022
SOURCE: Self-reported by organization
Board co-chair

Robert Heine

Board co-chair

Teresa Hillis

Board leadership practices

SOURCE: Self-reported by organization

GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.

  • Board orientation and education
    Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Yes
  • CEO oversight
    Has the board conducted a formal, written assessment of the chief executive within the past year ? Yes
  • Ethics and transparency
    Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes
  • Board composition
    Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes
  • Board performance
    Has the board conducted a formal, written self-assessment of its performance within the past three years? No

Organizational demographics

SOURCE: Self-reported; last updated 2/8/2021

Who works and leads organizations that serve our diverse communities? Candid partnered with CHANGE Philanthropy on this demographic section.


The organization's leader identifies as:

Race & ethnicity
Gender identity
Female, Not transgender (cisgender)
Sexual orientation
Heterosexual or straight
Disability status
Person without a disability

Race & ethnicity

No data

Gender identity

No data


No data

Sexual orientation

No data


No data

Equity strategies

Last updated: 03/08/2022

GuideStar partnered with Equity in the Center - an organization that works to shift mindsets, practices, and systems to increase racial equity - to create this section. Learn more

  • We review compensation data across the organization (and by staff levels) to identify disparities by race.
  • We ask team members to identify racial disparities in their programs and / or portfolios.
  • We disaggregate data to adjust programming goals to keep pace with changing needs of the communities we support.
  • We employ non-traditional ways of gathering feedback on programs and trainings, which may include interviews, roundtables, and external reviews with/by community stakeholders.
  • We have long-term strategic plans and measurable goals for creating a culture such that one’s race identity has no influence on how they fare within the organization.
Policies and processes
  • We use a vetting process to identify vendors and partners that share our commitment to race equity.
  • We have a promotion process that anticipates and mitigates implicit and explicit biases about people of color serving in leadership positions.
  • We seek individuals from various race backgrounds for board and executive director/CEO positions within our organization.
  • We have community representation at the board level, either on the board itself or through a community advisory board.
  • We help senior leadership understand how to be inclusive leaders with learning approaches that emphasize reflection, iteration, and adaptability.
  • We engage everyone, from the board to staff levels of the organization, in race equity work and ensure that individuals understand their roles in creating culture such that one’s race identity has no influence on how they fare within the organization.