2019 Annual Report (5)

- 40% of rotating fellows chose to stay in Navajo Nation after their fellowship
- 800,000 patients seen by HEAL fellows across 16 partner sites
HEAL?s 3 P Strategy for Scaling Impact 2018-2020
1. Potentiate the Community of Practice: Having built its operational capacity, HEAL now intends on increasing the
effectiveness of their Community of Practice with site exchanges being the core strategy for achieving this goal.
HEAL began to engage in these cross-cultural conversations in 2017-2018 by sending HEAL associated nurses
and fellows to various locations to learn about local approaches to health care. In doing so, HEAL aims to share
best practices across their sites and maintain that their fellows/alumni will stay committed to driving change in
underserved communities.
2. Pipeline Development: HEAL plans to alleviate the student loan burden that impedes those with great potential
from embarking on this fellowship. Their strategy includes three aspects: a loan repayment of up to $10k per
HEAL fellow during their fellowship; working with different authoritative bodies to incorporate HEAL fellows into
existing loan forgiveness programs; work with medical school programs to reduce tuition for HEAL candidates. By
mitigating the student loan obstacle, HEAL hopes to grow the pipeline of fellow candidates to bolster global health
equity.
3. Power of Deep Partnerships: HEAL?s next step is to deepen their commitment to their partner sites to enhance
the staying power of the health professionals, specifically the Navajo Nation reservation in Arizona and New
Mexico. HEAL will conduct in-person capacity building sessions for all fellows; strengthen the daily exchanges
among their five partner sites in Navajo Nation; and grow their relationships with local organizations in Navajo
Nation. In doing so, HEAL will deepen ties and trust between the health system and their community.
Financials
- HEAL?s financial model relies on domestic clinical contracts with their partner sites in Navajo Nation
- Revenue from direct clinical contracts accounts for nearly 90% of their total revenue, with the other 10% coming
from philanthropic and foundation support.
- For every $1 that HEAL receives in philanthropic support, they generate an additional $9 from clinical contracts.
- They currently have a five-year (2018-2023) contract with the Navajo Nation to ensure continued financial stability.
HEAL Community and Leadership
- HEAL has a core team of 11 members including 5 full-time staff.
- They have 16 partner sites located in 8 countries around the world.
- There are 32 site advisors recruited from their partner sites .
- There are 60 current fellows:
- 31 site fellows
- 29 rotational fellows
- HEAL has 22 mentors who provide close mentorship to HEAL fellows.
- There are 20 graduated fellows who remain working in underserved populations.
- Graduating classes 2015-2019:
- Class of 2015-2017: 22 fellows
- Class of 2016-2018: 27 fellows
- Class of 2017-2019: 34 fellows
Next Steps & Recommendations: This grant and collaboration we can be very proud of. What great individuals, coupled
with an impactful grant! SF is part of moving the field forward in Global Health and Equity. This is an important partnership
for the Schooner Foundation and an anchor in our Global Health and Equity Portfolio. I could not be more pleased with the
Fellowship Program. I am very grateful to have met the fellows, leadership and participated in this site visit. It makes an
enormous difference seeing them in action and getting to know them!
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