Village Health Works (VHW) aims to build a healthier and more just, peaceful, and prosperous society in Burundi and beyond. Over the next five years, we plan to expand clinical capacity by constructing the Women's Health Pavilion, a state-of-the-art teaching hospital designed to meet the specific health needs of women and children. The Pavilion will provide safe delivery of babies, safe emergency obstetric care, vital neonatal care, and the capacity to develop comprehensive surgical services. This expansion will secure Village Health Works as a model center of excellence and also begin our efforts to scale impact across Burundi. In Kigutu, Burundi, we will strengthen local infrastructure, expand regional and international partnerships, and broaden our clinical, educational, agricultural, and economic development programs to meet the most pressing community needs.

The Woman's Health Pavilion constitutes the centerpiece of VHW's long-term plan to establish a comprehensive, state-of-the-art teaching hospital in Burundi. In the next decade, VHW hopes to address not only maternal health priorities but also to expand its services to provide much needed surgical care in other areas, such as abdominal surgery, orthopedics, ophthalmology, oncology, and fistula repair. While the short-term plan for the next three to five years is focused on building the WHP and increasing the availability of housing for clinical/supporting staff, the longterm plan includes the expansion of the hospital to include additional wards (i. e. pediatric and men's wards), expanded laboratory facilities, as well as an extension of the preschool that VHW currently operates on campus, adding classes all the way through to 12th grade.

VHW is a grassroots organization that enjoys the strong support of a large number of individuals and family foundations. In the five years since 2010, individuals have contributed on average 61% and family foundations have contributed 27% of VHW's funding. Over the same period, the organization has seen remarkable growth with total contributions increasing by an average of ~40% annually. VHW has built a strong leadership team in both Kigutu, Burundi and the US operating a robust organizational system thatcommunicates regularly on Finance, HR, Clinical Program, Non-Clinical Programs, Facilities and M&E activities. In addition to the 150 FTEs and 150 part-time Community Health Workers in Kigutu, VHW has built a unique team of NY-based architects and engineers, US-trained doctors and key individuals in Kigutu who bring in-depth knowledge of the region as well as local construction and project implementation expertise.

Village Health Works has developed a comprehensive monitoring and evaluation system that tracks and evaluates its programs with the goal of assessing outputs, impact and efficiency. VHW's clinical performance is currently monitored and evaluated on a monthly basis, and VHW provides quarterly updates on a large set of indicators that are shared with partners and on our website and with VHW supporters.

VHW's campus has seen exponential growth in the past few years, both in the scope of its programs and supporting infrastructure. VHW has built a medical warehouse in 2014 in response to the significant growth of its clinical program, and to accommodate the increase in storage needs for medications. This warehouse is now being used to store construction materials in advance of VHW's breaking ground for the Women's Health Pavilion and is a keystone building of the campus. VHW has already built two water tanks to provide clean water on its campus and surrounding community, as well as a 130kw hydroelectric plant to provide clean energy as energy demands increase. This supporting infrastructure will help guarantee the long term sustainability of the Woman's Health Pavilion given its rural setting. The next step is breaking ground for the hospital, which VHW aims to do before end of 2017.