The organization's stated goals are "to bring the benefits of modern medical science to those most in need of them and to serve as an antidote to despair." It provides healthcare in the poorest areas of developing countries. It builds hospitals and other medical facilities, hires and trains local staff, and delivers a range of healthcare, from in-home consultations to cancer treatments. It also removes barriers to maintaining good health, such as dirty water or a lack of food, and strengthens the rights of the poor. The approach trades charity for "accompaniment," which is described as a "dogged commitment to doing whatever it takes to give the poor a fair shake." While many of its principles are rooted in liberation theology, the organization is secular. It forms long-term partnerships with, and works on behalf of, local ministries of health. PIH currently holds a 4 out of 4 stars rating from Charity Navigator, a nonprofit evaluator.