The Last Mile

Around the world, more than one billion people go their entire lives without ever seeing a health worker. The burden of diseases in last mile villages is high and preventable. People in the last mile often die from diseases that can be easily treated, like pneumonia, diarrhea, malaria and malnutrition.

“We have left behind a billion people on our planet who have no physical access to care. Illness is universal but access to healthcare is not.”

– Dr. Raj Panjabi, CEO, Last Mile Health

A last mile community is defined as being more than 5km from the nearest clinic, but the majority of the communities served by Last Mile Health are an average of 21km from a facility. When people living in these communities get sick, they must walk for many hours over long and treacherous distances to reach care.

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Our vision is a health worker for everyone, everywhere.

Our model was developed in the last mile of Liberia, but we believe it can be adapted, localized and deployed anywhere in the world where remote communities lack access to healthcare.

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Professionalized Community Health Workers

Last Mile Health has pioneered an innovative Community Health Worker model in Liberia.

“Community Health Workers are a game-changing investment, critical for increasing access to health care and, if scaled up, could save up to 3 million more lives each year. They are also a great economic bet, returning up to $10 for every $1 spent.”

– Jeffrey Walker, Vice Chairman, United Nation’s Secretary General’s Envoy for Health Finance and Malaria

Community Health Workers bridge the gap between health facilities and remote communities, bringing critical health services to the doorsteps of people living in the last mile.

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Featured FHW Story

Findings from Last Mile Health’s First Impact Study

Posted on 02/20/2017

A new study published this month by Last Mile Health in the Bulletin of the World Health Organization shows that in the time Community Health Workers (CHWs) have been working in the Konobo district of Liberia, they significantly improved access to care from qualified providers for children suffering from diarrhea, malaria and acute respiratory infection […]

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“I met a 70-year old man yesterday in a far-off village. He told me that in all his decades on earth, this was the first time he and his people had ever seen a real health worker. That’s why I keep going.”

– Alice Johnson, Registered Nurse

“Community Health Workers play the most important and effective role in our fight against disease. It is they who have reached the most vulnerable, they who have been able to be the contract tracer, they who have been able without much training to take the risk to go out into the community and bring care.”

– President Ellen Johnson Sirleaf, Government of Liberia

“We know that the best emergency response systems are not ones where you crack the glass to pull out a new tool in the instance of emergency... rather, they are everyday systems that can be leveraged in the instance of crisis.”

– Tom Frieden, Director of the US Centers for Disease Control

Last Mile Health is Committed to Partnerships with Government.

Developing innovative solutions alone will not achieve the vision of a health worker for everyone, everywhere, every day.

We believe that sustainable, scalable success can be best achieved through local ownership and government partnership, so we work hand-in-hand with community members, local government officials, national policy makers, private sector and global partners. By aligning our objectives with national government health plans, we ensure the sustainability of our impact and healthcare for remote communities for years to come.

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