Impact

We use data to inform and strengthen our work. Our partnerships with governments and local implementers expand access to and enhance the quality of health services in rural and remote communities.

Results at a Glance

As of September 30, 2022

926,881 cumulative treatments delivered to children under five by community health workers in Liberia since the launch of the National Community Health Assistant Program in 2016

8,082 rural and remote community and frontline health workers receiving supervision, supplies, salary, skills, information systems, or digital tools in Last Mile Health-supported countries

5.3 million + people served by community health workers that were supervised, skilled, supplied, or salaried in partnership between a Ministry of Health and Last Mile Health

Deliver

Demonstrate Effective Community-Based Primary Care

926,881

Cumulative treatments and screenings delivered to children under five by community health workers in Liberia since the launch of the National Community Health Assistant Program 1

Malaria Cases Treated

by Community Health Workers in Liberia’s National Community Health Assistant Program (July 2016 – June 2022)1a

Pneumonia Cases Treated

by Community Health Workers in Liberia’s National Community Health Assistant Program (July 2016 – June 2022)1a

Diarrhea Cases Treated

by Community Health Workers in Liberia’s National Community Health Assistant Program (July 2016 – June 2022)1a

Malnutrition Screenings

by Community Health Workers in Liberia’s National Community Health Assistant Program (July 2016 – June 2022)1a

Percent of children under five treated for childhood illness by a qualified provider in counties managed by Last Mile Health (Liberia, 2016 – 2021)2,2a

Percent of women using modern family planning in counties supported by Last Mile Health (Liberia, 2016 – 2021)2,2b

Percent of children age 12-23 months receiving full course of pentavalent immunizations in Rivercess County, Liberia (2015 – 2021)2,2c

1 Source: Liberia Ministry of Health Community-Based Information System (cumulative from July 1, 2016 to September 30, 2022). Of note, the FY2021 treatment and screening data are lower than previously reported due to a data reporting error. The reporting error has been corrected and data validation measures have been put in place to avoid any future reporting errors for this indicator.

1a These graphs show the number of screenings conducted for malnutrition and treatments delivered for malaria, diarrhea, and pneumonia to children under five by community health workers each fiscal year (July to June) across all counties in Liberia. These data indicate that community health workers continue to provide essential health services to children under five during the COVID-19 pandemic across all counties in Liberia. As of June 2022, 585,280 Malaria cases have been treated, 176,633 Pneumonia cases have been treated, 119,649 Diarrhea cases have been treated, and 1,082,905 children under five have been screened for Malnutrition.

2 Source: Last Mile Health programmatic survey, 2016-2021 (Grand Gedeh County inclusive of Gboe Ploe and Konobo districts).

2a This graph shows the percent of children under five years of age treated for childhood illness by a qualified provider in counties managed by Last Mile Health in Liberia from 2016 to 2021. A qualified provider is defined as a trained community health worker or volunteer recognized by the government, or a healthcare provider at a clinic or hospital. Treatment by a qualified provider increased from 2018 to 2019 in Grand Bassa County and Konobo District of Grand Gedeh County and decreased in Rivercess County and Gboe Ploe District of Grand Gedeh County. Last Mile Health celebrates the increases in service coverage in Grand Bassa County and Konobo District and continues to actively address seasonal challenges in treating childhood illness in Rivercess County and Gboe Ploe District. Of note, data collection began in Grand Bassa County and Grand Gedeh County in 2018. Data were not collected in 2020 due to COVID-19. Data were also not collected in Grand Gedeh in 2021 due to budget limitations. As of 2021, services continue to be provided in Grand Bassa County, and there was a decrease of 10 percentage points from 49% to 39% in the number of children under five treated for childhood illness by a qualified provider.

2b This graph shows the percent of non-pregnant women currently using a modern method of family planning in Last Mile Health supported counties in Liberia from 2016 to 2021. For data from 2016-2019, this includes women age 18-49. In 2021, we began including women age 15-49. Data collection began in Grand Bassa County and Grand Gedeh County in 2018. The percent of women using modern family planning increased slightly from 2018 to 2019 in Grand Bassa County, Rivercess County, and Gboe Ploe District of Grand Gedeh County. During this same period, the percent of women using modern family planning decreased slightly in Konobo District of Grand Gedeh county. Last Mile Health celebrates the increases in family planning coverage across most of the counties and expects to see this trend continue to increase with the roll-out of Sayana Press, an injectable contraceptive. Data was not collected in 2020 due to COVID-19 or in Grand Gedeh County in 2021 due to budget constraints; however, as of 2021, 20% of women are using modern family planning in Grand Bassa County.

2c This graph shows the percent of children aged 12-23 months who received a full course of pentavalent vaccinations in Rivercess County from 2015 to 2019. From 2015 to 2018, the percent of children aged 12-23 months who received full pentavalent vaccination gradually increased, and then decreased from 2018 to 2019. During this period, the difference in vaccination coverage by distance to a health facility was variable with children living more than 10km from the nearest health facility receiving disproportionately lower pentavalent vaccination coverage in 2019 when compared to those living closer to facilities, but then no difference in pentavalent vaccination based on distance to health facility in 2021. Last Mile Health is prioritizing improving vaccination coverage, particularly in specific districts where there is only one health facility serving the community. Data were not collected in 2020 due to COVID-19.

Strengthen

Advise and Advocate for Strong Community Health Systems

8,082

Rural and remote community and frontline health workers receiving supervision, supplies, salary, skills, information systems, or digital tools in Last Mile Health-supported countries1,2

  • 2,176 Ethiopia
  • 3,911 Liberia
  • 1,416 Malawi
  • 579 Sierra Leone

5.3 million +

People served by community health workers that were supervised, skilled, supplied, or salaried in partnership between a Ministry and Last Mile Health3

  • 811,103 Liberia
  • 1,191,000 Malawi
  • 3,143,556 Ethiopia
  • 195,887 Sierra Leone

1Source: Liberia Ministry of Health Community Health Services Division reporting, Malawi Ministry of Health Community Health Services Section CHW database, Ethiopia Health Worker Training Platform (OppiaMobile) and/or device deployment register, Uganda Ministry of Health and/or device deployment register, Sierra Leone MOHS Digital Classroom app and deployment register.

2There is not an up-to-date master list of community health workers nationally in Liberia, so the Last Mile Health team is working with the Liberia Ministry of Health to improve the accuracy of this figure. In the meantime, we are reporting the same figure as last quarter.

3Source: Liberia Ministry of Health Community-Based Information System, Malawi Ministry of Health Community Health Services Section database, Ethiopia Ministry of Health database, Sierra Leone MOHS Digital Classroom app and HRH Strategy (2017-2021).

Upskill

Train and Grow the Community Health Workforce

40,907

Learners who have ever accessed course content for health leaders1

3,200

Learners who have completed health systems leadership courses1

1 Source: edX, Moodle, TechChange (cumulative as of September 30, 2022)