Impact

1 Source: Liberia Ministry of Health Community-Based Information System (cumulative from July 1, 2016 to March 31, 2023). As of July 1, 2022, we are no longer tracking malnutrition screenings as part of treatments delivered to children under five.

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.