Our Model

In the aftermath of the Ebola Outbreak, we supported the Government of Liberia to design a nationwide community health workforce initiative called the National Community Health Assistant (CHA) Program. Drawing on the theory we developed through our community health worker pilot project in Konobo District from 2012 to 2016, the National CHA Program follows a five-step model to recruit, train, equip, manage, and pay talented community members to provide lifesaving healthcare to their neighbors living in remote communities.


To ensure that we’re choosing the best candidates to serve as community health workers, we partner with local leadership to recruit talent from within the remote communities we serve.


Community health workers receive four separate trainings on a series of standardized training modules that we supported the Government of Liberia to develop. These four trainings provide community health workers with a comprehensive set of skills covering infectious disease surveillance and response, maternal and neonatal health, family planning, care for common childhood illnesses, first aid, and support for adults with HIV/AIDs, TB, and select neglected tropical diseases. After completing each course, trainees are given time to develop their new skills before advancing to the next stage of training. Learn more about the services that our community health workers provide.


We strengthen supply chain, communication, and transportation systems to ensure that community health workers always have the drugs, tools, and forms that they need to provide lifesaving healthcare.


We support the Government of Liberia to manage a workforce of clinically-trained supervisors, including nurses and physician’s assistants, who provide community health workers with one-on-one mentorship to improve the quality of care they provide, and to ensure that they are accurately diagnosing and treating their patients.


All of our community health workers receive monthly pay in recognition of the substantial time and energy they commit to providing care to their patients and honing their skills as professionals.

Our Model in Action

In partnership with the Government of Liberia, we’re implementing this five-step model in two of Liberia’s 15 counties – Grand Gedeh and Rivercess. Meanwhile, various other organizations including Partners in Health, International Rescue Committee, PLAN International, Medical Teams International, and Samaritan’s Purse are supporting the Government of Liberia to implement the program in other counties. Our shared goal is to ensure that by 2021, all 1.2 million Liberians who live more than an hour’s walk from the nearest health facility have access to a professional community health worker.

Our Strategy