At Last Mile Health, our vision is a health worker for everyone, everywhere, every day. No matter how long or how difficult the journey, we are committed to bringing lifesaving care to the world’s most remote communities. As we reflect on 2016, we are grateful that your support allowed us to advance this vision more than ever before.

In 2016, we expanded to support more than 280 community health assistants (CHAs) across two of Liberia’s most remote counties. At the same time, we supported the Government of Liberia to launch a National CHA Program that will bring lifesaving care to the doorsteps of 1.2 million people by 2021.

From the patients we served to the roads we traveled, the following 16 images convey just a few of the changes, challenges, and triumphs that defined our work in 2016.

Clinical Supervisor Rachel (left, with stethoscope) follows up on twin patients who were treated by their CHA for malaria and diarrhea. Read their story here.

Vehicles wait in queue on a main highway while drivers and community members work to dislodge vehicles stuck in the mud.

Mechanic William prepares a vehicle to take on challenging road conditions.

Ministry of Health and Last Mile Health staff join elders and community members to break ground on a maternal waiting home in Konobo District. Completed in September, the maternal waiting home offers pregnant women from remote communities a place to stay during the final weeks of their pregnancy so they can give birth in the safety of the health facility.

Peer leaders receive a re-supply of medical commodities for their CHAs, as well as gasoline and engine oil for the motorbikes they use to reach many of the remote communities they serve.

CHA James performs a rapid diagnostic test for malaria, a leading killer of children worldwide. In 2016, our CHAs treated more than 14,000 cases of malaria in patients under age five.

Clinical Supervisor Melvina gives a review presentation on postnatal care during a training for Liberia’s National CHA Program.

A community health committee leader (left) and a traditional midwife (right) meet with a CHA to discuss the health needs of women and children in their community.

Two young boys cross a log bridge that leads to a remote community in Rivercess County.

CHA James logs patient information on a smartphone equipped with Last Mile Health’s mobile data collection platform. The data CHAs collect helps our team identify trends and make continuous refinements to program quality.

CHA Ubo (second from right) and his supervisors meet with community leaders in Konobo District.

In April, a critical bridge connecting Last Mile Health’s work in Rivercess and Grand Gedeh Counties collapsed into the Cestos River. For six months, CHA supervisors loaded their motorbikes and supplies onto canoes and walked across the broken bridge on foot. Our Operations Team went to great lengths to ensure that CHAs on both sides of the river could continue to perform their lifesaving work.

Liberia’s Minister of Education, George Werner (center right), visits CHAs in a remote community in Rivercess County.

Last Mile Health staff in Monrovia celebrate CEO Raj Panjabi’s selection as one of TIME’s 100 Most Influential People. Read more about the award.

Last Mile Health staff and representatives of the Ministry of Health’s Rivercess County Health Team provide targeted coaching to CHA Laura (top left) following a quality assurance assessment aimed at evaluating her skills in diagnosing and treating patients under five.

Fishing boats and water taxis stand along the shore of the Cestos River. Last Mile Health serves numerous communities where residents must travel by water to reach the nearest health facility.

Thank you for reading. To learn more about our work over the past year, check out our 2016 Annual Report.

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Diagnosing and Treating Malaria at the Community Level

Posted on 02/07/2019

Malaria has historically been the leading cause of morbidity and mortality in Liberia and remains responsible for 41% of deaths among children under five years of age. This preventable disease disproportionately affects children in rural areas, where poor access to healthcare restricts them from accessing basic, life-saving treatment. However, due to concerted efforts to prevent, […]

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