Impact

We use data to inform and strengthen every aspect of our work. Our partnerships with governments and local implementers have expanded access to and enhanced the quality of health services in rural and remote communities.

We improve the quality of care

1 in 5 REPORTED MALARIA CASES among children under five were diagnosed and treated by community health workers in Liberia in 20181

76% OF PREGNANT WOMEN completed at least four prenatal care visits in Rivercess County, Liberia in 2019, as compared with 65% prior to the introduction of the national program2

+40% INCREASE in children under five receiving medical care in Rivercess County, Liberia in 2016, following the introduction of the national program3

60% OF SICK CHILDREN in Rivercess County, Liberia received treatment from a qualified health provider in 2019, as compared with 45% prior to the introduction of the national program4

84% FACILITY-BASED DELIVERY in Konobo District, Liberia in 2015 following the introduction of community health workers, as compared with 56% prior to introduction of a community health worker program5

39% OF WOMEN USING FAMILY PLANNING in Rivercess County, Liberia accessed it from a community health worker6

 

  • 1 Source: Liberia Ministry of Health – Health Management Information System/DHIS2 (2018), which captures treatments and diagnosis delivered by government sponsored providers.
  • 2 Defined as 4 or more antenatal care visits. In Grand Bassa implementing districts: 52%, in Grand Gedeh: 75%. Source: Last Mile Health programmatic survey (2019).
  • 3 50% difference in difference representing an increase in treatment from 28.5% in 2015 to 69.3% in 2016. Source: A Community Health Worker Intervention to Increase Childhood Disease Treatment Coverage in Rural Liberia: A Controlled Before-and-After Evaluation, American Journal of Public Health (2018)
  • 4 Defined as children reporting fever, acute respiratory illness, or diarrhea in the last 2 weeks who received care at a health facility or by a community health assistant for all illnesses they reported. In Grand Bassa: 49%, in Grand Gedeh: 55%. Source: Last Mile Health programmatic survey (2019).
  • 5 Source: Implementation research on community health workers’ provision of maternal and child health services in rural Liberia, Bulletin of the World Health Organization (2017).
  • 6 Source: Last Mile Health programmatic survey (2019).

We expand access to lifesaving healthcare

Woman with baby talking to man

3,600,000 home visits conducted by community health workers

1,100,000 cases of malaria, pneumonia, and diarrhea treated and malnutrition screenings conducted for children under five

299,037 pregnancy home visits conducted by community health workers

4,914 potential epidemic cases reported by community health workers

363 community clinics staffed by frontline health workers

186,788 women with access to family planning through a community health worker

  • Source: Liberia’s National Community Health Assistant Program (cumulative data from July 2016 to June 2020)

We expand access to health education by leveraging digital technology

3,777 community and frontline health workers enrolled in digital clinical education courses in Liberia1

27,380 learners from 197 countries accessed our first online leadership course for health systems leaders with HarvardX and edX2

51% of learners in our first online leadership course are from low- and middle-income countries3

Among survey respondents from the Academy’s first online leadership course:

78% indicate they are very likely to apply course content in their work or study4a

89% reported increased confidence in their ability to adapt best practices and lessons learned from high-performing community health worker programs4b

79% are very likely to recommend the course to a colleague or friend4c

  • 1 Source: Liberia’s National Community Health Assistant Program (cumulative data as of June 2020)
  • 2 Source: edX enrollment (cumulative data as of June 2020)
  • 3 Source: edX enrollment (cumulative data as of May 2020). Geographic location based on most recent IP address (n=40,367)
  • 4 Source: Strengthening Community Health Worker Programs post-course survey (respondents as of March 2020)
    • 4a Respondents indicating ‘very likely’ on a 3-point scale (n=120)
    • 4b Respondents indicating confidence ‘increase significantly’ or ‘increased moderately’ on a 5-point likert scale (n=120)
    • 4c Respondents indicating 9 or 10 on a 0-10 net promoter score scale (n=117)