Impact

1 Source: Liberia Ministry of Health Community-Based Information System (cumulative from July 1, 2016 to March 31, 2021)

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.

2 Source: Last Mile Health programmatic survey, 2016-2019 (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 2019. 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. Data collection began in Grand Bassa County and Grand Gedeh County in 2018. Data were not collected in 2020 due to COVID-19. 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.

2b This graph shows the percent of non-pregnant women aged 18-49 currently using a modern method of family planning in Last Mile Health supported counties in Liberia from 2016 to 2019. The percent of women using modern family planning increased 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 in Konobo District of Grand Gedeh county. In Rivercess County and Grand Bassa County, family planning coverage increased in communities living more than five kilometers from a health facility from 2018 to 2019, indicating that these counties improved family coverage for the most remote communities. In Konobo District of Grand Gedeh County, family planning coverage remained relatively stable from 2018 to 2019 in communities living 10 or more kilometers from a health facility, but decreased in communities living between five and ten kilometers from a health facility. Last Mile Health celebrates 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 collection began in Grand Bassa County and Grand Gedeh County in 2018. Data were not collected in 2020 due to COVID-19.

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 increased, with lower vaccination coverage among communities living furthest from a health facility (10+ kilometers) compared to those living closer to a health facility (5<10 kilometers). 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.