Africa Frontline First

Africa Frontline First is a groundbreaking, collaborative initiative that aims to close the community health financing gap in Africa. By catalyzing $2 billion by 2030, Africa Frontline First will enable 200K professionalized community health workers to serve 100 million people across 10 countries.

Africa Frontline First

Africa Frontline First is a groundbreaking, collaborative initiative that aims to close the community health financing gap in Africa. By catalyzing $2 billion by 2030, Africa Frontline First will enable 200K professionalized community health workers to serve 100 million people across 10 countries.

In Africa, financing remains the largest systemic barrier to scaling and sustaining quality community health services, and there is an estimated $4.4 billion annual funding gap for community health on the continent. Further, the majority of existing funding in the region is directed towards vertical, disease-specific community health worker programs, despite strong evidence for the efficacy and cost-effectiveness of integrated programs.

To help close the community health funding gap, Last Mile Health co-launched Africa Frontline First under the championship of H.E. Ellen Johnson Sirleaf and alongside Community Health Impact Coalition and Financing Alliance for Health.

To meet the promise of professionalized community health workers—and drive progress toward universal health coverage, pandemic preparedness and response, and gender equity—we must radically transform community health financing. Africa Frontline First aims to achieve this by employing innovative financing solutions to catalyze $2 billion by 2030, enabling 200,000 professionalized health workers to serve 100 million people across 10 countries.

Africa Frontline First will provide the technical expertise and support national governments need as they build community health systems that can deliver effective, efficient, and equitable healthcare. We’ll do this through a focus on financing, political championship, and deep partnership with country leaders.

To help close the community health funding gap, Last Mile Health co-launched Africa Frontline First under the championship of H.E. Ellen Johnson Sirleaf and alongside Community Health Impact Coalition, Community Health Acceleration Partnership, and Financing Alliance for Health.

To meet the promise of professionalized community health workers—and drive progress toward universal health coverage, pandemic preparedness and response, and gender equity—we must radically transform community health financing. Africa Frontline First aims to achieve this by employing innovative financing solutions to catalyze $2 billion by 2030, enabling 200,000 professionalized health workers to serve 100 million people across 10 countries.

Africa Frontline First will provide the technical expertise and support national governments need as they build community health systems that can deliver effective, efficient, and equitable healthcare. We’ll do this through a focus on financing, political championship, and deep partnership with country leaders.

Last Mile Health’s 15-year track record building community health systems in partnership with governments makes our organization uniquely positioned to help ensure this goal becomes a reality. This initiative will be the cornerstone of our advocacy efforts globally over the next five years, as aligned with the Closing the Distance strategy.

In September 2022, Africa Frontline First announced a catalytic fund, housed at the Global Fund with contributions from the Skoll Foundation and Johnson & Johnson, mobilizing $100 million: the largest fund in history for professionalized community health workers. Building on this momentum, Africa Frontline First’s upcoming scale mechanism will seek to develop and deploy innovative and sustainable financing solutions to achieve its goals.

Last Mile Health’s 15-year track record building community health systems in partnership with governments makes our organization uniquely positioned to help ensure this goal becomes a reality. This initiative will be the cornerstone of our advocacy efforts globally over the next five years, as aligned with the Closing the Distance strategy.

In September 2022, Africa Frontline First announced a catalytic fund, housed at the Global Fund with contributions from the Skoll Foundation and Johnson & Johnson, mobilizing $100 million: the largest fund in history for professionalized community health workers. Building on this momentum, Africa Frontline First’s upcoming scale mechanism will seek to develop and deploy innovative and sustainable financing solutions to achieve its goals.

“I was able to spend a day with Patrick Malachi, a community health worker in Kenya. Beyond the clinical knowledge and training, Patrick’s strongest asset was the trust his community had in him. That’s irreplaceable. When I asked him and his colleagues what could help them in their work, I got the same response that I’ve heard for nearly a decade in rural Liberia, in districts in Malawi, and in many other geographies: consistent payment, supportive supervision, adequate supplies, and recognition for their efforts. The answer to universal health coverage is deeply intertwined with the dignified work of community health workers.”

Nan Chen,
Co-Executive Director of Africa Frontline First

“I was able to spend a day with Patrick Malachi, a community health worker in Kenya. Beyond the clinical knowledge and training, Patrick’s strongest asset was the trust his community had in him. That’s irreplaceable. When I asked him and his colleagues what could help them in their work, I got the same response that I’ve heard for nearly a decade in rural Liberia, in districts in Malawi, and in many other geographies: consistent payment, supportive supervision, adequate supplies, and recognition for their efforts. The answer to universal health coverage is deeply intertwined with the dignified work of community health workers.”

Nan Chen,
Co-Executive Director of Africa Frontline First

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