Global
Informed by our work across four countries, we influence community health system funding and practice across Africa and contribute to the movement for universal health coverage.
Building from our experience co-founding coalitions like the Community Health Impact Coalition and advancing national advocacy strategies in partnership with ministries of health, Last Mile Health shapes funding flows, builds political will, and informs standards for quality community health systems.
Through our leadership role as a founding member of Africa Frontline First, we unlock and deploy funding for community health from bilateral and multilateral donors, African governments, and philanthropy. Africa Frontline First unlocks financing to train and deploy 200,000 professional community health workers, delivering essential care to 100 million people across Africa by 2030. We align funding toward supporting national investments for community health and ensure governments are able to sustain these gains. As of December 2025, Africa Frontline First has unlocked $253M in funding for community health programs in Africa.
In parallel, we work in coalition to influence practice and policy across Africa, ensuring aid funding for community health is used effectively and complemented by domestic resourcing. Our primary focus is advocating for change through regional and international bodies such as the World Health Organization and Africa CDC. We develop replicable guidance on designing, implementing, and sustaining integrated national community health systems, and we share our lessons learned with governments and peers.
Our work is catalyzing a continent-wide shift in how healthcare is delivered and financed, ushering in a sea change for hundreds of millions of patients. Throughout it, we continually elevate the perspectives of rural and remote communities to influence national and regional public health policies and approaches.