Building on a decade of partnership, we’re working with the Government of Liberia and local partners to make primary healthcare universal by deploying a paid, professionalized health worker to every rural and remote community.

Country Snapshot

After enduring over a decade of civil war and the 2014-2015 Ebola epidemic, Liberia prioritized rebuilding its devastated health system. The need was overwhelming: over 1.2 million people lived more than an hour’s walk from the nearest health facility, and the country suffered from some of the highest maternal and under-five mortality rates in the world.

Liberia Map

Rural Population


Child Mortality

71 per 1,000 live births

Maternal Mortality

661 per 100,000 live births

Basic Vaccine Coverage


HIV Prevalence


Health Worker Coverage

0.037 doctors per 1,000 people

*Source: The World Bank Group, World Bank Open Data,

Woman smiling with child

Our Work

Liberia’s Ebola epidemic highlighted the need to build a stronger, more resilient health system that would leave no one behind. Drawing on the successes of our community health worker pilot, we collaborated with the Ministry of Health and partners to design and scale the National Community Health Program to extend primary healthcare to 1.2 million people living at Liberia’s last mile.

Launched in 2016, the program has transformed access to care. Community and frontline health workers have carried out over 6.3 million home visits and have treated and/or screened over 1.8 million childhood cases of pneumonia, malaria, diarrhea and malnutrition.

As the program approaches full scale, we are supporting Liberia’s Ministry of Health to:

Design and pilot new interventions in community health

Building on our work in Rivercess County, we’re partnering with the Ministry of Health to identify and pilot service delivery innovations and position them for country-wide scale. This includes deepening the quality of service delivery in programmatic areas such as immunization, nutrition, and family planning.

Improve the quality of care

We’re strengthening malaria treatment, nutrition, family planning, immunization, and disease surveillance. We’re also supporting the Government to improve supply chain and information systems on a national level and expanding the use of digital training tools for performance management and training.

Sustain the national program

We’re partnering with the Ministry of Health to develop and implement long-term financing and cost-effectiveness strategies for the national program.


  • Clinton Health Access Initiative
  • Co-Impact 
  • EYElliance 
  • Gavi, the Vaccine Alliance 
  • The Global Fund to Fight AIDS, Tuberculosis and Malaria 
  • Government of Liberia
    • >Central Medical Store
    • >Grand Bassa County Health Team 
    • >Grand Gedeh County Health Team 
    • >Ministry of Health
    • >Ministry of Education 
    • >Ministry of Finance
    • >Ministry of Internal Affairs 
    • >Montserrado County Health Team 
    • >Rivercess County Health Team
  • International Rescue Committee 
  • Liberia Institute of Statistics and Geoinformation Services 
  • Medical Teams International 
  • National Public Health Institute of Liberia
  • Partners In Health 
  • Partnership for Advancing Community-based Services in Liberia Project (PACS)
  • PLAN International 
  • Samaritan’s Purse 
  • United Nations Children’s Fund (UNICEF) 
  • United States Agency for International Development (USAID) 
  • VillageReach 
  • The World Bank
  • World Health Organization


Blog Post

Building the evidence base on the power of community health workers: How data drives progress

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Blog Post

Last Mile Health and Ministry of Health pilot electronic Community-Based Information System

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Blog Post

Strong financing for strong community health: Last Mile Health serves as lead implementer of the Global Fund’s Project BIRCH

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Blog Post

Announcing Last Mile Health and Integrate Health’s 2023 Clinton Global Initiative Commitment to Action: Building Gender Equity through Community Health Systems

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