Last Mile Health
Last Mile Health
Not-for-profitYear launched: 2007
Country of Operation
Target income level
- Bottom 20%
- Lower-middle income (20-40%)
- Middle-income (40-60%)
- Primary care
SummaryLast Mile Health saves lives in the world’s most remote villages. LMH specializes in the development and management of professionalized Community Health Workers who bridge the gap between hospital and remote villages, bringing critical services to the doorsteps of people living in the last mile.
Last Mile Health aims to bring health care directly to the doorsteps of the most remote villages in the Liberian countryside. Last Mile Health trains, equips, and supervises engaged community members as health professionals. These frontline health workers (FHWs) are then connected to a rural health clinic to act as a network of primary care providers. FHWs provide preventative health consultations, diagnose disease, and treat life threatening conditions. By providing health care to the most remote population, Last Mile Health's FHWs are transforming access to health services and health outcomes in the region.
Key program components
Traditional hospital-based services are failing to reach the world's most remote villages. In post-war Liberia, 60% of the nation's rural population lacks access to essential health care.
Last Mile Health follows a five-step program model:
- Recruit: By employing a demanding recruitment algorithm, we balance community input and rigorous standards to find the best candidates in a challenging environment.
- Train: FHWs are trained to diagnose and treat the top ten killers of villagers in Liberia. This training is continuous, rigorously evaluated, and includes training in the field.
- Equip: FHWs are fully equipped to provide advanced care through our strong supply chain.
- Manage: FHWs are supervised weekly by a nurse mentor who provides ongoing training and performs patient checks to uphold high quality of care.
- Pay: Performance-based incentives create employment opportunities and honors the life-saving work FHWs do in their communities.
Five goals underpin our program model:
Target the poorest, most remote villages.
Recruit, train, support and employ villagers to serve as professional frontline health workers.
Provide comprehensive home-based care to women and children.
Integrate home-based care with clinical services at primary health care facilities.
Drive high performance through novel technology-driven training, research and information systems.
Last Mile Health trains community members and former patients to serve as frontline health workers (FHW), delivering comprehensive home-based medical and social services to communities previously deemed unreachable. Neighbors and former patients are trained as FHWs. They deliver treatment daily to patients and others with untreated diseases. FHWs then organize patients and women into economic cooperatives, such as farms and sewing projects, while linking them to food and other forms of social support.
Last Mile Health also trains government physicians and nurses to support and supervise frontline health workers, while providing policy planning, research, and health care delivery support.
Last Mile Health receives funding from three sources:
Individuals and family foundations
Foundations and corporations
Millions of people around the world are injured, killed or left homeless as a result of natural disasters and outbreaks.
- Ministry of Health and Social Welfare (Liberia)Government