Updated Mar 05, 2020

Last Mile Health

Last Mile Health partners with governments to design, scale, strengthen, and sustain high-quality community health systems by empowering teams of community-based health workers to bring life-saving healthcare to remote communities.


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Stage 5: Scaling

LMH is partnering with the Liberian Ministry of Health to fully scale and sustain the National Community Health Assistant Program, which will deploy 4,000 community and frontline health workers by 2021 to a population of 1.2 million.

Focus Areas:

Health Systems, Maternal Newborn and Child Health, Primary Care and 8 MoreSEE ALL

Health Systems, Maternal Newborn and Child Health, Primary Care, HIV/AIDS, Nutrition, Infectious & Vector Diseases, Non-communicable Diseases, Prevention & Vaccination, Sexual and Reproductive Health, Digital Development and Crowdsourcing and Open SourceSEE LESS

Implemented In:

Ethiopia, Malawi, Uganda and 1 MoreSEE ALL

Ethiopia, Malawi, Uganda and LiberiaSEE LESS

Countries Implemented In


Despite decades of medical and technological progress, half of the world’s 7.3 billion people—including one billion people living in remote communities—lives without access to essential health services. Compounding this crisis is a massive shortage of health workers, which is forecast to grow to a gap of 18 million by 2030. If these gaps are not addressed, more than 8.9 million people could continue to die each year from diseases that can be prevented or treated.



Last Mile Health saves lives in the world’s most remote communities by partnering with governments to design, strengthen, scale, and advocate for high-quality community health systems that empower teams of community and frontline health workers to deliver essential primary care services–including prenatal services, vaccinations, care for non-communicable diseases, and HIV, tuberculosis, and malaria treatment– to their communities.

Innovation Description

Globally, recent advances towards health equity have, by and large, failed to reach remote areas where – owing to poor infrastructure, low population densities, and limited resources – mortality remains highest, access to quality health care the most limited, and progress takes the longest to reach. Despite these gaps, evidence suggests that by training community and frontline health workers in just 30 evidence-based, lifesaving practices and expanding their reach to millions of rural children and families in the 73 highest burden countries, the world can save 30 million lives by 2030. LMH is currently working alongside Liberia’s Ministry of Health to design, implement, and institutionalize a groundbreaking community health workforce initiative, the National Community Health Assistant Program. Building on a decade of experience working with the Liberia Ministry of Health, LMH has developed a five-step model to recruit, train, manage, supply, and incentivize high-performing community and frontline health worker teams to provide lifesaving healthcare to their neighbors. When governments are supported to achieve these indicators, the result is a national community health workforce that can drive transformative increases in the coverage of essential primary healthcare services that save lives in the world’s most remote communities.

Competitive Advantage

As of May 2019, the Government of Liberia and its partners had hired, trained, and equipped more than 3,300 community and frontline health workers across 14 of 15 total counties. They have carried out more than 1.6 million home visits; treated and/or screened 630,000 childhood cases of pneumonia, malaria, diarrhea, or malnutrition; supported 160,000 pregnancy visits; and identified approximately 3,900 potential epidemic events in their Communities. Over more than a decade of partnership with Liberia’s Ministry of Health, we have seen the transformative impact that occurs when governments are supported to design, scale, strengthen, and sustain high-quality community health systems that empower teams of community and frontline health workers to deliver essential primary care services to their communities. We look forward to continuing to leverage lessons learned in Liberia to contribute to the global movement to ensure access to quality, community-based primary health services.

Planned Goals and Milestones

Building on our flagship 10-year country program in Liberia, Last Mile Health is partnering with national Ministries of Health to expand partnership to at least two new additional country programs in Africa, supporting and digitally empowering at least 16,000 additional community and frontline health workers integrated with over 500 community clinics to extend primary health care to over 9 million rural people.
New Implemented CountriesEthiopia, Malawi, Uganda


Jul 2019
New Country Implemented In
Ethiopia, Malawi and Uganda
May 2019
New Product Or Service
The Community Health Academy’s first free, online course, ‘Strengthening Community Health Worker Programs to Deliver Primary Health Care’ goes live.
Feb 2007
New Product Or Service
Originally called Tiyatien Health, meaning ‘justice in health’ in a local language, Last Mile Health is founded by a group of Liberian civil war survivors and American health workers. Tiyatien Health began Liberia’s first rural, public HIV program.
Date Unknown
New Country Implemented In
Date Unknown
Recognition ReceivedVERIFIED
Profiled Innovation - Gold