Liberia , 1990

Liberia, 1990

Photo Credit: Chris Hondros, August 3, 2003

Liberia, 2005

51governmentmedical doctorsin 2005400

governmentmedical doctorsin 1989

afterbefore

failures

partner with the Liberian Government

and rural communities to advance health care

and the fundamental rights of the poor

Zwedru KONOBO

two days

11% of children immunized

46% of parents lose a child

12%of mothers deliver in clinics

$54.90per person per year

$0.76 per person

per year.

Source: 2011-2021 National Health Plan, Liberian Ministry of Health and Social Welfare

no one should die because they live too far from a doctor.

focused missioncentral ideahighly-defined program modelclear impact

Last Mile Health saves lives in the world’s most remote villages.

…by giving community health workers the training, supervision, equipment and incentives they need to perform as professionals.

30,000ft View: The Impact Model

1. Target the poorest, most remote villages

2. Recruit, employ, train, equip, and supervise villagers to serve as professional frontline health workers

3. Provide home-based care to fight the top five diseases of women and children

4. Integrate home-based care with clinical services at primary health care facilities

5. Drive high performance through novel technology-driven training, research and information systems

impact• [SCALE] Total number of patient visits• [SCALE] Total number of villages served• [DELIVERY] Proportion of children who are fully immunized• [DELIVERY] Percent of women with unmet need for family planning• [DELIVERY] Percent of patients in active care for HIV, TB, or NCDs• [DELIVERY] Average cost per person served• [DELIVERY] Percent of FHWs who scored an "A" on FHW scorecard• [IMPACT] Proportion of safe (facility-based) deliveries• [IMPACT] Under-five mortality rate

Zarkpa

Konobo, LiberiaDistrict Map

Today, every villager in Konobo has access to a healthcare worker – for

the very first time.

Since operations started, there have been 0 days where a frontline health worker lacked access to the medication they needed to treat patients.

route to scale

limits of strategy

WHO said Ebola treatment centers in Monrovia need to triple their capacity to 1,000 beds to meet demand