Last Mile Health

We partner with governments to build community health systems, training community health workers to provide primary healthcare in rural and remote communities. Liberian civil war survivors and American health workers founded our organization in 2007, initially naming it Tiyatien Health. We currently work with Ministries of Health in Ethiopia, Liberia, Malawi, and Sierra Leone.

Our work includes establishing public HIV treatment programs, developing and expanding community health worker initiatives, and responding to health crises. For example, we deployed health workers and provided resources during the Ebola epidemic and COVID-19 pandemic. We also launched the Community Health Academy, which provides digital training tools for health workers. We co-founded the Community Health Impact Coalition, advocating for better pay and professional status for community health workers. In 2022, we co-launched Africa Frontline First, an initiative to professionalize 200,000 community health workers across 10 African countries by 2030, aiming to reach over 100 million patients. Our five-year strategic plan, Closing the Distance, launched in 2023. It aims to deepen our impact in national community health systems and influence community health financing. In 2024, we began transitioning program management to local government teams in Liberia and Ethiopia.

• Over 53.3 million people have been served by community health workers through partnerships between Ministries of Health and us.
• 32,586 community and frontline health workers in rural and remote areas receive supervision, supplies, salary, skills, information systems, or digital tools in countries we support.
• Community health workers in Liberia have delivered 1,602,240 treatments to children under five.

Our mission is to save lives in the world’s most remote communities. Our vision is that a health worker is within reach of everyone, everywhere. We are deeply committed to equity and justice.

We employ 201-500 people and have a hybrid team structure. Most of our staff work in country program offices or our global headquarters in Accra, Ghana. A smaller number work remotely. We maintain in-person country offices in Ethiopia, Liberia, Malawi, and Sierra Leone, in addition to county offices within Liberia.

We are committed to creating an inclusive and equitable environment. We value diverse voices and work to remove barriers caused by social injustice and inequality. Our culture emphasizes humility, honesty, and learning. We encourage staff to take calculated risks, embrace new ideas, and pursue continuous professional development. Our compensation follows a clear, consistent, and fully transparent methodology, without regard to identity or personal relationships.

We offer a range of benefits, including medical and other health insurance, emergency evacuation, and life insurance policies. We offer retirement options with a 3% employer match. Employees receive ample paid time off, sick leave, and about a week of office closure at year-end.

We support professional development by providing access to technical and leadership training. We provide employees with necessary technology and resources. New parents receive generous paid leave for delivery or adoption. We also offer staff counseling and resilience services. We maintain a transparent compensation model.