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Liberia , 1990

Liberia , 1990. Photo Credit: Chris Hondros, August 3, 2003. Liberia, 2005. 400. 51. government medical doctors in 1989. government medical doctors in 2005. before. after. failures.

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Liberia , 1990

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  1. Liberia, 1990

  2. Photo Credit: Chris Hondros, August 3, 2003

  3. Liberia, 2005

  4. 400 51 government medical doctors in 1989 government medical doctors in 2005

  5. before after

  6. failures

  7. partner with the Liberian Government and rural communities to advance health care and the fundamental rights of the poor

  8. KONOBO Zwedru

  9. two days

  10. 11% of children immunized

  11. 46%of parents lose a child

  12. 12% of mothers deliver in clinics

  13. $54.90 per person per year

  14. $0.76 per person per year. Source: 2011-2021 National Health Plan, Liberian Ministry of Health and Social Welfare

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

  16. focused missioncentral ideahighly-defined program modelclear impact

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

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

  19. 30,000ft View: The Impact Model1. 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

  20. 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

  21. Zarkpa

  22. Konobo, Liberia District Map

  23. Today, every villager in Konobo has access to a healthcare worker – for the very first time.

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

  25. route to scale

  26. limits of strategy

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

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