Last Mile Health

What Last Mile Health does

Last Mile Health is a 501(c)(3) non-profit organization founded in 2007 and headquartered in Boston, with primary operating offices in Liberia, Monrovia, and additional presence in New York. The organization supports African ministries of health to design, professionalize, and scale community health worker (CHW) programs in remote communities across Ethiopia, Liberia, Malawi, Sierra Leone, Mozambique, and the Democratic Republic of the Congo. Its core service is end-to-end CHW program implementation: training, supervision, supply chain support, salary administration, and increasingly digital tools and AI-enabled decision support for frontline workers (notably an active AI rollout in Ethiopia). The organization's technology stack combines a Community Health Worker Training and Supervision Platform with AI integration for frontline healthcare and integrated health information systems.

Last Mile Health does not charge for its services. Instead, revenue is generated through philanthropic grants (notably a second-round $20 million grant from The Audacious Project in October 2025, an earlier TED Prize of $1 million, the Macquarie 50th Anniversary Award, and ongoing Co-Impact, Skoll, and LGT Venture Philanthropy support), foundation funding, and government partnership funding from bilateral and multilateral agencies including USAID, UNICEF, the Global Fund, and the World Bank. The go-to-market is enterprise-style direct engagement with ministries of health rather than commercial sales. Cumulative impact since July 2023 is reported as 52M+ people served, 30,000+ health workers supported, and an estimated 8,851 under-five lives saved, with country-level outcomes such as a 133% reduction in DPT vaccine drop-outs in Mozambique and a 30% increase in polio vaccination in DRC. Leadership transitioned from founder Dr. Raj Panjabi to Lisha McCormick as CEO, with Katherine Collins as Board Chair and a recently expanded C-suite including Chief Program Officer, Chief Operating Officer, and Deputy COO roles.

Name

Last Mile Health

Legal name

Last Mile Health

Website

https://lastmilehealth.org

Company type

Private

Founded year

2007

Operating status

Operating

Headcount range

251–500 employees

Short description

Last Mile Health is a non-profit organization that partners with African ministries of health to professionalize community health workers delivering primary healthcare in remote communities across Ethiopia, Liberia, Malawi, Sierra Leone, Mozambique, and the DRC.

Ownership category

akta.pro rank

Headquarters

HQ city

Boston

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Philanthropic Grants and Donations: As a 501(c)(3) non-profit organization, Last Mile Health generates revenue through grants from philanthropic organizations, major donor families, and foundation funding. Received $20 million second-round grant from The Audacious Project.
2. Government Partnership Funding: Funding and support from governments to implement community health programs in partnership with ministries of health in African countries

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

Last Mile Health is a non-profit organization that supports African ministries of health to build, train, supervise, supply, and pay teams of community and frontline health workers delivering primary healthcare in remote communities. Offerings span training and supervision programs, deployment of professionalized CHWs, integrated community health information systems, and AI-enabled digital tools to support frontline workers, together with policy and financing support to governments seeking to institutionalize community health systems.

Product overview

Last Mile Health is a non-profit organization that supports African countries to build teams of community and frontline health workers to deliver primary healthcare to remote communities. Their work encompasses training health workers, strengthening health systems, and delivering healthcare services. Key programs include the Africa Frontline First initiative focused on workforce expansion, and digital health solutions including AI-powered tools to support frontline workers. The organization partners with ministries of health in Ethiopia, Liberia, Malawi, Sierra Leone, and operates globally.

Differentiator

Problem solved

Functional benefit

Products and services

• Community Health Worker Programs End-to-end support for ministries of health to build, train, supervise, supply, and pay teams of community and frontline health workers delivering primary healthcare to remote and last-mile communities in African countries (Ethiopia, Liberia, Malawi, Sierra Leone, Mozambique, DRC).
• Africa Frontline First Initiative led by Last Mile Health in partnership with Africa CDC to accelerate community health workforce expansion across African countries and strengthen health systems.
• Digital Health and Informatics Technology-enabled health solutions including AI tools, integrated community health information systems, and digital platforms used to train, supervise, and support frontline health workers delivering primary healthcare in remote areas.
• Health Systems Strengthening Advisory and programmatic support for governments to institutionalize community health worker programs, restructure public health funding, and build sustainable national community health systems.

Quantifiable outcome

• 52M+ people served by CHWs in Last Mile Health-supported countries
• +5 more outcomes

Named customers5 records

Segments2 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

Four partnerships are on record, tiered core and minor.

• Africa CDC / Africa Frontline FirstcoreStrategic or Co-development Partner · 28 April 2026Africa CDC and Africa Frontline First partnership to accelerate community health workforce expansion across African countries. Africa Frontline First is an initiative led by Last Mile Health in partnership with Africa CDC.
• VillageReachminorStrategic or Co-development PartnerVillageReach works alongside Last Mile Health and other organizations to support community health worker deployment across African countries including Liberia, Sierra Leone, Ethiopia, Mozambique, and DRC.
• UNICEFcoreStrategic or Co-development PartnerUNICEF partnered with Last Mile Health and USAID on the Integrating Community Health Program in Liberia, supporting the National Community Health Assistant Program.
• JhpiegominorStrategic or Co-development PartnerWorked with Last Mile Health on UNGA events and health systems strengthening programs.

Scale indicators5 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Partners in Health: Partners in Health operates a closely comparable model: a global health nonprofit that partners with governments to deliver primary healthcare in remote, resource-limited settings, including professionalized community health worker programs in countries like Haiti, Rwanda, Liberia, and Sierra Leone. Like LMH, PIH embeds in national health systems and focuses on the hardest-to-reach populations, making it the most direct functional peer.
• Living Goods: Living Goods supports government community health worker programs across sub-Saharan Africa (Kenya, Uganda, Ethiopia, Burkina Faso) with a mix of training, digital tools, supervision, and supply chain. It is one of LMH's closest direct competitors for the same African government CHW mandates and the same pool of major philanthropic funders.
• Muso Health: Muso operates a community health worker-led primary care model in Mali, focused on the world's poorest communities, with a government-embedded model similar to LMH's. Comparable in mission and approach, though smaller in geographic scale.
• BRAC: BRAC runs one of the world's largest community health worker programs, including across multiple African countries, with a professionalized CHW cadre and government partnerships. Comparable in that it deploys CHWs at national scale in low-income settings, though BRAC is much larger and operates a broader development portfolio beyond health.
• Possible (now Possible Health): Possible Health (formerly Nyaya Health) operates a government-partnered community health worker model in Nepal focused on rural primary care delivery. A direct peer in mission and CHW-led delivery model, though operating in a different geography.

Emerging players

• VillageReach: VillageReach works alongside Last Mile Health (and is listed as a partner) to support community health worker deployment across African countries including Liberia, Sierra Leone, Ethiopia, Mozambique, and DRC. It is comparable in CHW focus and African footprint, with additional emphasis on health supply chain and logistics.
• Medic (formerly Medic Mobile): Medic builds open-source digital health tools (the Community Health Toolkit) used by CHWs and ministries of health in Africa and Asia, including by several LMH-style programs. It is an emerging player in the same CHW-and-government space, with a more technology- and platform-centric model than LMH's integrated program delivery approach.

Broad incumbents

• Pathfinder International: Pathfinder International is a larger, established global health nonprofit that partners with governments to deliver community-based health services across Africa and Asia, including CHW-supported family planning, maternal health, and HIV programs. Broader scope and older institution, but with overlapping CHW-government partnership model.
• Clinton Health Access Initiative (CHAI): CHAI is a major global health organization that works with governments in over 30 countries, including across Africa, on health systems strengthening, supply chain, and workforce. It is comparable to LMH in operating as a government-embedded technical partner for health system reform, but with a much broader portfolio beyond community health workers.

Regional players

• Amref Health Africa: Amref Health Africa is a large Africa-based nonprofit that trains and deploys community health workers across the continent, partnering with African governments. A regional peer with deep African roots and a comparable CHW-training-and-deployment model, though broader in scope (including clinical outreach, water, and sanitation).

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xtwitter.com/lastmilehealth
• YouTubeyoutube.com/channel/UCp4mYwC5xG8aKrKqI-Q5xLQ
• Facebookfacebook.com/lastmilehealth
• LinkedInlinkedin.com/company/last-mile-health
• Instagraminstagram.com/lastmilehealth

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Funding overview

Funding rounds2 records

Investors2 records

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M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Last Mile Health