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Last Mile Health: We partner with governments to design and build community-based primary health systems that save lives in the world’s most remote communities. Having successfully worked alongside the Government of Liberia to design, pilot, implement, and scale a national community health worker (CHW) program, Last Mile Health is now leveraging digital education to grow health workforce capacity in several low- and middle-income countries.
Program Design: As aligned with Last Mile Health’s organizational Theory of Change, we partner with governments to design and digitize curricula to upskill the community health workforce and supplement the expertise of health systems leaders who manage community health programs. The goal of these efforts is to increase capacity to manage and sustain high-quality community-based primary care, and to ultimately improve health system performance.
Within each country, Last Mile Health works with governments and other partners to identify priorities for upskilling among health systems leaders, and to tailor programming to the country context with the aim of strengthening community-based primary care systems. Our approach to health systems leadership development includes the development and delivery of online and blended courses and skill-building workshops focused on key pillars of community health systems strengthening, including health finance, community engagement and digital health, among others.
Learners from across the world participated in Last Mile Health’s first global online course, Strengthening Community Health Worker Programs, including over 300 from Uganda, 270 from Liberia and 70 from Malawi. Last Mile Health is now shifting to a more targeted, country-driven approach to course delivery that is better aligned with the upskilling needs and priorities of government partners and leverages practical application of learning to achieve real impact in health systems.
Monitoring, Evaluation, Research, and Learning (MERL): Last Mile Health’s Global Monitoring, Evaluation, Research, and Learning (MERL) team is leading the design and implementation of the evaluation of health systems leadership training activities. Our evaluation methods are suited to understand the dynamic, multidimensional, and interconnected relationships that influence the uptake of learning and their application within health systems. Drawing from developmental evaluation and complexity responsive evaluation, our methods are responsive to the underlying contextual factors, characteristics of the intervention, participating stakeholders, and processes of change that influence critical outcomes, such as acceptability, adoption, appropriateness, feasibility, fidelity, and sustainability. In short, our methods acknowledge that health systems are complex and ever-changing in ways that are often unpredictable. Last Mile Health’s program design and MERL teams work together collaboratively to ensure that evaluation findings are used to support data use and adaptive management overtime.
Foundation Botnar: Last Mile Health proudly partners with Foundation Botnar, a Swiss-based foundation that champions the use of artificial intelligence (AI) and digital technology to improve the health and wellbeing of children and young people in growing urban environments. To achieve this, the Foundation supports research, catalyzes diverse partners, and invests in emerging technologies and scalable solutions globally.
The goal of this consultancy is to conduct systems mapping in Liberia, Malawi, and Uganda to complement and inform program design refinement and MERL activities. Specifically, the objectives are:
Additionally, country specific objectives are as follows:
(Bamberger, M., & Vaessen, J., & Raimondo, E. (2015) Dealing With Complexity in Development Evaluation - A Practical Approach. SAGE publications.)
Scope of Work
The activities for this scope of work are as follows. Please note that deliverable dates are based on the effective date of contract (EDOC) and are flexible. Please let us know in your application materials if you would like to propose a different timeline.
Payment Deliverable Schedule
Included with your application materials, please describe your methodological approach to complete the tasks described above including a time-bound work plan for tasks described above and associated person-time and costs. Please note that you may propose a difference timeline than is listed in the scope of work.
Additionally, include resumes or CVs for all team members who will work on this project, a description of the experience that qualifies each person, and three references who can speak to your relevant experience.
Applications will be considered for those applying to do this work in one, two, or all three countries. Please specify the countries where you are applying for this contract.
Preference will be given to applicants who apply for and have experience working in all three countries.
The total budget ceiling available for this work is $100,000 USD, including all objectives, activities and deliverables described for each country. If you apply to do this work in one or two countries, the budget must be prorated accordingly. Please present your budget for each country by task. Cost will be a factor in selecting the recipient of the contract.
About Last Mile Health
Last Mile Health partners with governments to design, scale, strengthen, and sustain high-quality community health systems, which empower teams of community and frontline health workers to bring life-saving primary healthcare to the world’s most remote communities. LMH is a registered 501(c)3 non-profit organization. For more information, visit www.lastmilehealth.org.
We are an equal opportunity employer and value diversity at LMH. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.