Improving Last-Mile Services
We help governments remove bottlenecks so essential services consistently reach the people who need them most.
We help governments remove bottlenecks so essential services consistently reach the people who need them most.
We ensure last-mile teams have the right staff, in the right roles, properly supported to do their jobs.
We link national hubs, regional warehouses, and last-mile clinics to prevent stockouts of critical medicines, vaccines, commodities and supplies.
We help teams maintain functional, safe, and dignified health centres – ensuring consistent, reliable care both inside the clinic and out in the community.
We help health teams use geospatial mapping and digital microplanning to locate populations and track community reach, ensuring even the most remote families receive essential services.
We help governments design flexible delivery models – from mobile health camps to integrated campaigns and emergency platforms – so that quality care reaches people where routine services fall short.
September 30, 2026
3 min read
Delivering vaccines in Nigeria’s Zamfara State means racing against both time and terrain. When seasonal rains turn dirt roads into rivers, or securit…
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August 19, 2026
3 min read
Understanding why routine vaccination stalled in northern Nigeria requires a look at what happens on the back roads of Sokoto. Failure is rarely a cas…
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June 30, 2026
3 min read
Good nutrition lifts everything. It helps children fight infections, succeed in school, and it keeps mothers safe in pregnancy and childbirth. Yet, de…
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March 10, 2026
3 min read
In July 2025, a senior public health leader in Kano, Nigeria, sat before a screen flashing red. The data revealed an uncomfortable truth: two urban ar…
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February 23, 2026
3 min read
In a remote village in the DRC, I recently slept in a health centre 200 km from any urban hub. My goal was to see what was really happening on the gro…
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August 28, 2025
2 min read
It makes sense to associate innovation with technology. But in the toughest settings, the most creative solutions are those that empower, recognise, a…
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August 20, 2025
3 min read
Last month in Zamfara, Nigeria, a vaccinator prepared to visit a remote village, where most children had never received a single vaccine. Local contac…
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April 29, 2025
2 min read
Low immunisation coverage in low- and middle-income countries is often the result of limited outreach vaccination capabilities. Often needed for the m…
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April 25, 2025
3 min read
On World Malaria Day 2025, the call from the World Health Organization (WHO) is to Reinvest, reimagine, and reignite. The burden is felt heaviest in A…
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February 28, 2025
3 min read
Vaccination coverage is growing in low- and middle-income countries, yet some communities are being missed entirely. Many communities across low- and…
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August 20, 2024
2 min read
Citizens often face a wide variety of problems during flooding crises, but strong support from governments, NGOs and partners can overcome these chall…
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July 29, 2024
3 min read
Measles vaccines are estimated to have averted around 57 million deaths globally between 2000 and 2022. However, there is still work to be done, with…
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July 26, 2024
3 min read
While scaling resources in education is important, this alone does not improve quality. Moving beyond traditional metrics can help to see the details…
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August 4, 2022
2 min read
Immunisation coverage in Balochistan stands at 38%, the lowest in Pakistan. The province faces unique challenges in increasing routine immunisation; i…
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May 26, 2022
3 min read
Somalia is one of the most difficult places to provide health services, following decades of conflict and political instability, and persistent limita…
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February 23, 2021
3 min read
One of the first steps in redesigning a vaccine distribution system is to understand the existing bottlenecks, flaws and inefficiencies that prevent i…
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