District Field Officer

This role was posted on October 7, 2026. Please note that we will review applications on a rolling basis.

About Last Mile Health

Last Mile Health saves lives in the world's most remote communities. Our vision is a health worker within reach of everyone, everywhere. We partner with governments to recruit, train, equip, and integrate professional community health workers into national health systems, equipping them to deliver quality primary care in rural and remote communities. Founded in Liberia in 2007, we now operate programs in Ethiopia, Liberia, Sierra Leone, and Malawi. Our global offices are located in Accra, Ghana and in the United States. We are looking for mission-driven leaders to join us as we work to ensure no patient is out of reach.

About the Sierra Leone Program

The Sierra Leone program partners with the Ministry of Health and the CHW Hub to transition the national community health program from strategy to implementation. Led by Carlos Velazquez, the team builds on a foundation of educating health leaders to train and deploy an integrated community health workforce. In addition, they strengthen monitoring and evaluation systems to generate high-quality data while designing upskilling programs to address critical gaps in management and service delivery.

The Role

Last Mile Health (LMH) partners with the Sierra Leone Ministry of Health (MOH) to strengthen health systems by ensuring there is a health worker within reach of everyone, everywhere. To achieve this, our work spans from national to districts and communities, alongside collaborating with other stakeholders. In Kambia, LMH works closely with the District Health Management Team (DHMT) to strengthen the Community Health Workers (CHW) program in the district, demonstrating quality improvement practices for an improved CHW management, coordination, and quality service delivery. 

The District Field Officer under the guidance of the District Manager will be responsible for the day-to-day supervision and support of Community Health Workers (CHWs) and peer supervisors to deliver high-quality vaccine demand generation, immunization outreaches, and related community-based activities in Kambia District. The role ensures accurate documentation, quality reporting, timely preparation of requests, and effective coordination with the District Health Management Team (DHMT) and other local stakeholders, under the guidance of the District Manager.

This District Officer role is part of Last Mile Health’s (GlaxoSmithKline) initiative to integrate the malaria vaccine into community-based primary healthcare delivery in Sierra Leone. 

About the GSK (GlaxoSmithKline) Project

Since the introduction of the malaria vaccine into Sierra Leone in April 2024, routine vaccination of children has been going on with over 12,364 children having received at least one dose of the malaria vaccine. Vaccine rollout has been channelled through the Ministry of Health’s (MOH) primary health care system, leveraging health facilities and staff, with overall management support from the District Health Management (DHMT), EPI, and relevant directorates and program units within MOH. 

Despite progress, Sierra Leone's malaria vaccine rollout faces challenges: declining subsequent doses, inadequate reporting and monitoring, and unclear CHW roles. This GSK (GlaxoSmithKline) funded activity leverages CHWs to accelerate rollout in the Kambia district, improving data collection, reporting, and CHW community engagement to boost vaccine uptake.

This position is project-funded, located in Kambia District in Sierra Leone and is open to Sierra Leone nationals. This position will be hired on a 1-year fixed-term renewable contract tied to project timelines.

What You'll Do

Supervision of Community Health Workers (CHWs) and Peer Supervisors

• Supervision of Community Health Workers (CHWs) and Peer Supervisors
• Provide regular supportive supervision, coaching, and mentoring to Community Health Workers and peer supervisors.
• Ensure CHWs and peer supervisors correctly implement vaccine demand generation activities, immunization outreaches, vaccines defaulter tracking, and community mobilization according to approved guidelines.
• Monitor CHW community defaulter tracking tools for accurate data recording.
• With guidance from the District Manager monitor performance of CHWs and peer supervisors, identify capacity gaps, and support on-the-job training and performance improvement.
• Attend monthly PHU meetings with CHWs and peer supervisors to track progress, address challenges, and share feedback.

Vaccine Demand Generation & Immunization Outreaches

• Provide support in planning, organizing, and support the implementation of community-level vaccine demand generation activities.
• Coordinate and support immunization outreach sessions in collaboration with CHWs, peer supervisors, and health facility staff.
• With guidance from the District Manager, ensure eligible children are identified, mobilized, and linked to vaccination services.
• Track and follow up on defaulters and drop-outs in collaboration with CHWs/PS and health facilities.
• Support integration of malaria vaccine and other immunization services into existing community-based primary health care systems.

Documentation, Reporting & Data Quality

• Ensure timely, complete, and accurate data collection and reporting from CHWs and peer supervisors.
• Review, validate, and compile reports before submission to the District Manager and relevant DHMT structures.
• Maintain proper filing and organization of all program documentation (attendance sheets, supervision checklists, activity reports, etc.).
• Support data quality checks and contribute to data review meetings at district and national levels.

Coordination & Stakeholder Engagement

• Jointly coordinate activities with the DHMT, Peripheral Health Units (PHUs), and other relevant stakeholders in Kambia District under the guidance of the District Manager.
• Participate in relevant coordination meetings and joint activities as assigned.
• Maintain positive working relationships with community leaders, traditional authorities, and local structures to facilitate smooth implementation.
• Represent the organization professionally at community, district, and national levels as determined by the District Manager.

Administrative & Operational Support

• Prepare activity requests, movement plans, and logistical requirements in a timely manner for approval by the District Manager.
• Support the organization and documentation of training, review meetings, and outreach activities.
• Assist with distribution and accountability of program materials and job aids to CHWs and peer supervisors.
• Ensure compliance with organizational policies, safeguarding standards, and reporting requirements in all field activities.
• Perform any other related duties as assigned by the District Manager.

District Coordination, Management, Supervision, & Staff Capacity Building Support

• Support day-to-day coordination with District Health Management Teams (DHMT), Peripheral Health Units, and local stakeholders to facilitate active participation of CHWs and peer supervisors in program activities; document and share relevant field-level information as required.
• Assist the District Manager in maintaining proper care and accountability of field-level equipment and materials assigned to CHWs and peer supervisors.
• Work closely with the District Manager and LMH Project Knowledge Management (PKM) Champion to ensure accurate and timely documentation of all community-level interventions and activities in the assigned areas.
• Participate in regular performance review discussions with CHWs and peer supervisors (aligned with LEAP or organizational performance goals), help identify capacity gaps, and support practical improvement actions under the guidance of the District Manager.
• Support the District Manager by preparing field-level updates and inputs that can be used for donor or partner meetings when requested.

What You'll Bring

• Diploma or Bachelor’s degree in Public Health, Community Health, Nursing, Social Sciences, or a related field.
• Minimum of 2 years’ experience in community health, immunization, or related program implementation, preferably with an NGO or in support of government health systems.
• Practical experience supervising or working with Community Health Workers (CHWs).
• Familiarity with immunization programs, demand generation, and community mobilization approaches.
• Experience working with District Health Management Teams (DHMT) or Peripheral Health Units is a strong advantage.
• Good written and spoken English; ability to communicate effectively in relevant local languages spoken in Kambia District is highly desirable.
• Proficiency in basic computer skills (Microsoft Office, especially Word and Excel) and ability to work with simple data tools.
• Willingness to travel frequently within Kambia District and work in community settings.      
• Valid driving license and can ride a motorbike.                                    

You'll Impress Us If: 

• You have strong relationship and stakeholder management skills.
• You have excellent facilitation skills
• Knowledge of simple data collection tools

We're looking for someone with many of the qualifications listed above, but we know no one meets every requirement. If you're excited about our mission and believe your experience aligns with this role, we encourage you to apply.

Compensation information

At Last Mile Health, we are committed to equitable and transparent compensation. Employees are paid using a clear, consistent methodology that is fully transparent and accessible to everyone. We look forward to answering any questions you may have during the hiring process. Before applying to this role, please take a moment to learn more about our approach to compensation and how compensation works in each of the countries where we operate. Please find the link to our compensation model and benefits overview below:

OVERVIEW OF LAST MILE HEALTH’S COMPENSATION MODEL

Compensation for this position:

The Band for this position: SLE-2

For Sierra Leone, the range is an annual gross of $5,350 to $10,106 USD dependent upon experience doing an equivalent role. Please note that compensation is subject to statutory taxes. 

Benefits:

• Healthcare: Comprehensive health insurance and wellbeing support for you and your dependents.
• Save for retirement: Retirement options with a 3% employer match, varying by location.
• Paid time off: Generous paid time off, sick leave, quarterly company holidays, and approximately one week of office closure at the end of the year.
• Family support: Generous parental leave for employees welcoming a child through birth or adoption.
• Professional development: Access to technical and leadership development opportunities to support your growth.
• Mental healthcare: Counselling and resilience services to support employees and their dependents through life’s challenges.

We are an equal opportunity employer and value diversity at Last Mile Health. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Last Mile Health is a registered 501(c)3 non-profit organization. For more information, visit www.lastmilehealth.org.

At Last Mile Health, we are committed to creating a safe and inclusive environment for everyone. If you require assistance or a reasonable accommodation due to a disability during the selection process, please inform the People Operations team member you are engaging with. Any disclosure related to a disability will be kept strictly confidential and used solely to determine appropriate accommodations. Disclosure is entirely voluntary and will not influence hiring decisions or employment opportunities.