We document and disseminate various results, trainings, and resources from our research, programs, and projects.
Malaria is endemic in Madagascar, especially in the coastal areas and parts of the central highlands. Community health volunteers (CHVs) play an important role in malaria prevention and treatment where health services are far away, transportation means limited, and health centers understaffed. The USAID Community Capacity for Health Program worked with the Government of Madagascar…
Since its emergence in December 2019 the threat of coronavirus disease (SARS-Cov-2 or COVID-19) has inundated and threatened health systems worldwide. In Ethiopia, there are 5,000 cases and 75 deaths respectively over four months period (March-June 2020)1. Addis Ababa city has constituted more than two-thirds of the total cases. The Last Ten Kilometers Project (L10K),…
Real-time access to reliable and accurate information to deliver consistent and high-quality health care is currently in high demand. Over the past three decades, a range of digital technologies for sharing and generating health and medical information has emerged as mobile health (mHealth) platforms. Throughout the world, health service providers and decision-makers are trying to…
For over a decade, The Last Ten Kilometers (L10K) project has supported communities in Ethiopia to take ownership of their health care through innovative community-based strategies. The project has tested participatory community quality improvement and engagement initiatives to strengthen health service quality and health provider skills. L10K found that these interventions created community awareness of…
Since October 2017, JSI Research & Training Institute, Inc. through the Last Ten Kilometers Project (L10K 2020) has been supporting the four agrarian regional health bureaus (RHBs) in Ethiopia to establish centers of excellence (COE). COE are model service delivery sites and learning hubs that demonstrate high-quality clinical care provision and community engagement to other regions…
Although progress has been made in recent decades to improve service access and use, women and children still face numerous inter-related health challenges. Improving health worker competency to deliver quality reproductive, maternal, newborn, and child health (RMNCH) services is one way to improve health outcomes. Based on proven mentorship models, the Government of Ethiopia (GOE)…
In recent decades, the Government of Ethiopia has made significant investments in the health workforce and infrastructure to improve maternal and child health services. Despite this, the Ethiopian health system still faces complex challenges including a shortage of human resources and medical supplies, inadequate infrastructure, weak referral linkages, and uneven provision of quality care to…
Problems during pregnancy, childbirth, and postpartum are the major contributors to maternal and perinatal morbidity and mortality. Focused antenatal care is an intervention set to provide basic services for pregnant women, to reduce morbidity and mortality related to pregnancy. In Ethiopia, there is a significant loss to follow-up from antenatal care services between the first…
L10K tested innovative approaches on a small scale in select kebeles and, when proven effective and feasible, scaled and implemented the community-based strategies in 115 woredas (including more than 3,000 kebeles and reaching over 20 million people). The strategies aimed to improve and streamline interactions between frontline health workers, the Women’s Development Army, and families…
Since 2007, the Last Ten Kilometers Project (L10K), implemented by JSI Research & Training Institute, Inc. (JSI) with funding from the Bill & Melina Gates Foundation, has worked with the Ministry of Health (MOH) and regional health bureaus (RHBs) in the regions of Amhara; Oromia; Southern Nations, Nationalities, and Peoples’ Region; and Tigray to build…
We strive to build lasting relationships to produce better health outcomes for all.
