Field Officer, Kambia District

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.