Vacancies and How to Get a Job at Last Mile Health (Salary, Roles & Application Guide)
If you are searching for jobs in Sierra Leone 2026, Last Mile Health is recruiting a Field Officer to support community health and malaria vaccination activities in Kambia District. The full-time position is open to Sierra Leone nationals and is offered on a one-year fixed-term renewable contract linked to project timelines. Applications are reviewed on a rolling basis.
This is a strong opportunity for public health and community health professionals who have experience working with Community Health Workers (CHWs), immunisation programmes and district-level health systems.
About Last Mile Health
Last Mile Health is a nonprofit organisation focused on bringing quality primary healthcare to people living in remote communities. Founded in Liberia in 2007, the organisation works with governments to recruit, train and support community health workers and strengthen national health systems. Its programmes currently include Sierra Leone, Liberia, Ethiopia and Malawi.
In Sierra Leone, Last Mile Health works with the Ministry of Health and the Community Health Worker Hub to strengthen the national community health programme, including training, workforce deployment, monitoring and service delivery.
The Kambia role is connected to a project supporting the integration of the malaria vaccine into community-based primary healthcare. This makes practical experience in community mobilisation, immunisation and CHW supervision particularly valuable.
Available Position
- Field Officer – Kambia District
1. Field Officer – Kambia District
What You’ll Do (Simplified)
The Field Officer will work closely with the District Health Management Team and community health workers to improve vaccine uptake and the delivery of community-based health activities in Kambia.
Key responsibilities include:
- Supervise, coach and support Community Health Workers and peer supervisors.
- Help CHWs carry out vaccine mobilisation and immunisation activities.
- Support tracking of children who miss or drop out of vaccination schedules.
- Help organise community vaccination outreach activities.
- Monitor the quality and accuracy of CHW records and reports.
- Review and compile field reports before they are submitted.
- Participate in health facility and district coordination meetings.
- Build relationships with community leaders, traditional authorities and other local stakeholders.
- Prepare activity requests, movement plans and logistical requirements.
- Support training sessions, review meetings and community outreach events.
- Help manage and account for programme materials and equipment.
- Provide field information and updates to the District Manager and project team.
- Support performance reviews and identify areas where CHWs need additional training or support.
This is a field-based position, so successful applicants should expect regular travel within Kambia District rather than spending most of their time behind a desk.
Who This Role Is Best For
The position is designed for an experienced community health or development professional rather than someone entering the field for the first time.
Applicants should have a Diploma or Bachelor's degree in Public Health, Community Health, Nursing, Social Sciences or a related discipline.
At least two years of experience in community health, immunisation or related programme implementation is required. Experience working directly with Community Health Workers is also important.
Candidates with experience working with District Health Management Teams or Peripheral Health Units will have an advantage.
The role could be particularly suitable for someone who has worked with an NGO, government health programme or community-based health project and wants to take on greater responsibility for field coordination.
A valid driving licence and the ability to ride a motorbike are also required, which is important for a position involving frequent movement around Kambia District.
Estimated Salary Range
$5,350 to $10,106 USD annual gross, depending on experience in an equivalent role.
The position is classified as Band SLE-2. The stated compensation is subject to statutory taxes.
The benefits package includes health insurance for employees and dependants, retirement options with an employer contribution, paid leave, parental leave, professional development opportunities and mental health support.
How to Apply
The Field Officer position is based in Kambia District and is open to Sierra Leone nationals. It is a full-time role on a one-year fixed-term renewable contract tied to the project's timelines.
The vacancy was posted on October 7, 2026, and applications are being reviewed on a rolling basis. This means interested candidates should avoid waiting until a final closing date before applying.
For those searching for how to apply for jobs at Last Mile Health, use the organisation's official recruitment process and ensure your CV clearly demonstrates the experience requested in the vacancy.
How to Increase Your Chances
The strongest applications will connect previous experience directly to the responsibilities of this position.
Make sure your CV clearly demonstrates:
- Experience supervising or mentoring CHWs.
- Immunisation or vaccine mobilisation experience.
- Community engagement and mobilisation.
- Work with DHMTs, PHUs or government health programmes.
- Data collection, reporting and documentation.
- Experience organising community outreach activities.
- Stakeholder engagement with community and traditional leaders.
- Microsoft Word and Excel skills.
- Ability to work in rural and community settings.
- Driving and motorbike-riding ability.
The organisation also highlights strong relationship management, facilitation and knowledge of simple data collection tools as qualities that can make candidates stand out.
One useful strategy is to show evidence of impact. Instead of simply saying that you "supervised CHWs," explain the size of the team you supported, the activities you coordinated and any improvement in reporting, community participation or service delivery that resulted.
Common Mistakes to Avoid
- Applying with an unrelated CV: Make your community health and field experience easy to find.
- Ignoring the Kambia requirement: Be prepared for frequent travel and community-based work within the district.
- Leaving out CHW experience: Direct experience supervising or working with CHWs is one of the most relevant requirements.
- Failing to mention practical field skills: Include your driving licence and motorbike-riding ability where applicable.
- Submitting a vague application: Give specific examples of immunisation, community mobilisation, reporting and stakeholder coordination work.
- Waiting too long to apply: The organisation says applications are reviewed on a rolling basis, so qualified candidates should apply early.
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