Envision Health Access Initiative
Programs and results
What we aim to solve
Problem Statement A number of significant development issues are pervasive throughout Liberia, and across Sub-Saharan Africa, including food security, basic infrastructure, and - perhaps most importantly - healthcare. These issues have led to lower life expectancy rates throughout the region, lower adult literacy and school enrollment rates, and a standard of living much lower than that of the rest of the world. Located in West Africa, Liberia a low-income country with a GDP per capita of US $495. Like most developing countries in Africa, Liberia is facing monumental health problems because residents lack the means to afford, access, and sustain healthcare as a result of cyclical poverty. This inability to afford healthcare has resulted in communities recording shocking numbers of communicable and non-communicable disease outbreaks, often leading to death. Lack of education, poor sanitation and hygiene practices, inadequate insurance coverage, and dreadful transportation networks.
Our programs
What are the organization's current programs, how do they measure success, and who do the programs serve?
Universal Primary Healthcare - Lofa County Liberia
This program will provide assistance to residents of Liberia’s poorest areas that do not have adequate healthcare services by providing healthcare to those impoverished citizens in need of care. Our programming aligns with the Institute of Health Care Improvement 2007 Triple Aim conceptual framework, which seeks improved patient health care experience, improved health for rural populace, and reduced per capita health care cost among Sub-Saharan regions.
We have mobilized and completed construction of our initial healthcare facility in Lofa County, Liberia. This state-of-the-art, 10-bed in-patient facility is in the process of being fully furnished after which it is expected to open to the public to provide basic healthcare services that will be overseen by well-qualified local individuals. Our multilingual administration has ties to the target community, and thus possesses the unique ability to relate to the target demographic.
Where we work
External reviews
Our results
How does this organization measure their results? It's a hard question but an important one.
Number of individuals to whom medicines were distributed
This metric is no longer tracked.Totals By Year
Population(s) Served
People with diseases and illnesses, Pregnant people, Economically disadvantaged people, Children and youth, Families
Related Program
Universal Primary Healthcare - Lofa County Liberia
Type of Metric
Output - describing our activities and reach
Direction of Success
Increasing
Context Notes
This program was begun in 2018 and ended in 2019 due to program funds being exhausted, so there are no activities in 2020 / 2021.
Goals & Strategy
Learn about the organization's key goals, strategies, capabilities, and progress.
Charting impact
Four powerful questions that require reflection about what really matters - results.
What is the organization aiming to accomplish?
Our overarching goal is to improve outcomes for residents in all six districts of Lofa County in Liberia through the provision of high-quality, advanced medical treatment and preventative healthcare services. To this end, we plan to:
• Improve quality of life by supporting health of individuals and communities.
• Ensure the utilization of the most advanced medical equipment and progressive therapies.
• Foster economic growth by reducing isolation from resources.
• Develop, prove, and replicate a model for sustainable healthcare development.
Throughout our proposed continuum of care, we will strive to achieve the following objectives:
1. Increase access to inpatient and outpatient care by 75 percent of current population under EHAI jurisdiction within 2 years.
2. Minimize the risk of infant mortality in Lofa County within 1 year.
3. Reduce maternal mortality rate in Lofa County within 1 year.
4. Establish HIV/AIDS linkage counseling, testing and treatment services in conjunction with global NGO providers in the most acute key populations for HIV/AIDS patents in Liberia to reduce viral loads and HIV/AIDS mortality.
Achievement of these objectives will result in economic empowerment, improved public health, and increased wellbeing for residents of Liberia. We expect to minimize potential years of life lost to disease and increase individual and systemic economic productivity through public health improvement.
In these economic times, we realize donors are very carefully considering their annual giving. However, we are confident that spending these valuable and limited resources on our programming is one of the best investments that could be made to ensure global health equality. We keep our administrative costs low, offer high quality programming, and carefully measure outcomes.
What are the organization's key strategies for making this happen?
Envision Health Access Initiative (EHAI) is engaged as a community global healthcare non-governmental organization (NGO) founded on the need to serve vulnerable populations through primary care in high-risk disease burden countries in Sub-Sahara Africa. Fervently dedicated to providing vital healthcare services and educational opportunities to impoverished individuals in marginalized areas of Africa, EHAI provides essential health services on both an outpatient and inpatient basis. From our facilities will aim to provide education, testing, treatment and prevention of infectious disease such as HIV/AIDS and TB, chronic disease management, infant and maternal care, reproductive health, disability care, prescription drugs, preventive services, vector-borne diseases, vaccination programs, and mental health and counseling services to the poorest of citizens that are indicative of improving population health. EHAI has a priority to make healthcare coverage a universal right.
EHAI aims to address population health in Sub-Sahara Africa in all entirety, to improve the physical, mental, and emotional wellbeing of high-risk vulnerable populations through primary care. EHAI provides compulsory universal health coverage at no cost to all patients, regardless of their socioeconomic status. EHAI programs are aligned with the Institute of Healthcare Improvement 2007 Triple Aim Framework, including improved patient care experiences, improved health of the population, reduction of per capita healthcare cost, and improvement of the overall quality of life in Sub-Sahara Africa.
In the field of fighting the AIDS epidemic, EHAI has sims to join with other established NGOs doing work in Liberia to provide patient-centric counseling, testing, ART treatment and viral load monitoring in the key populations of people living with HIV/AIDS (PLWH) in Liberia. Our core competencies in the field of HIV/AIDS healthcare include use of technology in unique and innovative ways to engage the community population to link to the available healthcare services that they need to reduce their risk of mortality.
What are the organization's capabilities for doing this?
Founded in 2018, EHAI was created by a healthcare professional who had witnessed firsthand the connection between the conditions in impoverished regions of Sub-Saharan Africa and the resources that were available to residents through the domestic and international anti-poverty programs. Our organization compassionate and community-focused; we are advocates for living healthy lifestyles to sustain and improve the health of individuals and communities. While our broad vision is to address healthcare throughout the region, our initial aim is to ensure that all residents of rural Liberia receive the most advanced and effective healthcare, including both treatment and education.
The effectiveness of any nation’s health system depends on a range of factors, including a sound health plan, evidence-based policies, trained and resourceful health workers, reliable information and logistics systems, continuous support from communities and their leaders, a well-maintained infrastructure, strategic partnerships with ministries and donors, a dependable supply of medicines and appropriate technology, and adequate financial resources.
We have recently completed construction of our first facility in the northern part of Liberia, West Africa, which is staged to open in late 2019. Liberia is one of the poorest countries in the world, with a majority of the population living in chronic poverty and earning under $2.00 a day. The country’s lack of healthcare infrastructure and a limited number of healthcare workers, particularly in rural communities, has led to many citizens being confronted with a high risk of infant and maternal deaths, spread of infectious diseases, chronic and communicable diseases. The infant mortality rate in the country is about 59 per 1,000 live births, as compared to 5.9 in the United States.
Our intention is to provide culturally-competent care across a widespread health system, aimed at serving the most vulnerable groups who are impoverished and affected by the region’s dire infant mortality rates, and especially the HIV/AIDS epidemic, by improving the quality of their life through public healthcare provision, skill transfer to local caregivers to increase sustainability of the healthcare systems and basic community health education.
EHAI focuses on (a) primary care, to strengthen healthcare delivery services in inpatient and outpatient care. The aim is to make healthcare accessible by the most vulnerable populations in rural areas and in urban slums where the majority of the population lives on US$2-5/day and (b) building and deploying free to the community a new mobile technology that links PLWH to healthcare resources that they need to monitor their viral load and manage their disease.
What have they accomplished so far and what's next?
EHAI built its first ten-bed medical facility in Lofa County, Liberia in 2019 and provided free healthcare to hundreds of pregnant women and children in the underprivileged communities there until all program funds were exhausted. Thousands of units of basic medical supplies and treatment doses that had been donated in the US and shipped to Lofa County were distributed to hundreds of patients on a no-cost basis. We hope to build more facilities to meet the growing demand of the population we serve. Lofa County has 6 districts with over 270,000 populations and we hope to have a medical facility in each one of the districts to provide equitable access to care.
In the area of HIV/AIDS, EHAI has engaged with experts to develop new applications that will be tailor-made to engage PLWH patients to better link them to care to monitor their viral load that is critical to their long term survival, as well as developing unique HIV counseling services aimed at engaging those key populations in the HIV/AIDS at-risk communities (such as sex workers, pregnant women, LBGT, etc.) to reduce stigma, increase testing and engage in ART treatments that will improve the health and reduce mortality among PLWH.
Financials
Unlock nonprofit financial insights that will help you make more informed decisions. Try our monthly plan today.
- Analyze a variety of pre-calculated financial metrics
- Access beautifully interactive analysis and comparison tools
- Compare nonprofit financials to similar organizations
Want to see how you can enhance your nonprofit research and unlock more insights?
Learn more
about GuideStar Pro.
Operations
The people, governance practices, and partners that make the organization tick.
Connect with nonprofit leaders
SubscribeBuild relationships with key people who manage and lead nonprofit organizations with GuideStar Pro. Try a low commitment monthly plan today.
- Analyze a variety of pre-calculated financial metrics
- Access beautifully interactive analysis and comparison tools
- Compare nonprofit financials to similar organizations
Want to see how you can enhance your nonprofit research and unlock more insights? Learn More about GuideStar Pro.
Connect with nonprofit leaders
SubscribeBuild relationships with key people who manage and lead nonprofit organizations with GuideStar Pro. Try a low commitment monthly plan today.
- Analyze a variety of pre-calculated financial metrics
- Access beautifully interactive analysis and comparison tools
- Compare nonprofit financials to similar organizations
Want to see how you can enhance your nonprofit research and unlock more insights? Learn More about GuideStar Pro.
Envision Health Access Initiative
Board of directorsas of 05/14/2022
Elisha Caldwell
Scotland County Board of Health
Term: 2019 - 2025
Mutinta Bulanda
University of Virginia School of Medicine
Elisha Caldwell
Scotland Cty Board of Health
Board leadership practices
GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.
-
Board orientation and education
Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? No -
CEO oversight
Has the board conducted a formal, written assessment of the chief executive within the past year ? Yes -
Ethics and transparency
Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes -
Board composition
Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes -
Board performance
Has the board conducted a formal, written self-assessment of its performance within the past three years? No
Organizational demographics
Who works and leads organizations that serve our diverse communities? Candid partnered with CHANGE Philanthropy on this demographic section.
Leadership
The organization's leader identifies as:
The organization's co-leader identifies as:
Race & ethnicity
Gender identity
Transgender Identity
Sexual orientation
Disability
Equity strategies
Last updated: 05/14/2022GuideStar partnered with Equity in the Center - an organization that works to shift mindsets, practices, and systems to increase racial equity - to create this section. Learn more
- We review compensation data across the organization (and by staff levels) to identify disparities by race.
- We employ non-traditional ways of gathering feedback on programs and trainings, which may include interviews, roundtables, and external reviews with/by community stakeholders.
- We seek individuals from various race backgrounds for board and executive director/CEO positions within our organization.
- We help senior leadership understand how to be inclusive leaders with learning approaches that emphasize reflection, iteration, and adaptability.
- We engage everyone, from the board to staff levels of the organization, in race equity work and ensure that individuals understand their roles in creating culture such that one’s race identity has no influence on how they fare within the organization.