ACCROSS

HILM

Health In the Last Mile

Health In the Last Mile conceptualizes humanitarian action that provides pivotal health services where or for whom access otherwise would be limited or non-existent.

According to the World Disasters Report 2018[1], there are five common barriers that exclude millions of people with significant humanitarian needs from humanitarian assistance.

The five barriers that exclude people from humanitarian assistance

1. Out of sight: People, problems and places are hidden from the collective radar.
2. Out of reach: People, communities and places hard to reach for political or geographical reasons, or due to conflicts, hazards or other forms of insecurity (including financial risks), or lacking infrastructure.
3. Out of the loop: Generic programming approaches fail to meet the specific needs of particular groups.
4. Out of money: Needs are identified, but funds or other capacities are not in place (typically small rapid-onset disasters, larger slow-onset disasters, and long-term complex emergencies).
5. Out of scope: Needs not considered as the responsibility of the humanitarian sector – particularly when needs fall in between development and humanitarian actors’ programs, including also irregular migrants and people in violent urban settings.