What We Have Achieved
Our Impact
From hard-to-reach communities in Nimba County to medical oxygen plants in Bong County, CHAL's work is measured in lives changed, facilities strengthened, and systems improved. Here is a snapshot of our 2025 impact across programmes, the Drugs Supply Unit, and our national network.
Programme Impact
CHAL delivered results across four active programmes in 2025. Select a programme to explore the detail.
In May 2025, CHAL officially launched Liberia's first faith-based-operated medical grade oxygen refilling plant in Meleke Town, Bong County. The facility provides life-saving oxygen to hospitals and health centres across the region at cost-effective rates, operating daily from 9:00 AM to 4:00 PM.
- 337 oxygen cylinders produced (May–Dec 2025)
- 336 cylinders sold — $5,040 USD revenue generated
- Ganta United Methodist Hospital — primary customer (70% of revenue)
- 5 hospitals served: Ganta UMH, Phebe, Curran Lutheran, C.B. Dunbar, Yenglee Memorial
- Peak production: 72 cylinders in October 2025
This programme aimed to increase uptake of intermittent preventive treatment of malaria in pregnancy (IPTp-SP) and improve antenatal care (ANC) attendance among pregnant women in Buu-Yao District, Nimba County — a population of 44,447 with an estimated 10,230 pregnant women.
- ANC visits increased from 1,258 to 2,276 — an 80.9% improvement
- Average gestational age at first ANC reduced from 14 weeks to under 10 weeks (30% improvement)
- Women completing ≥4 ANC visits increased from 6% to 16%
- Indirect reach: 146,103 women of childbearing age across Nimba County
Phase II of the SLL programme strengthened Liberia's immunisation and primary healthcare system by improving service delivery, building the capacity of health and community workers, and supporting preparedness for vaccine-preventable diseases. Implementation covered four counties in collaboration with MOH/EPI.
- 85,600+ people vaccinated with COVID-19 vaccine across four counties
- 257 health workers trained in the revised EPI training manual
- Co-sponsored development of Liberia's Life-Course Immunisation Policy
- Programme closure visit conducted September–October 2025 with Amref team
Supporting quality healthcare with a specific focus on reproductive, maternal, newborn and child health (RMNCH) through improved clinical services, infection prevention and control (IPC), supportive supervision and community outreach — implemented across 20 faith-based facilities in five counties.
- 25 health workers trained in Emergency Obstetric & Newborn Care (EmNOC)
- 185 health workers trained in Infection Prevention, Control & Customer Care
- 5 incinerators constructed across 5 facilities
- MCH delivery room extended at CEM Clinic, Grand Bassa County
- 5-bedroom MCH building under construction at Doris Medical, Nimba County
- 100 communities supported with family planning and immunisation outreach
Drugs Supply Unit (DSU) — 2025
The DSU operates from two depots — Monrovia and Gbarnga — supplying quality-assured essential medicines and medical supplies to faith-based facilities, NGOs and individual health professionals across Liberia.
Challenges & Lessons Learned
Honest reflection on what held us back and what we are taking forward in 2026.
- Difficulty retaining community volunteers due to lack of financial incentives
- Limited internet connectivity in remote counties affecting M&E and communication
- Dependency on short-term external donor funding affects programme sustainability
- Inadequate vehicle fleet limiting access and timely delivery in hard-to-reach areas
- Low uptake of DSU warehouse services among member facilities in both Gbarnga and Monrovia
- ANC visits in Bong County declined after community delivery reduction — community-level engagement is essential
- Peer-to-peer M&E sessions with Amref significantly improved grant management quality
- The oxygen plant demonstrates that income-generating infrastructure can build CHAL's self-sufficiency
- Faith-community partnerships remain the strongest channel for reaching pregnant women in rural Nimba
- EPI Life-Course Policy co-sponsorship positions CHAL as a national health systems actor, not just a service deliverer
Partner With CHAL to Expand Our Impact
Our work is only possible through the commitment of donors, government partners, and faith communities. If you would like to support CHAL's programmes or learn more about collaboration opportunities, we would love to hear from you.
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