Jan 2018 – Dec 2021

Scaling Up Community Health in Africa - Living Goods/Last Mile Health

Africa map


Multiple countries – Africa

To transform the delivery of community health by equipping community health workers with digital technology and establishing an e-learning platform.

$10,000,000 Grant Value

A partnership from philanthropy and business have committed $50 million in matched funding to support Living Goods and Last Mile Health to deploy  50,000 community health workers to provide digitally enabled, door-to-door care to 34 million people in Africa.

The programme is based on working with networks of independent entrepreneurs who go door-to-door selling low-cost health and health-related products, as well as motivating households to adopt healthy behaviours. The model empowers the entrepreneurs who are paid for performance from the retail margin on their health products, plus small impact-tied incentives. The investment will also launch the Community Health Academy, to train health workers through mobile phone platforms.

Improving the delivery of community healthcare through incentives and mobile interventions like this has the potential to dramatically improve child survival and reduce stunting. It also has the potential to bring user-controlled sexual health technologies to the people who need them.


This investment will expand the reach and impact of the partners five-fold in four years. Specifically, it will allow partners to: 

  • Scale up to support 49,800 digitally empowered CHWs providing quality home care on call for more than 34 million people, including 18,900 CHWs serving almost 14 million people through directly managed networks and another 30,900 CHWs serving more than 20 million people through assisted networks providing high-touch support at the field level to governments and NGOs. 
  • Provide a cumulative total of 9.6 million treatments for children under five.
  • Provide pregnancy and newborn care (including referrals) to every household we serve to reduce newborn deaths and stunting, by supporting 1.6 million pregnancies and conducting more than 750,000 pregnant women visits. 
  • Provide home-based access to family planning for more than eight million women. 
  • Deploy a mobile Rapid Outbreak Detection solution in every country of operation 
  • Develop easy-to-use, digital training content, and deliver training and certification for all 49,800 CHWs.
  • Create three Massive Open Online Courses for health leaders and policy-makers with have registered 15,000 users and certified 1,000 users.