Living Goods and its partners commit to dramatically scale the reach of its proven community health entrepreneur platform in Uganda and demonstrate that the model can be replicated effectively in Kenya, Myanmar, Zambia, and two additional countries in future. Living Goods and its partners will work in close collaboration with the Ministry of Health at the local and national levels in all countries where it works.
Living Goods commits to three goals to ensure successful expansion. First, Living Goods and BRAC will scale the existing Community Health Promoter (CHP) platform in Uganda fivefold from 1,200 to 6,645 Health Promoters. Second, Living Goods will launch the Kenya network and aim to train 1,800 Health Promoters. Lastly, Living Goods will work with partners, including PSI in Myanmar and CARE in Zambia, to test, replicate and grow the model in these two new countries. Priority countries for future replication include Ghana, Nigeria, and India. The Children Investment Fund Foundation and the ELMA Growth Foundation are anchor backers of this project.
Living Goods and its partners will build networks of CHPs that go door-to-door teaching families how to improve their health and wealth, and distributing life-changing products like simple treatments for malaria, diarrhea, safe delivery kits, fortified foods, clean cook stoves, water filters, and solar lights. The model generates revenues that pay for the products, a retail margin that provides motivating incomes for the community health promoters and wholesale margins that cover much of the field distribution costs. The model solves two of the most vexing problems in community health: how to keep vital products in stock, and how to pay the millions of community health workers needed.
Living Goods CHPs are equipped with health and business training, low-cost financing, a business in a bag, products via their branch-warehouses, and a smartphone with m-health apps. The apps help CHPs track and support pregnant women and newborns, accurately diagnose and treat childhood illnesses, send adherence reminders to patients, flag high-risk cases for referral, and provide timely follow up. Living Goods and its partners set clear targets, track performance, and provide coaching and support to CHPs. The Living Goods analytics platform provides real-time data to drive rapid decision-making at every level of operations.
This commitment strongly supports and integrates girls and women. The majority of Living Goods community health promoters are women, and many of the field staff, including nurses and pharmacists, are also women. In addition, the primary beneficiaries are pregnant women and mothers of young children.
By December 2015:
-Grow network in Uganda to 3,794 Health Promoters
-Launch Health Promoter Network in Kenya
-Launch Health Promoter Network in Myanmar in partnership with PSI
By December 2016:
-Grow network in Uganda to 5,662 Health Promoters
-Grow network in Kenya to 480 Health Promoters
-Grow network through PSI partnership in Myanmar to 320 Health Promoters
-Launch network in Zambia in partnership with CARE and grow to 441 Health Promoters
-Equip all Health Promoters in Uganda and Kenya with smart phones
-Sign partnership in one new country - priority target countries include Nigeria, Ghana, and India
-Submit RCT under 5 mortality results for publication in peer-reviewed journal and disseminate widely among key global health stakeholders
-Plan and execute baseline of 2nd RCT evaluation in partnership with IPA and CIFF, demonstrating that Living Goods and BRAC can drive under-five impact as the model scales in Uganda. Baseline completed by YE 2016.
By December 2017
-Grow network in Uganda to 6,209 Health Promoters
-Grow network in Kenya to 1,080 Health Promoters
-Support PSI Myanmar to optimize and expand their LG-inspired model to 1,320 Health Promoters
-Support CARE Zambia to optimize and expand their LG-inspired model to 1,043 Health Promoters
-Launch partnership in one new country
-Sign partnership in one new country
By December 2018
-Grow network in Uganda to 6,500 Health Promoters
-Grow network in Kenya to 1,800 Health Promoters
-Grow PSI Myanmar network to 2,320 Health Promoters
-Grow CARE Zambia network to 2,214 Health Promoters
-Support one additional partner to optimize and expand their LG-inspired model
-Launch partnership in one new country
-Complete endline of 2nd RCT evaluation in partnership with IPA and CIFF
Over 7 million children continue to die every year needlessly from preventable causes for want of simple health products that cost less than a cup of coffee (UNICEF 2014). There is not a lack medicines, but rather a lack of effective systems to deliver simple, life-saving products.
Public health systems in the developing world are chronically under-funded, under-stocked, and under-managed. Stock-out rates at public health facilities can be high and absenteeism is common. Many poor consumers seek care from private outlets, which are no better. The private sector is excessively fragmented, resulting in retail prices for vital drugs that can be up to three times factory cost, with rampant counterfeits, and poorly trained, poorly monitored health outlets are the norm. Volunteer community health workers (CHWs) are often the first and only link to health care for millions of people. However, few CHW platforms have proven their impact or reached scale. The status quo is that CHWs are not effectively trained, equipped, managed, or remunerated.
Living Goods is delivering dramatically better health outcomes at significantly lower cost. Living Goods supports networks of community health promoters (CHPs) who go door-to-door providing health education and selling life-changing products like simple treatments for malaria and diarrhea, safe delivery kits, fortified foods, clean cook stoves, and solar lights.
Living Goods and BRAC recently completed a rigorous independent randomized control (RCT) trial in Uganda that showed the CHP model is reducing under-5 mortality by 27%. In addition, this cost effective hybrid business model is generating customer revenues that pay for the products, provide motivating incomes for the agents, and cover much of the distribution costs. As a result of this innovative and efficient business model, Living Goods is dramatically reducing deaths of the most vulnerable, for net yearly cost per capita of less than $2.
Living Goods seeks visionary funding partners to provide the final $26.7 million to ensure the full success of this plan. They also seek forward thinking implementing partners with exceptional business and public health know-how, to support replicating the model in Nigeria, Zambia, Myanmar, Ghana, and India. Along with media coverage to attract new partners.
Living Goods partnership team provides NGOs, governments, and funders technical assistance to successfully adapt and replicate Living Goods proven community health entrepreneur model in new countries. Living Goods can help partners:
1) Build networks of high-impact, low-cost community health entrepreneurs
2) Help lower child and maternal mortality, improve nutrition, and expand uptake of family planning
3) Implement revenue-generating models for health that increase health worker motivation and retention
4) Extend the reach of health centers and/or franchise clinics
5) Build sustainable last-mile distribution platforms for life-changing products
6) Integrate siloed or duplicative community programs
7) Incorporate best-in-class mobile tools that deepen impact and improve field team performance through real-time data and interactive, visual dashboards