Our October 1% will reach 4,800 people with life saving care within their communities. Living Goods recruits, equips and manages networks of entrepreneurial men and women as Community Health Workers (CHWs).

Armed with a smart phone they go door-to-door providing health education, diagnosis, medicine and products. This model is saving and improving the lives of mothers and children and offering respectable income opportunities for people within established communities.

Living Goods seeks candidates through recommendations from local leaders and district health staff prioritising those with strong motivation to serve the community as well as previous work experience or training in health. Once selected, they undergo a three-week training program that includes the Ministry of Health approved iCCM curriculum as well as training on pregnancy and newborn care, nutrition, WASH, product, business and sales, and mobile health tools. After three weeks in the classroom, they spend two weeks registering households, focusing on those with pregnant women and children under-five. They will also undergo a practicum at a local health facility. This process builds relationships and trust between the local doctors and Living Goods’ CHWs and ensures that referrals will be prioritised. Before being certified, CHWs are tested on health knowledge and usage of Living Goods’ mobile tools.

Living Goods equips every new recruit with a smartphone loaded with Living Goods powerful Smart Health™ app that empowers them to diagnose and treat childhood illnesses on site, register and track pregnancies, and follow-up with customers in person and via SMS. The app also automatically delivers clients on-going SMS messages, tied to expected due dates, supporting healthy behavior throughout a pregnancy, and to caregivers of treated children reminding them to complete dosage protocols. In addition, Living Goods uses a best-in-class digital performance management system that provides real-time data from the field, identifies cases that need timely follow-up, identifies struggling CHWs, and eliminates paper reporting.

In 2014, a randomised controlled trial – the gold standard in evaluation – demonstrated that this model produces a 27% reduction in under‐five child mortality, with similar findings for neonatal and infant mortality. Living Goods’ vision is that by 2030, all mothers and children will have access to basic healthcare where and when they need it. The adoption of high‐impact, low‐cost community health systems will be every bit as transformative as a new vaccine or the eradication of a disease. Millions of lives will be saved and entire countries will be healthier.