Living Goods supports networks of Community Health Promoters who educate families on health and deliver life-saving products door-to-door. They reduce child mortality by 25% annually for under $2 per person. CHPs earn income through sales commissions and performance-based incentives to motivate them while improving health outcomes. Living Goods uses an integrated platform and always-in-stock system along with mobile tools and performance analytics to manage a large network of CHPs and achieve significant impact in improving community health.

1. Stealing from Avon to Serve the Poor
Collaborating with BRAC under the BRAC-Living Goods Partnership
CORE Spring Conference May 2016
Panel: CHW Models, A Focus on Sustainability
Molly Christiansen, Director Impact & Advocacy
mchristiansen@livinggoods.org

2. Living Goods supports networks of Community Health
Promoters who go door-to-door teaching families how to
improve their health and delivering life-saving products and
services.
Living Goods community health program reduces child
mortality by 25% for an annual cost of under $2 per person.

3. 1. Sustainable funding for
CHW compensation, and
some of operating costs.
CHPs are neither volunteers
nor salaried workers, they’re
paid for results
CHPs earn a modest margin on what
they sell, solving the great challenge
of how to motivate and pay
community health workers
LG recovers 100% of product costs
LG earns a modest wholesale margin
that covers some of operating costs
making net cost to funders under $2
per capita annually
“Living Goods solves two of our biggest
challenges in the health care sector:
How to keep vital medicines in stock, and
how to compensate and retain community
health workers.”
DR. RUHAKANA RUGUNDA
Prime Minister Uganda
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4. 2. Integrated Health Delivery to the Last Mile
Our integrated platform avoids the inefficiency of single-issue health strategies.
Malaria
Diarrhea
Pneumonia
Worms
Childhood Diseases
Prenatal checks
SMS reminders
Nutrition
Delivery in facility
Family Planning
Healthy Pregnancy
Postnatal Checks
Kangaroo Care
Preventing Infection
Newborn Survival
Pregnancy supplements
Breastfeeding
6-24 month nutrients
Nutrition

5. 3. Broad Product Mix Drives
Impact and Sustainability
• Oral contraceptive,
condoms
• Clean delivery kit
• Prenatal vitamins
• ACTs
• ORS/Zinc
• Amoxicillin
• RDTs for Malaria
• Deworming
• Fortified porridges
• Iodized salt
• Sprinkles
• Nutributter
• Solar lights
• Clean burning cook
stoves
• Water filters
Maternal & Newborn
Health
Childhood
Diseases
Health Tools
The more CHPs have to sell, the more income they earn,
the more time they invest... and the greater impact they deliver.
Nutrition

6. 4. Always-in-Stock Distribution System
Branches are always in stock,
tracking inventory electronically
and restocking monthly
CHPs restock weekly Branches can deliver to
CHPs via motor bike saving
CHPs time and money.

7. 5. Best in Class Performance Management
LG selects and actively manages the performance of its CHPs
CHPs earn a performance-based income while serving the needs of their community.
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Select! Train! Equip! Manage! Incent!
Community Referrals
Literacy and
Numeracy
Interviews
Replace Low
Performers
3 Weeks Initial
Monthly in Services
Hands-on Learning
Mobile Tools
Business in a Bag
Uniform
Smart Phone
Inventory Loan
Targets
Real-time Data &
Dashboards
Field Supervision
Checklists
Random Quality
Checks
Retail Margin
On Sales
CHW Performance
Incentives
Performance based
Compensation for
all Staff

8. 6. Living Goods Smart Mobile Tools
Every CHW uses a smart phone with best in class health apps
New LG Android application does ICCM assessment, flags
acute cases, and spots high- risk pregnancies.
Smart Apps Increase Treatment Accuracy & Improve Quality
LG “Smart Health” application automates ICCM assessment, flags
acute cases, and spots high- risk pregnancies.
Delivers Health Education by SMS
Tailored text messages educate clients on vital health behaviors
and provide timely reminders for pregnant moms.
‘CHPs on Call’ Drive Prompt Treatment
Living Goods CHPs encourage their clients to call or text their CHP at the
first sign of disease illness symptoms. This ‘on-call’ health worker system
speeds treatment and improves outcomes.
Analytics Dashboards Improve Performance and Monitoring
Automated dashboards show field staff how CHPs are performing
in real time. Staff call or text customer to check service quality. Manager
s see real time performance data on every CHW on any devise.
Real time data drives impact, quality and efficiency
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9. Analytics Dashboards & Performance
Management
Real Time District/Region/Branch Comparison

10. Analytics Dashboards & Performance Management
Prioritized support to agents

11. A J-PAL randomized control trial
revealed Living Goods is achieving a
25%
REDUCTION IN UNDER-FIVE
MORTALITY
The study was independently sponsored by the Children’s
Investment Fund Foundation. IPA surveyed 8,000
households over 3 years across 214 villages. Mortality rates
improved across income groups at similar rates. The study
also found a 7% reduction in under 5 stunting.
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12. Vision: Improve health of over 50 million people in the next 10
years through highly effective, well-managed CHWs.
Where we currently work:
Uganda – 3500 CHWs; 6500 CHWs by 2018
Kenya - 250 CHWs; 1800 CHWs by 2018
Partnership w/CARE in Zambia and PSI in Myanmar
Future:
• Grow networks of CHWs in close partnership w/government
including PPP arrangements.
• Technical Assistance to other NGOs and governments to build
and manage CHW networks
• Advocate with bi/multilateral funders and governments to
effectively finance and plan community health
• Leverage bi/multilateral aid and performance based financing
deals to drive more domestic financing of community health

13. “A lot of programs
give lip service to
‘sustainability’ —
this is the real deal.
Living Goods is one of
few models with the
potential for game-
changing scale.”
HOLLY WISE
Former Secretariat Director,
USAID Global Development Alliance
Thank you!
mchristiansen@livinggoods.org !

14. Made Possible by Extraordinary Partners
“Living Goods is a pioneering initiative—effectively reducing childhood mortality while
structured from the outset to endure fiscally. Their approach of training community members
to be ‘Avon-like’ entrepreneurs creates a level of sustainability that is hard to match.”
JAMIE COOPER-HOHN, Co-founder of The Children’s Investment Fund Foundation
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