And, at that stage, we launched what ended up becoming called Last Mile Health with about $5000 from our wedding.
My wife and I were getting married around that time.
So those are, I would say at a clinical level, the major challenges. Obviously there are some rapid diagnostic tests, they must have transformed the ability to do this. Without the advent of rapid diagnostic tests for HIV, for instance, we would not have been able to understand the true burden of HIV disease in that rural setting. Being able to train community health workers to use this 15-minute test, that’s almost as simple as a pregnancy test over the counter, has allowed us to make malaria testing available right at the home level, going door-to-door. Certainly those are parts of what I call the extrinsic motivation for these workers.
Of course we’ve had to invest at Last Mile Health along with our partners, the Ministry of Health, tremendously in a decentralized healthcare model that involves nurses and community health workers. What I’ve learned more recently is that there’s an intrinsic motivation that’s not unfamiliar to any of us that are physicians, which is simply the desire to learn.
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