Share:   twitter icon facebook icon linkedin icon linkedin icon
Share this page:   email

Living Goods’ Game-Changing Model Empowers Health Entrepreneurs to Deliver Life-Saving Products to the Doorsteps of the Poor

At Living Goods we empower people to improve the health of their families, friends and communities.

Living Goods supports networks of ‘Avon-like’ health entrepreneurs who go door to door to teach families how to improve their health and wealth and sell life-changing products such as simple treatments for malaria and diarrhea, safe delivery kits, fortified foods, clean cook stoves, water filters, and solar lights. By combining the best practices from business and public health, we are dramatically lowering child mortality AND creating livelihoods for thousands of enterprising women.

Trusted Health on Call

Inspired by direct sales models like Avon’s, Living Goods leverages the power of human connections. Our Health Promoters are familiar and trusted advisors to their neighbors. Customers know they can call their Living Goods agent any time their child is sick and the agent will come to their door to provide an accurate diagnosis and high-quality medicine, allowing parents to rest assured their children will survive and thrive. Health Promoters who serve their customers earn loyalty, make more money, and drive significant health outcomes. In this way, Living Goods Health Promoters can make a difference AND make a living.

randomized study

The Most Health
for the Buck

Millions of kids die every year for want of simple health products that cost less than a cup of coffee. To optimize impact and efficiency, Living Goods Community Health Promoters focus on four areas that precipitate the majority of child deaths but can be addressed at a low cost: treating childhood diseases, offering free pregnancy and newborn check-ups, improving nutrition, and promptly referring acute cases to qualified facilities. The average cost of a treatment from a Living Goods Health Promoter runs just 50 cents.

randomized study
randomized study

Randomized Study Shows Living Goods is Reducing Child Deaths by 27 Percent

Randomized evaluations are the gold standard in evaluation design. A recently completed 3-year independent randomized control trial that was lead by best-in-class researchers from MIT, Yale, and Stockholm University showed that Living Goods is reducing under-5 mortality by over 27 percent. The study also showed that drug prices fell 17 percent at clinics and drug shops near where Living Goods operates, and that the prevalence of fake drugs fell by 50 percent, suggesting positive competitive pressure.

As a result, Living Goods is dramatically reducing child mortality for a yearly cost of less than $2 per person reached.

randomized study

How Living Goods Drives Sustainability

The Living Goods hybrid model generates retail revenues that recover 100 percent of the product costs, a retail margin that provides motivating incomes for the agents, and wholesale margins that cover much of the field distribution costs. With this blended model, Living Goods solves two of the most vexing problems in community health:

  • How to keep vital products in stock, and
  • How to pay the millions of health workers that are needed for the underserved.

6 Million Children Will Die This Year


Millions of children in developing countries continue to needlessly die from diseases that are treatable for less than the cost of a cup of coffee. Malaria, diarrhea, and pneumonia cause the majority of these early deaths. Newborn infections and poor nutrition add to the burden. The world lacks scalable, cost-effective delivery systems of dependable medicines.

In the poorest countries health choices are bleak. Public health systems are chronically under-funded, under-stocked, and under-managed. Stock out rates at public health facilities can exceed 50 percent and absenteeism is common. In Africa, there are only 2.3 healthcare workers per a population of 1,000—in the Americas there are 24. Public health experts estimate that it would require at least four million more health workers to meet the need.

Many poor consumers seek care and products from private outlets, which are no better than public health systems. The private sector is a fragmented and inefficient landscape of millions of small outlets served by multiple layers of resellers. The result? The poorest consumers pay retail prices for vital drugs that reach 350 percent of factory cost, counterfeit products abound, and poorly trained, poorly monitored health outlets are the norm. Each of these problems increases at the “last mile” where the need is the greatest.

Awards & Recognition

What The Experts Are Saying

“A lot of programs give lip service to ‘sustainability.’ This is the real deal. Living Goods is one of the few models with the potential for game-changing scale.” Holly Wise, Former Secretariat Director,
USAID Global Development Alliance
“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
“Living Goods is at the forefront of a new movement in global health.” Anne Veneman, former Executive
Director of UNICEF