Enable mobile

Across Africa the delivery and quality of health services in rural areas presents profound challenges, deeply impacting the health of the continent's poorest populations. The disparities in health service delivery across the African continent underscore the broader issues of access, quality and financial burden faced by rural communities. The extent of this problem is huge with 51.7% of the population across the African continent residing in rural areas, with up to 80% facing geographical difficulties in accessing modern healthcare.

In South Africa, where 31.6% of the population live in rural areas, the health system is plagued by systemic and structural challenges that result in suboptimal care levels and patient management. The impact that this has upon the healthcare of individuals living in rural, chronically underserved areas is pervasive and has been best highlighted by our own experience working in South Africa’s O.R. Tambo district in the Eastern Cape. Due to the high rates of poverty (65.5% of the population are living in poverty) and rurality (O.R. Tambo is categorised as a category C2 municipality, indicating a largely rural character and low urbanisation rate, as well as limited municipal staff and budget capacity) families and communities face considerable challenges in ensuring that their children access quality health care and treatment. 

Firstly, medical facilities (government clinics and hospitals) are often characterised by stock outs and severe personal shortages, whilst also being too far to access by foot and too expensive to access by public transport. In 2020 for example, there was one doctor serving a catchment area of 140,000 people at Canzibe hospital in the Eastern Cape, in addition to no dedicated ambulance service.

Secondly, for many individuals their critical health data, which is essential for prevention or management of a patient's health, is not collected nor analysed. For example, although there are a plethora of antenatal risks, key data is not tracked, which can impact both maternal and child mortality rates, whilst individuals exposed or living with HIV are not tracked leading to HIV acquisition or loss to follow up. This is due to poor paper-based data collection tools, and shortages in staffing, including health workers who can access beneficiaries in the community.

As a result of these circumstances, thousands of individuals, especially women and children, miss out on the critical health services needed for their health, such as vaccinations, HIV/TB testing, ART treatment, and nutritional assessments. In fact, the leading cause of death for children below the age of 5 years is diarrheal diseases at 26.3% of total deaths followed by lower respiratory diseases at 17.0% in that age group. HIV/AIDS also accounts for 17% of under-five deaths, and over a quarter of children are not receiving potentially life-saving vaccines (SAgov, 2020).

One to One Africa’s Enable programme has operated in South Africa’s Eastern Cape Province, O.R. Tambo district since 2016, addressing the interlinkages between poverty, infrastructure and poor health. The key to our unique model is that it brings healthcare out of the clinic and into last mile communities to provide proactive not reactive care. At the heart of our model are Mentors, who are trained individuals from the community they serve, and are recruited, trained and equipped to provide local women and men to offer a comprehensive range of health services at the community level. Their work includes providing prenatal and postnatal care, managing chronic diseases, giving nutrition advice and facilitating access to immunisations. These Mentors become a trusted resource, bridging the gap between the community and healthcare facilities.

To bolster our efforts, we are focused on enhancing our existing mHealth app, to feature real-time health metrics, predictive analytics, diagnostic assistance and a triaging system, alongside expanding our mobile health operations. Together, these initiatives will enable us to deliver efficient and effective health services to individuals in the hardest-to-reach areas across South Africa

Mobile clinic contingent: One to One Africa deploys mobile clinics that are uniquely designed to reach individuals in the most inaccessible areas. Complementing the work of our Mentors, our mobile clinics stand at the forefront of our efforts to penetrate the most inaccessible terrains. These clinics are not just vehicles of care; they are lifelines, delivering education on critical health matters, fostering preventive health behaviours, ensuring emergency care availability, and conducting essential health screenings. These mobile clinics hit the ground running, fully equipped with the necessary tools and staff—including Mentors, a nurse, a data capturer, and a driver—to make an immediate and profound impact on the communities they reach. The clinics are pivotal in disseminating knowledge on pressing health concerns like TB, HIV, and measles, instigating behaviour change towards health-seeking actions, providing basic screenings, and offering essential medical services. This initiative is particularly vital in areas devoid of any other healthcare facilities or community health workers, filling a critical gap in the health ecosystem of the regions we serve.

mHealth app: One to One Africa's mobile health solution, developed in partnership with mHealth specialists Dimagi, comprises a sophisticated application designed for frontline healthcare workers. This tool significantly enhances the regular collection and management of data, streamlining service delivery and boosting its effectiveness. In order to enhance our service offering, especially for clients that we access through our mobile clinic, there is a critical need for an advanced version of the application that can predict an individual's risk of developing specific health conditions and effectively triage complex and priority cases for treatment. This will both reduce the number of health conditions necessitating response and prioritisation of those that do, ultimately reducing morbidity and mortality rates across rural South Africa. This approach is particularly vital for mobile clinics operating in remote areas, where long distances and limited staff necessitate maximised efficiency in healthcare provision.

Through this project, One to One Africa seeks to serve individuals who live in the poorest and most remote regions of South Africa’s Eastern Cape, prior to expansion to similar populations across South Africa. The majority of these individuals live in poverty (approximately 67% of the population in rural Eastern Cape live below poverty line), with high levels of unemployment and low rates of educational attainment. 

These marginalised communities, often situated in the remotest areas, experience the poorest access to substandard healthcare services that fail to meet national expectations. As such individuals living in these regions have notably poorer health outcomes due to systemic and structural deficiencies in healthcare service delivery. Research from the Africa Health Research Institute (AHRI) highlights that in rural northern KwaZulu-Natal, for instance, four out of five women over the age of 30 suffer from chronic health conditions. Whilst in South Africa’s rural Eastern Cape in particular, the prevalence of infectious diseases, chronic conditions, and malnutrition exceeds the national average, while immunisation coverage and healthcare service quality remain the country’s lowest.

Our solution will address the needs of these individuals, ultimately ensuring greater access to quality healthcare, and ultimately lower mortality through: - 

1. Increased number of beneficiaries accessing healthcare via mobile clinics: If individuals living in the most remote regions of South Africa’s Eastern Cape, and indeed throughout South Africa, who are unable to walk long distances to health clinics or afford and access public transport, are proactively met where they are through the provision of a mobile clinic, then significant improvements in health outcomes can be achieved. These clinics provide not only vital health education, which assists with the prevention and management of health conditions, but also access to the necessary testing and medications required to diagnose and manage these conditions. Moreover, mobile clinics are crucial in identifying individuals at high risk of requiring critical care, ensuring they receive timely and potentially life-saving interventions.

2. Reduced onset of health condition through predictive algorithms: Integrating predictive algorithms into our existing healthcare practices and mHealth application, particularly through mobile clinics in remote areas, can significantly impact individuals’ health. By utilising AI, our mHealth app will have the potential to analyse personal health data and identify high-risk individuals, so that our mobile clinic can intervene much earlier. For beneficiaries of this project, this means a potentially reduced onset of serious health conditions such as heart disease, diabetes, or cancer. 

3. Increased complex and vulnerable beneficiaries receiving specialised treatment and care: The use of predictive algorithms to prioritise and triage patients enables healthcare providers to identify and address high-risk conditions such as elevated HIV viral loads or severe malnutrition efficiently, so that patients receive the necessary interventions at critical times. This targeted approach ensures that mobile clinics are dispatched to locations where they are most needed, allowing for timely medical interventions, including referral to main clinics. For patients, this means earlier access to healthcare services that are crucial for preventing the deterioration of their conditions into more severe, potentially life-threatening situations.

One to One Africa has a dedicated team who are specialised in delivering health interventions in low-income countries. Not only does Gqibelo Dandala, Executive Director, have an MBA, which enables her to provide excellent financial, operational and strategic oversight of the innovation, she founded and led NPO Future of the African Daughter, giving her a specialism for designing programmes for young women from township and rural areas. She is supported by Dr Emma Chademana who has a PhD in public health and is integral to programme design, day-to-day management, and curriculum design. Managing the Monitoring & Evaluation is Rhodwell Shamu, the Impact Lead, who has over 16 years’ experience in monitoring programmes for the Zimbabwean government. The core team will support a dedicated programme team in the field who are highly specialised and experienced in running projects in rural Southern Africa.

Our team has been implementing projects in rural Eastern Cape for seven years through our flagship Enable programme. Because of this, we have a strong reputation in the community amongst key stakeholders, including the community themselves, key government officials, traditional leaders, institutions (churches, schools, clinics), and integral partners (local NGOs, DoH, DoE). This enables us to obtain essential buy-in from the community for our innovations.

As a team, we prioritise collaboration with our local community:

The Eastern Cape Department of Health: We have been working with the DoH in the Eastern Cape for years, through which we have an established MoU to train and provide supportive supervision for 27 CHWs. The Eastern Cape DoH provides continuous buy-in for One to One Africa’s work and has recently endorsed One to One Africa’s most recent initiative to provide services to the most remote areas of the O.R Tambo district through a mobile clinic. One to One Africa is in continuous discussions with the DoH, and has recently been awarded by DG Murray Trust to expand training for CHWs across the Eastern Cape so that our model can be integrated within the standard of service delivery across all clinics. 

Department of Home Affairs & South African Social Security Agency:  allows us to facilitate the process of getting children registered at birth. This ensures that they have a South African ID document, which is essential for everything from opening a bank account to writing school exams, and that eligible families are receiving child and disability support grants. 

Local clinics: Since the inception of One to One Africa’s Enable programme, we have had strong links with local clinics, including a close relationship with staff management. We are well known and respected in the area and have continuous conversations with additional clinics with whom we would partner for this project. 

Local Leadership: Since inception we have also had strong links in the community due to our visibility in households and community sessions. Every job hire is made aware to local leaders, and local leadership has even granted One to One to have ownership of land for a community centre. 

One to One Africa is currently in a pilot stage of our interventions, albeit testing new elements of our mHealth app, leveraging the solid foundation laid by our flagship Enable programme initiated in 2016 in South Africa's Eastern Cape and pioneering our mobile clinic solution in 2022. Over this period, this programme has delivered essential healthcare services directly into the homes of vulnerable families. The success of this initiative caught the attention of the Eastern Cape Department of Health, leading to a fruitful partnership established in 2019. Through this collaboration, we have been able to expand our reach by training, equipping, and supporting 31 government Community Health Workers, enhancing our capability to deliver life-saving interventions along with services for social protection and food security. We have recently secured funding from the DG Murray Trust, with whom we will rapidly expand this partnership.

In 2022, we enhanced our intervention by integrating a mobile health application developed with Dimagi, introducing new technological elements that are currently being developed and tested. This step forward builds on our proven strategies, ensuring that our services continue to improve and adapt effectively.

The impact of our efforts has been substantial and wide-reaching. In the initial three years alone, our Mentor Mothers reached over 2,000 women and children, significantly improving community health and well-being. We have observed impressive health outcomes, with 70% of clients adhering to antiretroviral therapies, over 50% of children receiving grants, and more than 80% of underweight children successfully rehabilitated. Moreover, our model has boosted agency and leadership among Mentor Mothers and their clients, who now experience increased bargaining power within their households and enhanced decision-making capabilities.

Since its launch, the Enable programme has screened over 1,200 households, showcasing the extensive reach and profound impact of our interventions. This ongoing development of new technological components underscores our commitment to enhancing healthcare accessibility and improving the quality of life for the most vulnerable populations in rural South Africa.

One to One Africa's ambitious healthcare initiatives, especially in integrating mobile clinics and advanced digital tools, face several challenges that MIT Solve could help overcome:

Financial Barriers:

Funding for Scale and Sustainability: Scaling our mobile clinics and further developing our mHealth technology require substantial funding. MIT Solve could provide access to a network of grant opportunities, facilitating the necessary capital to expand our reach and sustain long-term operations.

Technical Barriers:

Advanced Technology Development: Enhancing our mHealth app with the latest AI algorithms for predictive analytics and data management involves complex technical development. MIT Solve can connect us with leading technology experts and partners who can provide the requisite knowledge and support to refine and advance our digital tools.

Legal Barriers:

Compliance and Regulatory Guidance: As we seek to expand healthcare services and digital health solutions across different regions may involve complex legal and regulatory challenges. MIT Solve can offer access to legal experts who specialise in healthcare regulations across different jurisdictions, ensuring compliance and facilitating smoother expansions.

Cultural Barriers:

Community Engagement and Adoption: Effectively engaging communities and ensuring the adoption of new health technologies can be challenging, especially in diverse cultural landscapes like South Africa. MIT Solve can provide expertise in community-driven design and implementation strategies that respect and integrate local customs and languages, enhancing community acceptance and participation.

Market Barriers:

Integration with Existing Healthcare Systems: Integrating innovative health solutions with existing public health systems poses significant market barriers, including resistance from traditional healthcare providers and alignment with national health policies. MIT Solve’s network of global health experts and policymakers can help navigate these challenges, facilitating dialogue and partnerships that align our innovations with national health objectives.

By partnering with MIT Solve, One to One Africa hopes to leverage their global network, resources, and expertise to address these multifaceted barriers effectively. This support would not only accelerate our current initiatives but also enhance the scalability and impact of our solutions, driving us closer to achieving health equity for rural populations in South Africa and beyond.

The solution involving mobile clinics paired with digital optimisation, as implemented by One to One Africa, is innovative for several key reasons, particularly when viewed against the backdrop of rural healthcare challenges in South Africa:

Integration of Mobile and Digital Technologies: The combination of mobile health clinics with an advanced mHealth application leverages the strengths of both physical and digital healthcare solutions. This integrated approach is relatively rare in healthcare provisioning, especially in rural or underdeveloped areas. It allows for a flexible, responsive healthcare service that can reach individuals who are otherwise isolated from traditional healthcare systems due to geographical and economic barriers.

Real-time Data Utilisation: The use of real-time health metrics and predictive analytics in the mHealth app is innovative because it allows for immediate, data-driven decision-making. This capability can transform how healthcare is delivered by enabling early detection and intervention for high-risk patients, thereby potentially reducing the severity of illnesses and improving overall health outcomes. Predictive analytics can foresee the likelihood of diseases based on patterns, significantly benefiting areas where disease burden is high and healthcare resources are stretched thin.

Localised Healthcare Delivery: The deployment of mobile clinics staffed by community members (Mentors) who are familiar with the local context, culture, and specific health challenges is innovative in its community-centred approach. This model fosters trust and improves the effectiveness of health communication and interventions, making it more likely that individuals will seek and adhere to medical advice and treatments.

Comprehensive Care Provisioning: The mobile clinics do not merely provide basic healthcare but offer a comprehensive range of services, from prenatal and postnatal care to chronic disease management and emergency response. This holistic approach addresses the spectrum of healthcare needs in a single visit, which is critical in areas where patients may have limited opportunities to seek care.

Scalability and Replicability: The model’s design considers scalability and adaptability to different rural contexts, not just within South Africa but potentially across other regions of Africa facing similar healthcare delivery challenges. The lessons learned and data collected from these initiatives can inform broader policies and practices, enhancing healthcare delivery in other low-resource settings.

Partnerships for Enhanced Capacity: Collaborating with technology and health experts like Dimagi for the development of the mHealth app ensures that the solution is grounded in cutting-edge technology and best practices in healthcare. These partnerships help build a robust platform that can continually be improved based on feedback and evolving healthcare needs.

The innovative nature of this solution lies in its ability to effectively combine technology with human-centred service delivery, creating a model that is adaptable, scalable, and capable of significantly improving health outcomes in some of the most challenging environments. This approach addresses not only the symptoms of inadequate healthcare infrastructure but also the systemic issues that underlie health disparities in rural South Africa

Our solution's expected impact on the problem of healthcare accessibility and quality in rural areas is grounded in a robust theory of change, which integrates proven intervention strategies with innovative technologies. The theory posits that by merging mobile healthcare delivery with advanced AI-driven data analytics, we can substantially improve health outcomes for underserved populations.

Starting Point and Historical Success:

Our initiative is based on the foundational success of the Mentor Mother Model, which has already demonstrated significant efficacy in improving health outcomes. Internal evaluations and published research indicate that through this model, 70% of clients adhere to antiretroviral therapies, over 50% of children access grants, and more than 80% of underweight children are successfully rehabilitated. These outcomes are pivotal, showing that direct, community-based health interventions can substantially reduce health inequalities and enhance overall well-being.

Integration of AI and Mobile Clinics:

The integration of AI into our mobile clinics is a strategic advancement that builds on this existing framework. By processing vast amounts of health data in real-time, AI algorithms can predict individuals' risk of developing severe health conditions like heart disease, diabetes, or cancer. This capability is crucial in rural areas where healthcare resources are limited, and early intervention can radically alter patient outcomes. As healthcare workers input patient data into our mHealth applications, AI models assess risk factors on the spot and provide tailored recommendations for preventive measures and management strategies. This not only enhances the precision of healthcare delivery but also ensures that interventions are proactive and targeted.

Impact Through Predictive Algorithms:

Predictive algorithms further revolutionize the triage process by identifying patients who need urgent medical intervention, prioritizing them based on the severity and urgency of their conditions. This is especially critical in remote areas, where traditional healthcare delivery might be delayed or inaccessible. By ensuring that mobile clinics are dispatched to areas with the most pressing needs, we not only maximize the effectiveness of healthcare delivery but also optimize the allocation of scarce medical resources.

Broad and Strategic Deployment:

Our approach ensures that the most critical health issues are addressed first, improving health outcomes by providing immediate care to those most at risk. The predictive capabilities of our AI tools also allow for the strategic prioritization and deployment of mobile clinics, enhancing overall service efficiency in remote and underserved regions.

Long-term Impact:

In the long run, this integrated approach not only reduces the prevalence of severe health conditions but also builds a more equitable healthcare system that bridges the gap between rural and urban health services. By scaling this model and ensuring its adaptability to various rural contexts, we aim to replicate its success across other regions, potentially transforming healthcare delivery on a broader scale.

Thus, our theory of change asserts that through the innovative use of mobile health clinics enhanced with AI technology, we can achieve a sustainable improvement in health equity, significantly reducing morbidity and mortality among the most vulnerable populations in South Africa and beyond.

Our impact goals are as follows:-

Increased Healthcare Access: Our primary goal is to expand access to quality healthcare services for individuals living in remote and underserved areas of rural South Africa. By deploying mobile clinics equipped with advanced digital technologies, we aim to bridge the accessibility gap, ensuring that essential healthcare reaches those who need it most.

Improved Health Outcomes: We strive to enhance the overall health status of the rural population by reducing the incidence of preventable diseases, effectively managing chronic conditions, and improving maternal and child health metrics. The proactive and preventive nature of our healthcare services is designed to address health issues before they escalate.

Reduced Morbidity and Mortality: Through early detection, preventive care, and timely treatment enabled by our mobile clinics and AI-enhanced mHealth app, we aim to lower the rates of morbidity and mortality associated with both communicable and non-communicable diseases in rural regions.

Healthcare System Integration: Our solution seeks to integrate seamlessly with the existing healthcare infrastructure to ensure a coordinated and sustained approach to rural health. This integration is crucial for maintaining continuity of care and optimizing the impact of healthcare interventions across different service points.

Methods of Measuring Progress.

Service Delivery Metrics: We will track the number of healthcare visits, patient interactions, and specific services delivered (e.g., vaccinations, screenings, prenatal consultations) via the mobile clinics. These metrics will be compared over time to assess how effectively the solution is expanding healthcare access.

Health Outcome Indicators: Key health indicators such as rates of immunization, antenatal care coverage, and reduction in the incidence of diseases like HIV, TB, and malaria will be monitored. These indicators will be collected through our mHealth app and verified during follow-up visits, providing a quantitative measure of health improvements.

Data Analytics: The predictive analytics and data management features of the mHealth app will be utilized to analyse health trends and outcomes. This analysis will offer insights into the effectiveness of our interventions and help identify areas where improvements are needed.

Patient Surveys and Feedback: Regular surveys and feedback collection from patients and healthcare workers will be conducted to evaluate satisfaction levels and the perceived quality of care. This qualitative data is essential for gauging the human impact of our solution and for making patient-centred improvements.

Collaboration with Local Health Authorities: We will work in partnership with local health departments and agencies to ensure data sharing and alignment with national health goals. This collaboration is vital for measuring the broader impact of our initiative on public health systems.

Sustainability Metrics: The sustainability of our healthcare model will be evaluated by assessing factors like cost-effectiveness, resource utilisation, and the ongoing training of community health workers. These metrics will help ensure that our solution is not only effective but also sustainable in the long term.

By diligently monitoring these metrics, we aim to ensure that we not only meets the immediate healthcare needs of rural populations but contribute to sustainable improvements in health outcomes and reduction in health disparities across.

The core technology that powers the solution provided by One to One Africa is centred around an advanced mobile health (mHealth) application developed in partnership with mHealth specialists like Dimagi. This application is designed to be used by frontline healthcare workers operating in mobile clinics across rural areas. Here's a detailed description of the primary technological components and functionalities of this mHealth application:

Real-Time Health Metrics: The app collects and processes health data from patients in real-time. This includes vital signs, patient history, symptom tracking, and other relevant health indicators. The ability to access and analyse this information on-the-go enables healthcare workers to make informed decisions quickly.

Predictive Analytics: Utilising machine learning algorithms, the app analyses the gathered data to predict health risks and outcomes. For instance, it can forecast the likelihood of a patient developing chronic conditions such as diabetes or heart disease based on their medical history, lifestyle choices, and genetic predispositions. This predictive capability is crucial for proactive healthcare management and early intervention.

Diagnostic Assistance: The app provides decision support tools to help healthcare workers diagnose a range of conditions effectively. It might include guideline-based recommendations, differential diagnoses, and suggested treatment plans tailored to individual patient profiles.

Triaging System: The application incorporates a triaging protocol to prioritise patients based on the severity and urgency of their conditions. This feature ensures that those who require immediate care can receive it promptly and efficiently, which is particularly vital in settings with limited resources.

Data Management and Integration: The app ensures that all patient data is securely stored and can be easily accessed by authorised personnel. This facilitates a seamless flow of information and allows for effective long-term health management. Integration capabilities with other health systems and databases enable a comprehensive approach to patient care across different service points.

User-Friendly Interface: Given that the users are community health workers who may not have advanced technical skills, the app is designed with a user-friendly interface that simplifies complex processes and makes it accessible for everyday use.

Offline Functionality: Recognizing that internet connectivity can be a challenge in remote areas, the app is equipped with offline functionality that allows data to be collected and stored when offline and synchronised with the cloud once connectivity is restored.

This mHealth application not only enhances the capability of mobile clinics to deliver immediate and effective healthcare but also ensures that interventions are data-driven, targeted, and scalable. Such technology is fundamental in transforming the healthcare landscape in rural South Africa, making it a critical component of One to One Africa’s innovative approach to addressing healthcare disparities.

Our team includes: - 

Full time

Gqibelo Dandala - Executive Director

Dr Emma Chademana - Head of Programmes

 Rhodwell Shamu - Impact Manager 

Ondela Manjezi - Programmes Manager

Thabiso Bobo - Partnerships Manager 

Contractor

Rishda Sirkot - Finance Manager 

We also recruit Mentor Mothers, and staffing for the clinic as part of our programme.

We have been implementing our flagship Enable programme, which is the premise of our core offering since 2016 and shortly after in 2019 we worked with Dimagi to develop our mHealth application. In 2022, we pioneered the launch of our mobile clinics, which have been endorsed by the Eastern Cape DoH. 

Diversity, equity and inclusion is a fundamental part of our programming, governance and operations. Via Mentors, this project seeks to engage with some of the most marginalised individuals in society (particularly women, individuals living with a disability). By Mentors providing knowledge, education and psychosocial support to these individuals the programme seeks to reduce some of the barriers to them realising health (including SRHR), economic and human rights. 

We are also committed to making women at the forefront of access to, and control over, the resources and benefits of development in the context of this project. In terms of project design and implementation, we are a conspicuously female-driven organisation at all levels. Our senior management team is entirely made up of women, and our Board is 75% female; our project staff teams are 90% female. The Majority of our Mentors are female empowering them with training, support, and capacity building opportunitie

One to One Africa’s business model is centred on providing innovative healthcare solutions to underserved populations in rural South Africa. Our primary objective is to bridge the significant health service delivery gap in these regions, offering both direct healthcare services and comprehensive health management solutions to improve health outcomes and reduce disparities.

Value Proposition:

Our model delivers exceptional value to rural communities by deploying mobile clinics equipped with advanced digital tools, including an mHealth application that leverages AI technology. These mobile clinics provide primary healthcare services directly to the beneficiaries' locations, which is crucial in areas where the nearest healthcare facility could be prohibitively distant. The services offered include vaccinations, maternal and child healthcare, chronic disease management, and emergency care. The AI-enhanced mHealth app supports these services by enabling real-time health monitoring, predictive analytics, and a sophisticated triaging system to manage health risks effectively.

The value to our beneficiaries is clear: accessible, timely, and effective healthcare services that are otherwise unavailable in their communities. This approach not only meets their immediate health needs but also empowers them with knowledge and tools to manage their health proactively, thereby improving long-term health outcomes.

Revenue Model:

One to One Africa operates primarily on a non-profit model, relying on a mix of funding streams to support our activities. Our revenue sources include:

1. Grants and Donations: A significant portion of our funding comes from grants provided by international health organisations, private foundations, and government bodies committed to improving global health outcomes.

Key Customers and Beneficiaries:

Our key customers include:

• Local Governments and Health Departments: We work closely with these entities to align our services with regional health strategies and ensure that our interventions complement existing healthcare services.

Our primary beneficiaries are:

• Rural Communities: Particularly vulnerable populations such as pregnant women, children, the elderly, and those living with chronic conditions who are the direct recipients of our healthcare services.
• Community Health Workers: By providing training and employment, we also support local economies and enhance the overall health infrastructure of the communities we serve.

Service Delivery:

Our mobile clinics are designed to reach remote locations efficiently, equipped with all necessary medical supplies and staffed by trained healthcare professionals. The integration of our mHealth app ensures that each interaction is informed by data-driven insights, allowing healthcare workers to make informed decisions on-site and in real-time.

Why Our Services Are Needed:

The demand for our services stems from the acute need for accessible healthcare in rural areas where poverty, lack of infrastructure, and distance from urban centres create barriers to accessing standard medical services. Our solutions address these challenges head-on, providing not only healthcare but also a critical connection to the broader health system, which can be life-changing for individuals in isolated areas.

By continuously adapting our approach to meet the needs of our beneficiaries and leveraging technology to enhance service delivery, One to One Africa remains at the forefront of efforts to improve healthcare accessibility and outcomes in some of South Africa's most challenging environments.

One to One Africa is committed to programme sustainability. Our major plan to ensure this is the uptake of our Mentor Mother model by the South African Department of Health. We have already trained and supervised 27 Department of Health Community Health Workers (CHWs) to deliver services in the O.R Tambo district and are in agreement with the DoH to solidify and expand this work over the next three years through capacity building and technical support. This will be achieved through: -

1. Training of Trainers (ToT): One To One Africa will Train-the-Trainers (ToT) who will provide training to CHWs in their respective provinces and districts. The Training-of-Trainers (ToT) forms the basis of integrating the life saving impact of the Enable programme into DoH’s CHW strategy and community public health provision strategy. The training entails learning, understanding, observation in action, practising and ultimately teaching others about the Mentor Model. Once piloted and validated, the additional components (articulated earlier above) will be integrated into the Mentor Mother curriculum. A single ToT session with 20 trainers, who in turn each train 20 CHWs will impact 400 CHWs. The Mentor Mother model assumes each CHW to have at least 90 clients, hence the 400 CHWs would impact no less than 36,000 people. The ToT is the bedrock of our strategy for the next three years, because the potential impact of the ToT programme is exponential.

2. CHW areas: Existing clinics where our Mentor Model is implemented, referred to as CHW areas, will act as a reference site for training future Government Community Health Workers. This will provide a site for training as well as a mechanism to display and ensure best practice for other CHW led sites.

3. Integration of One to One Africa’s mHealth app: One to One Africa’s mHealth App has the potential to transform healthcare delivery in remote and under-resourced places. The mHealth App we would develop through this project has the ability to feed into the DHIS (department of health information systems), which would enable uptake of this technology after this project is completed.

Finally, to ensure sustainability, One to One Africa has also recently recruited a Business  Development Manager, who will be actively pursuing opportunities for bilateral and private funding that will allow it to sustain services through other in-country  partnerships that strengthen program implementation and potential for future support.