The Problem For impoverished communities around the world, there is a significant shortage of frontline health workers and inadequate distribution of essential health products and knowledge. Half the world lacks access to essential health care. Many health care systems – particularly in developing countries – are chronically under-funded, under-stocked, and understaffed. Stock-out rates for critical medicines at public health facilities routinely exceed 50%, and poorly trained, poorly monitored health outlets are standard. These issues increase in the hardest-to-reach rural communities where need is often greatest. On average, there are currently 2.3 health workers per 1,000 people in Africa, compared to 24 health workers per 1,000 people in the United States. Further, more than 24% of the global burden of disease falls on people living in African countries, where only 3% of the world’s health workers operate, with less than 1% of the world’s financial resources.