Last Mile Health has designed a three-step process: They train community health workers to prevent, diagnose and treat the 10 most common diseases, including malaria and pneumonia; they equip workers with a backpack of modern diagnostic tests and medicines, plus a smartphone to report on epidemics; and they issue job contracts so these workers get paid. This last part is crucial, and something often overlooked in community health programs. Because a paycheck means dignified, professionalized work. Read how Raj Panjabi’s dream was born, and how he is nurturing it into existence.