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And, at that stage, we launched what ended up becoming called Last Mile Health with about 00 from our wedding.My wife and I were getting married around that time.I had been fortunate to work with them in 2001 and had become very inspired by the idea of community-based healthcare.Of course, I later came to know about the work of Partners in Health in Haiti, and when I went back when I was 24 in 2005 to my home country, what I found was just utter destruction, similar challenges in rural areas.We then were invited to work with them to adapt that in fact, train non-physician clinicians, physician assistants in that case, as well as community health workers to try to expand access to rural HIV treatment.So we started the first rural HIV treatment with the government in 2007, and a few months later we had about 60 patients with HIV disease, many of whom needed strong social and community-based support.
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. And I first heard of his work through an email I received from Meredith Mazzotta who’s the fine medical editor of these podcasts, and she had heard about a Ted Prize that he’d won for his work in bringing healthcare to people who live in the most remote areas and sometimes most impoverished areas of the world.