Sub-Saharan Africa faces shortages in trained medical personnel. The World Health Organization (WHO) estimates place the average ratio of doctor to patients at 2:10,000 in Africa1 against a global average of 12:10,000. The coverage of nurses and midwives is 11:10,000 in Africa against a global average of 18:10,000, according to 2013 data. The World Health Organization (WHO) estimates the ration of doctors to patients to fill the gaps in service provision in communities, countries are increasingly turning to community health workers (CHWs).