Design a Last-Mile Health Worker Incentive System for Rural Kano

Community health workers (CHWs) in rural Kano are often the only point of contact between isolated communities and the formal health system. They conduct home visits, track pregnancies, and distribute basic medicines. The problem is retention: most are volunteers or earn stipends too small to live on, and dropout rates are high enough to leave entire wards uncovered for months at a time. The State Primary Health Care Development Agency has limited funds and relies heavily on donor cycles that create stop-start payment gaps. Meanwhile, private-sector and social enterprise models, such as microfranchising, performance-linked payments, and community savings schemes, have worked in comparable contexts in Ethiopia and Bangladesh but have rarely been tested in northern Nigeria's specific social and religious landscape. Your task is to design an incentive and retention system that a social enterprise could realistically operate in three local government areas of Kano State. Build a business model canvas that covers the value proposition, revenue streams, cost structure, and community partnership logic. Then produce a 10-slide pitch deck aimed at a Nigerian impact investor. Good work will engage honestly with the constraints: low smartphone penetration, purdah norms affecting female CHWs, patchy mobile money adoption, and the political economy of state health bureaucracies. A strong submission will not import a foreign model wholesale but will show evidence of adaptation to the specific context.