Taking healthcare beyond basic needs  Not only does VDP improve access to primary health care but the networks developed between different health advisers mean changing health demands can be met. Across Africa there is now a shift in the type of diseases prevalent. Increasing rates of non-communicable disease are being recorded - for which advisers can provide ongoing support. Additionally, there remains a need to improve understanding and treatment of mental health issues within rural areas in particular. Concern with mental health requires greater recognition across Africa. Finally, data can be collected on health issues affecting rural areas for targeted intervention.