Can the model made famous by the iconic “Avon Lady” work at the bottom of the pyramid? Distribution and uptake are some of the toughest nuts to crack for social enterprises marketing health products to the bottom of the pyramid (BoP). Even when affordable solutions for urgent health needs exist, it can be difficult to get people to buy and use them, due to: The logistical difficulty of reaching the rural poor and other BoP communitiesCommunities’ lack of trust/familiarity with distributorsLimited awareness of the benefits of these health solutions – or the proper way to use them. That’s one reason there’s considerable excitement about direct sales agent models in BoP health care.