Billions of African people lack basic care for their skin diseases. It is a particular problem for women and children. It has been proven that dermatological treatment can bring quick relief at a low cost Three billion people in 345 developing countries lack basic care for their skin diseases. Skin disease is a particular problem in the poor and in women and children. Most have little to no access to health care workers with skills in the management of these conditions. Skin disease is very common; sexually transmitted diseases are also common and on the increase. Both cause major functional disability and disfigurement unless treated. Many neglected tropical diseases as well as HIV/AIDS present with signs on the skin and health care workers with responsibility in other fields from leprosy to river blindness require training and support. Poor or inadequate treatment is a significant cost to household budgets.