This document discusses building sustainable last mile networks for voice services in South Africa. It outlines various last mile technologies available in SA like ADSL, leased lines, mobile broadband, and fiber, along with their challenges. These include unreliable latency, throughput, and packet loss. The document recommends using Asterisk to combat these challenges and deliver high quality voice services nationally by blending multiple last mile technologies. Lastly, it concludes that telephony providers will need to blend last mile networks and use Asterisk to its full potential to offer reliable voice services despite technological limitations.