Digital Health Transformation Navigator
Assess maturity across the six pillars, generate a phased roadmap, compare countries, and explore the reference IT architecture, workflows, data flows and training.
Our approach
We approach digital health transformation in low- and middle-income countries not through piecemeal, pilot-heavy software deployments, but as an integrated Digital Public Infrastructure (DPI) lifecycle. In development-finance operations we align technical design and policy dialogue across six pillars — Strategy & Architecture, Interoperability DPI, Point-of-Care Operations, Data Analytics, Responsible AI & Cybersecurity, and Workforce Capacity — so that every investment directly supports Universal Health Coverage (UHC) while mitigating fiduciary, interoperability and data sovereignty risks.
1. Governance & EA
From “e-chaos” to sovereign, institutional governance.
We focus on the regulatory foundation — for example Kenya’s Digital Health Act (2023) and the Digital Health Agency it established. We advise clients on National Enterprise Architectures and vendor-neutral procurement standards that prevent lock-in and ensure fiscal sustainability beyond the project lifecycle, sequenced through a phased roadmap and a small set of binding architecture principles.
2. DPI & Interoperability
Architecting the national digital foundations.
Interoperability is the connective tissue. We guide clients in deploying open-standard Health Information Exchanges built on HL7 FHIR, ICD-11 and LOINC, linked to unified national registries: the Master Patient Index (MPI), health worker registries and facility master lists — and reusing national DPI such as digital ID and payments.
3. Point-of-Care & RHIS
Connecting frontline tools to health system performance.
Digital tools must solve real frontline bottlenecks. We support the technical scale-up of point-of-care Electronic Medical Records (such as e-Ubuzima or OpenMRS) and routine health information systems (DHIS2), integrating mHealth for primary health care workers and eLMIS for real-time visibility of vaccine and pharmaceutical supply chains.
4. Analytics & Decisions
Linking data to policy dialogue and UHC monitoring.
Data is only valuable if it drives decisions. We support national and county health teams in aggregating siloed data into real-time dashboards that track UHC progress, monitor resource allocation and health financing (including insurance and claims systems such as openIMIS), and enable early outbreak detection.
5. Responsible AI & Cyber
Technology governance, safety and risk management.
As AI scales into clinical decision support and epidemiological forecasting, responsible governance is critical. We help client governments establish ethical AI oversight, auditability for algorithmic bias and explainability (for example with SHAP or LIME), data protection, and zero-trust cybersecurity architectures that protect sensitive patient data.
6. Capacity & Change
Operational realism and sustainability.
Technology fails without local ownership. We embed structured change management, data quality assurance routines and continuous upskilling of health workers directly into project implementation plans and results frameworks (PAD and ISR deliverables).
The six pillars
Governance, Policy & National Enterprise Architecture
Laws, institutions, architecture and procurement rules that make digital health investments coherent and sustainable.
Digital Public Infrastructure (DPI) & Health Interoperability
Shared registries, an exchange layer and common standards so that systems can trust and understand each other's data.
Point-of-Care MIS & Routine Health Information Systems
The systems clinicians, community health workers and supply-chain staff use every day.
Data Analytics, Dashboards & Evidence-Based Decision Making
Turning routine data into decisions on coverage, outbreaks and spending.
Responsible AI & Cybersecurity Frameworks
Using AI where it adds value, with accountability, and protecting health data against misuse and attack.
Institutional Capacity, Digital Literacy & Change Management
People, processes and data quality — the conditions for digital systems to be used and trusted.
Modules
Maturity assessment
1–5 scoring of 18 components with evidence and targets, radar by pillar.
Roadmap
Prioritised actions in three phases (0–12, 12–24, 24–36 months).
Country portfolio
Multi-country comparison, heatmap and gaps.
IT architecture
Layered OpenHIE-style reference architecture with open-source DPGs.
Data flows
Catalogue of 14 flows with standards, frequency and data class.
Workflows
Seven swimlane workflows: identity, ePrescription, lab, vaccines, outbreaks, AI, data quality.
eLearning
Seven courses, quizzes and a completion certificate.
AI assistant
Analysis and recommendations, restricted to approved users.
Reference architecture
Channels & users
- Citizen portal / app — FHIR, OIDC
- CHW mobile app — CHT, DHIS2 Android
- Clinician workstation — SMART on FHIR
- Telemedicine — FHIR Appointment, WebRTC
- Decision-maker dashboards — DHIS2, Superset
Point-of-service applications
- EMR / EHR — OpenMRS, Bahmni
- Laboratory IS — OpenELIS
- Pharmacy / ePrescription — FHIR MedicationRequest, GS1
- eLMIS — OpenLMIS
- HMIS (aggregate & tracker) — DHIS2
- Surveillance system — SORMAS, DHIS2
- Insurance / claims — openIMIS
Interoperability layer (HIE)
- Interoperability mediator / API gateway — OpenHIM, Kong
- Shared Health Record — HAPI FHIR
- Terminology service — OCL
- Consent & audit service — FHIR Consent, AuditEvent
Shared registries
- Client registry / MPI — OpenCR, SanteMPI
- Health worker registry — iHRIS
- Facility registry — DHIS2 / GOFR
- Product registry — GS1
Data & analytics
- Health data warehouse — PostgreSQL, Spark
- AI / ML services & model registry — MLflow
- Data quality engine — DHIS2 DQ app
DPI foundation
- National digital ID — MOSIP
- Payments switch — Mojaloop
- Gov data exchange — X-Road, OpenCRVS
- Sovereign gov cloud — ISO 27017/27018