Thanks for your thoughts. I've worked in the nonprofit space for a long time and agree that there are way too many fragmented projects. We did the pilot in Uganda because we were invited by the community. They wanted to implement a community health insurance system (similar to the mutuelle system in Rwanda) but they didn't have the capacity to administer it. The community and the Uganda Catholic Medical Bureau designed the insurance system and are currently running it with our technology.

The government (both the Ministry of Health and the district health office) were involved in the project and even drove out to speak at the launch. They are interested in national health insurance, and we've been invited to participate in their technical working group to share our learnings. At request of the government, our system will integrate with DHIS2 and EMR's like OpenMRS, however, we've found that very few providers actually have an EMR in use. Our system isn't an EMR - it's health insurance administration (enrollment, claims, etc.) which is very different and we haven't found anything like it for LMI countries, beyond CarePay which is mostly focused on payments.

Another government in East Africa has already approached us about using our software to administer their public health insurance system, but the Rwandan government would be an ideal next partner. I'd love to talk more if you're interested and we're always open to feedback, especially from people like you with lots of experience in the space. Please reach out at connect@watsi.org if you have a few minutes. Thanks again.