A Primary Healthcare Centre runs on paper registers, intermittent power and staff who are already doing three jobs. Any health information system that ignores those facts will be abandoned within a month — politely, quietly, and completely.
Over years of working across PHCs, we saw the same operational failures repeat: stock-outs discovered only when the shelf was empty, monthly reports consuming days of clinical time, and supervision visits that produced findings no one could act on.
Design principles from the frontline
Offline-first is not a feature, it is the baseline. Data entry must be faster than the paper it replaces, or paper wins. Reports should be a by-product of care, never a separate activity. And every field you ask a health worker to fill must earn its place.
These constraints produced HealthOS — not as an idea in a boardroom, but as the accumulated answer to problems we kept solving one clinic at a time.
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