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DHS Africa

Origin language: English
Cover image
Target population
Population (general)
Beneficiaries3001 - 10K
EvidenceBoth
Start dateN/A
End dateOngoing
StageRoutine project/operational
Country
Rwanda
Malawi
Democratic Republic of the Congo
Zambia
South Africa
Gambia
Central African Republic
Burundi
Zimbabwe
Congo
Gabon
Uganda
Nigeria
Kenya
Haiti
Tanzania
Cote d'Ivoire
Ghana
Madagascar
Mozambique
Namibia
Niger
Ethiopia
Coverage
International
Nb of implementation sites
N/A
Lead organization
Implementation partners

Health Focus Area
All
Services
Health financing services
Health Management Information Systems (HMIS)
Administrative
Telehealth
Pharmacy
Laboratory
Electronic medical record
Diagnostics
Decision Support
Community-based information systems
Enabling technologies
Artificial Intelligence
Big Data Analytics
Cloud Computing
Software
Standards
DICOM
Management of mobile communication alerts
ATNA - Audit Trail and Node Authentication
ICD-11
HL7 FHIR
Tools
Funding sources
Private funds
Research grants
Business model
Usage fee / pay per use
Subscription
Funders
N/A
Summary

DHS Africa is building the operating system for hospitals across the continent: one modular platform that runs every part of a hospital, from patient records, consultations, pharmacy, laboratory and billing to inventory and national reporting. DHS built the first healthcare AI system for Sub-Saharan Africa, and AI runs through the platform, from clinical decision support to documentation and the patient assistant. The platform runs in hospitals and hospital groups across Africa, and its AI is trained on African clinical data. It meets international engineering and data-protection standards and connects to national health systems through HL7 FHIR and ICD coding. DHS works directly with hospitals, governments, and universities across the continent.

Keywords
Telemedicine
Patient data collection and case management
Digital health platform
Digital health solutions
Artificial intelligence
Publications
Insights - Lessons learnt
Challenges

Running a full hospital system in this context means building for conditions most clinical software ignores. Power and internet are not reliable at many facilities, so the platform has to keep working offline and sync once the connection returns. Most hospitals still run on paper and staff workflows are built around it, so moving clinicians onto a digital system takes hands-on training and a system that matches how they already work. Adoption stalls otherwise. Connecting to national systems such as DHIS2, and to whatever a facility already runs, is technical work that has to be done for each deployment while keeping data consistent across them. Clinical data has to be accurate and protected, and staff and patients need to trust how it is handled, so data protection has to be built in from the start. Health budgets are tight and procurement is slow, so the system has to show value early and stay affordable. Digital health regulation and national strategies are still forming in many markets, and shifts in government priorities move timelines.

Recommendations

A few things consistently make deployments work. Build for the real environment first: the platform runs offline and on low bandwidth, so a facility is not blocked when the connection drops. Design around the clinical workflow staff already use, and train on site with local teams, which is what moves a hospital from paper to the system and keeps them on it. Connect to national systems such as DHIS2 from the start, using open standards, so each deployment fits the national architecture and data reaches the people who need it. Build data protection to international standards, which earns the trust of staff, patients, and health authorities. Keep the platform modular so a hospital can start with the parts it needs and add more over time, which lowers the barrier to adoption and supports scale. Involve government and university partners early, since their participation helps adoption and makes a deployment durable. Train the AI on local clinical data so it fits local care and improves as more facilities use it. Run local teams in-country for support, which keeps response times short and trust high.

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Any additional questions?
iDHA (Project ID)
vh99rf
Project links
https://dhs.africa/
Origin of information
Project stakeholder
Data source link
N/A
Added to the platform on
2026-06-18
Project editors
Last update by
Niklas Inderst on 2026-06-18
Number of views
47
WHO classifications
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