How Kenyan Facilities Actually Move Onto a New System

Four deployments, described honestly — including the sequencing decisions, the stock take that went wrong and the week we lost.

About these studies. They are anonymised composites drawn from real deployments of each type. Facilities are not named because we do not have written permission to name them, and we do not quote performance percentages because we have not measured them under controlled conditions.

• A Level 4 Hospital Moving Off Paper Records — A 60-bed county facility running paper registers and one much-loved Excel workbook. What the sequencing looked like, and the week that went badly.
• A Three-Branch Pharmacy Group and the PPB Register — Three branches, three stock books, three hand-written controlled drug registers and an owner who could not see any of them without driving.
• A Clinic Group Fixing a Broken SHA Claims Cycle — Four sites, a rejection rate nobody had actually measured, and a claims clerk reconstructing encounters from paper files three weeks after the fact.
• A Rural Mission Hospital on an Unreliable Connection — Intermittent power, worse internet, outreach clinics on phones two hours from the main site, and one clinical officer administering the whole thing.

Explore the solutions these facilities run.