# Hospital Management System for Kisii Hospitals and Clinics > A densely populated highland county with a busy private hospital sector and referral traffic from across the Gusii region. Source: https://www.afyaconnect.africa/hospital-management-system/kisii Publisher: AfyaConnect HMS (Neurobyte Technologies), Nairobi, Kenya --- A densely populated highland county with a busy private hospital sector and referral traffic from across the Gusii region. ## Healthcare in Kisii County Kisii Teaching and Referral Hospital is the referral tier for the county and draws patients from neighbouring Nyamira and beyond, alongside a large and growing private hospital sector in Kisii town. Kisii is small in area and large in population, which produces a particular kind of facility: busy, competitive and growing. **A crowded private market.** Kisii town has a large number of private hospitals and clinics for its size, many of them expanding from a single clinic into a hospital with wards and theatre. The system that served a ten-bed facility is often the thing holding back a forty-bed one. **Referral traffic from the region.** Patients come from across the Gusii highlands and further. That makes registration and duplicate detection important: the same patient arriving twice with a slightly different spelling is a common source of split records and lost history. **Growth into branches.** Successful Kisii facilities open satellite clinics in surrounding towns. Multi-branch operation, with shared patient identity where you want it and separate stock and tills per branch, is easiest to set up at the start. **Insurance alongside cash.** SHA, a handful of private schemes and cash, often on the same day. Billing has to keep them straight without a separate reconciliation every month end. ## Where Kisii facilities usually start Registration and billing first, because that is where growth hurts. Facilities adding wards move to the [full hospital management system](/solutions/hospital-management-system-kenya) with admissions and inpatient billing, and the pharmacy is usually next because a growing pharmacy is where stock leaks first. AfyaConnect is cloud-hosted and supported remotely from Nairobi. There is no branch office in this town — onboarding, training and support are delivered online and by phone, which is why a facility here is set up on the same timeline as one in the city. ## AfyaConnect in Kisii — common questions ### Do you support hospitals and clinics in Kisii? Yes. AfyaConnect is cloud-hosted, so a facility in Kisii runs on exactly the same system as one in Nairobi, with the same features and the same support. Onboarding, data migration and staff training are delivered remotely, and the setup timeline is the same wherever the facility is. ### Is there an AfyaConnect office in Kisii? No — and we would rather say so than imply otherwise. Support is delivered remotely from Nairobi by phone, WhatsApp and screen share. For most facilities that turns out to be faster than waiting for a site visit, because a configuration question gets answered the same hour rather than the following week. ### Will it work with the internet connection we have in Kisii County? It is built on the assumption that the connection will fail sometimes. AfyaConnect installs as a progressive web app, so registration, consultation notes and dispensing continue working through an outage and synchronise when the line comes back. It runs on ordinary Android phones and tablets, not just desktops. ### Does it handle SHA claims for facilities in Kisii County? Yes. SHA membership is verified at registration and claims are built from the clinical record and submitted from inside the system, the same way for every contracted facility regardless of county. Legacy NHIF claims still in the pipeline are tracked alongside.