THE PLATFORM
One record. Every clinic.
Any visit. Any district.
Kushé is a mobile-first, offline-capable community health registry built for low-resource health systems. Every registered patient receives a persistent digital health record accessible at any clinic via QR code — no internet required.
QR card identification
Every registered patient receives a laminated QR card. Any clinician at any participating facility scans it to retrieve the patient's complete record instantly — regardless of where they were originally registered. No passwords. No network needed.
Offline-first architecture
Kushé is designed for the connectivity reality of low-resource health systems. All clinical modules work with zero internet. Data is stored locally in an encrypted SQLite database and syncs automatically to secure cloud infrastructure when connection is available.
Patient-specific safety alerts
When a patient record is opened, active alerts appear immediately — the prior Classical C-section flag, the SCD dual pain alert, allergy contraindications. Alerts fire on this patient's actual history, not generic protocol. This is the difference between informed and uninformed care.
Data Sovereignty by design
Patient data is hosted on African servers — AWS Cape Town. Patient data is never sold. The architecture enforces what the policy commits to.
Population health intelligence
GPS coordinates, disease classifications, and treatment outcomes aggregate into district-level dashboards — malaria hotspot mapping, SCD carrier distribution, vaccination coverage gaps, maternal mortality surveillance. The individual record generates the population insight.
National system integration
Monthly aggregate export to Sierra Leone's national DHIS2 system is built into Phase 1 — not a future aspiration. Kushé bridges the gap between individual clinical records and national program data, meeting the Ministry of Health's primary interoperability requirement.
"Before Kushé, every visit was a new beginning. The clinic had no memory of her. She had to remember everything herself."
The reality for millions of patients across West Africa
Aminata, 28 — HbSS, 24 weeks pregnant, Freetown
Aminata has sickle cell disease. She is 24 weeks pregnant. She has had two prior pregnancies — one normal delivery and one emergency Classical C-section. She sees different clinicians at different facilities depending on which one she can reach and afford on any given day.
Without Kushé: the clinician who sees her today knows none of this. They do not know about the C-section. They do not know she is HbSS. They do not know she is allergic to penicillin — the same medication prescribed routinely for infection in pregnancy.
With Kushé: the clinician scans her QR card. Before they make any clinical decision, the screen shows two alerts — Classical C-section in 2022 and HbSS dual pain management protocol. Her blood pressure trend across five previous visits is visible. Her hydroxyurea compliance is documented.
This is not a technology story. It is a clinical safety story. Kushé is the information that was always needed but never existed.