When a patient moves from one clinic to another — searching for medicines they can afford, following a referral, presenting in an emergency — the receiving clinician knows nothing about them. There is no record that travels with the patient. Every encounter starts from zero.

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A woman with a prior Classical C-section presents in labour at a new facility. No one knows. A child with HbSS sickle cell disease arrives in pain at a clinic that has never seen them. The care they receive depends entirely on what they can remember and communicate — in pain, in fear, sometimes unconscious.

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Patients hop between clinics searching for affordable medicines. Non-compliance is not unwillingness — it is poverty and fragmentation. Kushé is designed to be the information layer that makes continuity possible.

​       90  Under-five deaths per 1,000 live births (2023)

One of the highest child mortality rates in the world — driven by malaria, pneumonia, malnutrition, and neonatal complications that a persistent health record can help address

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354  Maternal deaths per 100,000  live births (2023). Sierra Leone's maternal mortality rate is among the worst globally. Prior C-section type, blood pressure trends, and ANC attendance are all in Kushé's maternity episode model

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20-25%  of Sierra Leoneans carry the sickle cell trait - among the highest rates in the world. The number living with sickle cell disease has nearly doubled since 1990. More are surviving. More need care for life. (Global Burden of Disease Study 2023 estimates; Faulkner et al., PLOS ONE, 2026)

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