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 the information layer that makes continuity possible.

​       94  Under-five deaths per 1,000 live births

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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443  Maternal deaths per 100,000 live births

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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1.4%  Newborns born with Sickle Cell Disease, among the world's highest rates

Sierra Leone is one of the highest-burden SCD countries globally, with carrier rates among the highest in West Africa. No national registry exists. Patients are invisible to the health system between crises. Kushé will change that.

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