Insights
Notes from the delivery side of health data
Field notes on interoperability, low-bandwidth delivery, and the unglamorous engineering that actually makes a health exchange work. New pieces publish here as they are written.
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What a telemedicine licence application really asks for in Nigeria
9 min readTelemedicine in Nigeria is not unregulated — it is regulated through instruments most founders never read. Here is what the process actually asks of you, in the order it asks for it.
21 August 2026 · Telemedicine · Regulation · Nigeria
Designing for the 10th-percentile connection, not the median
6 min readThe median connection in Lagos is fine. The connection a community health worker has at 4pm in a PHC with a dying generator is the one your system has to survive. Here is how I design for it.
18 August 2026 · Low-bandwidth · Delivery · Offline-first
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- →Why identity matching is the hardest part of a state HIE
- →FHIR profiles you actually need before onboarding facility one