Continuity of care.Continuity of data.
We help humanitarian and global health organizations get their health data working — from deploying clinical systems to training local teams to own them.

Trusted by global health organizations





The tools are deployed. The data still isn't flowing.
Every week, your teams work around systems that should work for them. The data exists — but it can't be found, compared, or trusted.
A patient is seen. The report is still done by hand.
Your clinical system and your reporting platform don't talk. Someone reconciles them manually — every week, every facility, every program.
New program. Weeks of waiting for a form.
Every new clinical protocol triggers the same backlog: concept mapping, form development, sign-off — before a single patient is seen.
Three teams. Three counts. Three different answers.
Without shared terminology, data can't be compared across sites or systems. Every export needs manual reconciliation before it can be used — or trusted.
Care happens offline. Data stays there.
Community health workers reach patients no system ever captures. Paper forms, days of lag, data entered late — or never. The patient has already moved on.
The system works. Until the vendor leaves.
Tools get deployed. Donors move on. Local teams inherit systems they weren't trained to own, can't troubleshoot, and can't adapt. The paper forms come back.
Six ways we go further.
Grounded in our values & vision
Each of these took years to get right — and they're what we bring to every engagement.

Encouraging open standards. Enabling reusability.
Every tool we use—OpenMRS, DHIS2, OpenFN, FHIR—is open-source and community-maintained. We contribute back 70+ clinical forms across 12+ health programs. Your investment doesn't stay locked in a proprietary system. Your success becomes infrastructure everyone benefits from.
Days to deploy. Not months.
Clinical forms, configurations, and testing—all accelerated by AI-assisted workflows designed by domain experts. A library of 70+ reusable forms from 12+ health programs. New protocols go live in days instead of months. Your team owns the entire system—no black-box AI making clinical decisions.
Any system. Any language. All connected.
We build data pipelines that connect the systems you already have—whatever EMR, whatever national reporting system. Clinical terminology gets standardized across them using OCL and FHIR, following OpenHIE patterns. No more manual exports. No more spreadsheets. All data flows automatically and compares cleanly.
Offline Outreach. Syncs when back.
Full clinical workflows run offline—no internet required. We also deploy the infrastructure that makes field operations sustainable: solar power for reliable energy and cellular or satellite connectivity for eventual sync. When a signal is available, data flows automatically with no manual re-entry.
Global expertise. Local ownership.
We match digital health specialists from our global network to your specific context and health system. Every engagement is designed for knowledge transfer. We measure success not by our ongoing involvement, but by your independence.
We measure what we build.
We have in-house research capacity to measure impact from day one. We track whether the system improves outcomes, how health workers use it, where bottlenecks emerge. If something isn't working, we adapt. For humanitarian programs, guessing isn't good enough—we measure.
Real problems.
Collaborative solutions.
How we've solved health data challenges for organizations like yours.


Modular Health Records for Humanitarian Settings
Deployed to 3 countries in 75% less time. New clinical forms go live in under 5 days. Local teams now manage the platform independently—no ongoing external support needed.


Offline-First Care & Field Infrastructure
Field teams now capture full clinical data offline with zero data loss. Solar and connectivity infrastructure extended coverage to remote sites. Patient documentation increased 40% across previously unreachable areas.


Complete Health Information System
Four integrated systems—EMR, pharmacy, billing, and analytics—all in the team's hands. Zero ongoing licensing costs. Zero external dependencies. Fully sustainable.


National Health Data Interoperability
National HIV program now has real-time visibility into facility data. Lab orders and results flow automatically. 20+ Ministry officials trained to own the system—no external consultants needed.


OCL AI Mapper: Automated Terminology Mapping
Terminology mapping across 55K+ CIEL concepts now happens dramatically faster. Domain experts focus on validation and edge cases—not routine mapping. Health programs launch weeks sooner.
Facing a similar challenge?
Let's discuss how we can solve your specific health data problem.
Get A Free Consultation →From the teams
we work with.
See why organizations choose us as their partner.
Through its philosophy and expertise, Madiro builds a bridge between the complex and evolving world of open source technologies, and the concrete reality of frontline MSF health workers in the field.

Madiro is positioned to be a catalyst, propelling our shared community vision to foster efficiency, reduce costs, and enable harmonious integration with national health systems.

Built openly.
Shared with the global health community
Common questions.
Straightforward answers.

Madiro Labs helps humanitarian and public health organizations deploy and operate open-source digital health systems. We cover the full stack: EMR implementation, health data interoperability, clinical terminology standardization, offline field infrastructure, and local team capacity building.
We work globally in humanitarian and low-resource settings — including Iraq, Lebanon, the Democratic Republic of Congo, Eswatini, and Burundi. Our systems are designed for conflict zones, remote clinics, and national-scale health programs.
We work with OpenMRS 3 (EMR), DHIS2 (national health reporting), OpenFN (interoperability layer), OpenConceptLab (clinical terminology), Apache Superset (analytics), and FHIR-native Android apps for community health workers — following OpenHIE architecture.
Yes. We deploy fully offline-first clinical applications with encrypted local storage and automatic sync when connectivity is available. For field operations, we also install solar power and satellite or cellular connectivity infrastructure.
Using our AI-assisted workflow and a library of 70+ reusable forms across 12+ health programs, a new form can be built, terminology-mapped, and deployed in under 5 days. Health programs that previously took months now launch in days.
Every engagement is designed for knowledge transfer. We provide intensive on-site training, co-build with local technical staff, and measure success by your team's independence — not by our ongoing involvement.
Use the contact form on this page to describe your challenge, country context, and existing systems. We respond within 48 hours with a free assessment.
Let's Connect.
Whether you're deploying a system, exploring a partnership, or just curious about what we do — we'd love to hear from you.
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