Shifo has developed Smart Paper Technology (SPT), to ensure every woman and child receive effective health services, no matter where they live. SPT has reduced health worker administration time by 70%, increased data quality at 99% and it is the most cost-effective solution in the world today, making it sustainable for any low-income country. Since launching SPT in 2016, the solution has been implemented in Uganda, Kenya, Tanzania, Gambia and Afghanistan.


Rustam Nabiev, an expert mobile tech engineer turned health specialist, is creating tools needed by nurses, families, policy- and decision makers in low-income countries to ensure that every child receives essential preventive health care. Rustam’s MyChild solutions are designed with and for frontline workers, enabling them to easily track individual children and entire communities’ immunization records and preventive health needs over time.

Rustam found that adoption of existing digital health record solutions has been unsuccessful because top-down solutions fail to meet the actual needs of local practitioners. Seeing this failure, Rustam founded Shifo to enable frontline workers to easily track individual children’s health development and empower families and communities to participate in the process. MyChild currently takes two forms: the MyChild System can be used on tablets, computers or smartphones while the MyChild Card connects physical health records booklets with the same software technology, enabling the inclusion of the most rural and undeveloped areas. Both solutions aim to “push” information to nurses and families, creating a simple, aspirational tool, which facilitates the work, rather than increasing the administrative burden.

Rustam’s strategy is at its core behavioral – aiming to generate a higher demand for eHealth tools on the ground while increasing the uptake and usage of reliable, transparent health data. He believes effective data capturing is essential for successful healthcare delivery, particularly in the most under-resourced settings. Apart from being cost saving, they also provide a wealth of data to unleash regional and local teams’ ability to problem-solve, innovate, and drive significant improvements in the system. Throughout, Rustam and his team design MyChild in a way that allows it to be adopted by and influence the wider health care system, ensuring, for example, that it will integrate effectively with other digital platforms and a national records systems once the ecosystem is ready for it.

Shifo has worked strategically to achieve full uptake of the MyChild System in 48 clinics, and works on the ground to drive improved health outcomes. To date, more than 50 000 children have received unique IDs and more than 10 000 have been fully immunized. Rustam is currently piloting MyChild Card at two clinics in Uganda to demonstrate its effectiveness before scaling up into other areas. The goal is to scale MyChild System to 25 countries by 2020 in order to reach 20 million children, followed by one billion children by 2030, starting in Uganda, Gambia and Afghanistan.


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