Insights
Notes from inside the systems
Working notes on health data, identity and digitalization in Nepal - written from inside the hospitals, ministries and systems we work on, not from a distance. No vendor pitch, and no claim that any of it is simple.
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Everything else we have written
Identity
One login, many systems: why central authentication comes first
Once an institution runs more than three systems, the user list stops being an implementation detail and becomes the thing that decides whether anyone is in control…
11 September 2026 · 9 min read
Read moreInteroperability
OpenHIE and OpenHIM: the missing middle of Nepal's health data
Nepal does not have a shortage of health systems. It has a shortage of anything sitting between them. OpenHIE describes the layer that is missing, and OpenHIM is the…
10 September 2026 · 10 min read
Read moreHealth financing
HIB Swasthya Bima is quietly digitalizing Nepal's hospitals
No policy has done more to digitalize Nepali hospitals than health insurance, and it was not trying to. Claims go through an interface, documents must be uploaded, four…
9 September 2026 · 12 min read
Read morePlanning a digitalization or an IT upgrade?
Tell us where you are - still on paper, half digital, or stuck with systems that will not talk. We will say honestly what it takes, in what order, and roughly what it costs.