1
Offline-capable resilience
Modules were architected to allow uninterrupted workflows during complete internet outages. The system caches data locally and performs automatic, secure synchronization the moment connectivity is restored.
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WHOSomaliaPost-conflict healthcareOffline-first
Demartino Hospital: Digitizing Healthcare Delivery in Post-Conflict Environments
How Mogadishu's Demartino Hospital overcame infrastructure volatility and connectivity gaps to achieve a 30% increase in administrative efficiency using a bespoke Hospital Information Management System.
0wkStructured design and deployment cycle
+30%Increase in overall administrative efficiency
0Critical medical inventory stockouts post-deployment
0%Data sync capability during internet outages
Case overview
Deployment at a glance
Region
Somalia · Mogadishu
Period
2024–2029 (5-year contract)
Stakeholder
Demartino Public Hospital, Mogadishu
Products
HIMS, iAssets
Challenge
Before Intrazero's HIMS, Demartino Hospital relied on fragile, paper-based workflows in an environment with frequent internet blackouts. The hospital required a robust, highly simplified digital system that could survive offline periods, speak the local language, and connect remote consultations to global experts.
Solution
Intrazero deployed a comprehensive Hospital Information Management System (HIMS) specifically engineered for low-resource environments: offline-capable resilience, a simplified multilingual UI (Somali/English), and specialized department tracking with integrated telehealth.
Solution stack
HIMS
Deployed in production
iAssets
Deployed in production
Implementation details
Duration
12 weeks
Deployment
Hybrid (on-premise + cloud backup)
Offline-capable modulesMultilingual UI (Somali/English)Telehealth integrationIPD/OPD trackingPharmacy & diagnosticsBlood bank management
Sector context
Why this matters
In post-conflict environments, healthcare delivery is hampered by volatile infrastructure, low digital literacy, and severe resource constraints. Efficient administration is not just about cost-saving; it is about maximizing the impact of limited medical supplies and providing international bodies, like the World Health Organization (WHO), with the accurate, transparent data required to secure ongoing funding and policy support.
The challenge
Before deployment: the operational picture
Before Intrazero's HIMS, Demartino Hospital relied on fragile, paper-based workflows in an environment with frequent internet blackouts. The operational consequences were specific and measurable:
- Critical medical inventory faced unpredictable stockouts due to a lack of visibility.
- Patient wait times were extended significantly by manual processing.
- Billing and administrative workflows were delayed by multi-day manual cycles.
- Data required for WHO policymaking and funding was frequently delayed or inaccurate.
- Staff with varying digital literacy struggled to adapt to complex, language-barriered software.
The hospital required a robust, highly simplified digital system that could survive offline periods, speak the local language, and connect remote consultations to global experts.
The solution
How it works
2
Simplified, multilingual UI
To overcome digital literacy barriers, the platform features highly visual, icon-based interfaces fully translated into both Somali and English.
3
Specialized department tracking & telehealth
Dedicated modules integrate IPD/OPD tracking, pharmacy, diagnostics, and the blood bank. The system also integrates Zoom to enable vital remote telehealth consultations with global specialists.
Tech stack & deployment
PHP (Laravel) backendOffline-first sync layer with local cachingIcon-based multilingual UI (Somali/English)IPD/OPD, pharmacy, diagnostics, blood-bank modulesZoom-integrated telehealth consultations
Compliance posture
- Built to provide transparent, auditable data to WHO policymakers
- Role-based access for clinical and administrative roles
- Full audit trail across patient and inventory events
The solution
How it works
Implementation
Phased rollout
Phase 1
Discovery
Assessing infrastructure limitations and digital literacy levels at the hospital.
Phase 2
Development
Building offline-first architecture and Somali-translated, icon-based interfaces.
Phase 3
12-week deployment
Structured rollout and staff training on the simplified modules.
Phase 4
Telehealth integration
Connecting local operations with Zoom for remote consultations.
Outcomes
Outcomes with measurement methodology
| Metric | Baseline | After deployment | Methodology |
|---|---|---|---|
| Administrative efficiency | Pre-deployment baseline | +30% | Time-and-motion study |
| Critical inventory stockouts | Unpredictable | 0 | Pharmacy module tracking |
| Patient wait times | Manual processing | Reduced | OPD/IPD module tracking |
| Offline operational capability | 0 (paper only) | 100% | System availability during outages |
Administrative efficiency
Baseline
Pre-deployment baseline
After deployment
+30%
Methodology
Time-and-motion study
Critical inventory stockouts
Baseline
Unpredictable
After deployment
0
Methodology
Pharmacy module tracking
Patient wait times
Baseline
Manual processing
After deployment
Reduced
Methodology
OPD/IPD module tracking
Offline operational capability
Baseline
0 (paper only)
After deployment
100%
Methodology
System availability during outages
“This platform by Intrazero has enhanced our ability to manage patient records and streamline healthcare operations across our facilities. Its centralized system allows for better data accuracy, improved workflow efficiency, and easier access to critical patient information.”
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