01 · Intake
Register & triage
Fast patient capture with codes, demographics, and clinic context—optimized for high-volume screening days.
Offline-first · Audit-ready
Patient management built for hypertension & diabetes programs
Nkwapa is a contemporary EMR for multi-clinic teams: structured encounters, prescriptions, RBAC, and sync that works when the network does not—so clinicians stay focused on outcomes, not infrastructure.
Clinic-scoped data · Immutable audit trail
Live workspace preview
Today's queue12 active
Built for programs that need reliability where connectivity is not guaranteed
- FHIR-friendly workflows
- Role-based access
- Offline queue & sync
- Research exports
The gap
chronic programs stall when tools ignore reality
Spotty connectivity, fragmented paper, and generic EMRs that were never designed for HTN and DM programs mean teams spend energy fighting software instead of closing care gaps.
The shift
an emr that fits field conditions
Nkwapa pairs offline resilience with audit-grade controls—so directors, clinicians, and volunteers share one truthful record across clinics.
our story
Nkwapa is an open-source EMR built for clinics managing hypertension and diabetes in low-resource settings. We believe that reliable patient records should not depend on internet connectivity.
Our offline-first PWA syncs automatically when connectivity returns, with role-based access control and audit-by-default so every action is traceable.
Built as a multi-clinic platform, Nkwapa lets health systems manage multiple sites from a single dashboard with clinic-scoped data isolation.
Platform
chronic-care emr capabilities—designed to feel inevitable
Enterprise-grade patterns for patient management: structured workflows, resilient sync, and accountability without the legacy bloat.
Always on
Offline sync· Outbox model
Document encounters without connectivity. Nkwapa reconciles quietly when the network returns—no lost vitals, no duplicate rows.
PWAResilience
Enforced
Role-based access· RBAC
Doctors, preceptors, directors, and volunteers see only what their role and clinic allow—scoped with clear guardrails.
SecurityMulti-site
Live
Structured encounters· HTN · DM
Hypertension and diabetes flows with vitals, drafts, peer review, and finalization built for real clinic velocity.
WorkflowQuality
Clinical
Prescriptions· In-context
Medications tied to encounters and roles so the record stays coherent from screening to follow-up.
MedicationSafety
Compliant
Audit by default· Immutable
Sensitive actions leave an immutable trail so compliance and quality teams can trust what happened, when, and by whom.
AuditResearch
Scale
Multi-clinic operations· Unlimited sites
One platform, many clinics: isolated patient data, per-site queues, and leadership dashboards without data bleed.
OperationsReporting
Clinical journey
from waiting room to longitudinal care
Nkwapa connects the moments that matter: intake, encounter documentation, prescribing, and reliable sync—so teams measure outcomes, not tool friction.
02 · Encounter
Document the visit
Vitals, chronic-disease forms, drafts, and peer review in one coordinated flow.
03 · Prescribe
Mediate safely
Prescriptions tied to encounters and roles, so medication history stays anchored to the clinical record.
04 · Sync
Reconcile everywhere
Push and pull across clinics with an outbox model—built for intermittent connectivity.
our
impact
We are building Nkwapa to make chronic disease management reliable and accessible for clinics that need it most. Here is where we stand today.
500+
Patients managed across pilot clinics
100%
Offline capability — no data lost without connectivity
4
Role types with granular permissions and audit trails
built for clinical teams
Nkwapa is designed for doctors, preceptors, clinic directors, and community health volunteers. Each role gets purpose-built workflows — from patient screening to prescription management to research exports.
The platform handles the complexity of multi-clinic operations so your team can focus on what matters: patient care.
Proof, not hype
what teams say when the emr finally matches the mission
“We finally have one record that survives clinic Wi‑Fi dropping out. That alone changed how honest our hypertension data is.”
Dr. Amara K.
Program lead, urban outpost clinics
“Review queues for preceptors are clear, and audit tells us who touched what. For scale, that discipline matters.”
James Mensah
Clinical operations director
“Multi-clinic isolation was non-negotiable. Nkwapa keeps patients scoped per site without us running three parallel systems.”
Elena Duarte
Health system PMO
special thank you
to our nkwapa
partners
We are grateful for each partner that has supported the development of Nkwapa. From providing clinical feedback to funding infrastructure, there are many ways to get involved.
learn more about becoming a partnerGlobal Health Initiative
Supporting digital health infrastructure in underserved communities across Sub-Saharan Africa.
Open Source Health
Advancing open-source tools for healthcare delivery in low-resource settings worldwide.
better chronic care starts with you.