Afghanistan Pilot Program

Primary care for underserved communities.

Welnote helps patients, families, care workers, and doctors stay connected when distance, limited connectivity, and fragile health systems make continuous care difficult.

Download on the App StoreGet it on Google PlayRequest demo
Health worker walking along a tree-lined path toward a community clinic.

Built for communities where healthcare is difficult to reach.

Most digital health platforms are designed for functioning healthcare systems. Welnote is designed for environments where connectivity, infrastructure, and institutions cannot always be trusted.

Traditional health systems assume

  • Reliable internet
  • The same clinicians over time
  • Coordinated providers
  • Patients who return to the same clinic

Humanitarian environments often face

  • Connectivity outages
  • Frequent staff turnover
  • Fragmented providers
  • Patients moving across regions

The problem runs deeper

When care is interrupted, information is lost or never recorded. People move, clinicians change, and each provider starts from zero—so patients repeat the same story while doctors work with incomplete information. What's missing isn't bandwidth. It's shared memory: a longitudinal view of the patient over time.

Connectivity and infrastructure are only the conditions. The real failure is that care loses its continuity.

Most healthcare is not emergency care.

When we picture healthcare, we think of ambulances, emergency rooms, and operating rooms. But most health needs arrive long before an emergency—and most never become one. They unfold over months and years, and depend on observation, communication, and continuity.

A health worker measuring a patient's blood pressure with a cuff.
  • 90%primary & continuous care
  • ~10%hospital & emergency

The WHO and World Bank estimate that over 90% of essential health needs—maternal care, chronic disease management, immunization, and rehabilitation—can be met through primary care. Only about 10% require a hospital, surgery, or intensive care.

What continuous care looks like

  • Pregnancy
  • Child health
  • Hypertension
  • Diabetes
  • Medication follow-up
  • Recovery

Most healthcare happens here—in the slow, continuous work of primary care. It's the care Welnote is built for.

Continuity

Primary care runs on continuity.

Primary care is rarely a single visit. A pregnancy is followed for months; a chronic condition, for years; a diagnosis often emerges only over time. It works when each visit builds on the last, instead of starting over.

That carrying-forward is continuity—and it's the first thing to break when systems are fragile. Welnote is built to hold it together.

Built by many hands, on one record.

A case is built around the patient—by the family who notices, the field worker who measures, and the doctor who reviews. These pieces rarely arrive in a fixed order: a question can prompt a new observation, a follow-up can open a fresh concern. Welnote keeps them all on one continuous record.

  1. Concern

    Patient & field worker

    Someone raises a concern

    A case begins with what a patient or family notices, not a diagnosis—often just a few words. The patient or a field worker creates a new case—under a pseudonymous ID by default, with a real name optional—and records the symptoms and changes they notice.

    “My baby isn’t feeding well.” “My head feels strange, and I can’t sleep.” “My chest hurts when I breathe.”

  2. Observation

    Field worker & family

    Detail is added

    Field workers record vitals, symptoms, photos, and audio at the point of care, while families describe the changes they see between visits.

  3. Questions

    Doctor

    A clinician asks

    A remote doctor opens the record and asks for the specific details they need to reason safely from a distance—often sending it back for more.

  4. Guidance

    Doctor

    A plan takes shape

    With a clearer picture, the doctor authors a care plan or referral for the field worker to carry out.

  5. Follow-up

    Field worker & supervisor

    Follow-up and outcomes

    The field worker carries out the plan and records what happens next—which may open a fresh concern. Supervisors track follow-through and outcomes at the program level.

Welnote treats a case not as a form to complete, but as a living record—one that evolves with every observation, question, and follow-up.

Synced and secure.

A shared record is only useful if it's trustworthy. Welnote keeps it in sync across every device and connection, scopes access to each role, and protects patient identity by default.

01 · Sync

It stays in sync—online or off.

A case travels from the field to a doctor and back, with no one waiting for anyone else to be online.

Captured offline

A field worker records the case on mobile—no signal needed.

Synced up

When connectivity returns, it uploads automatically.

Reviewed by a doctor

A doctor reads the full history and writes a plan.

Back to the field

The plan syncs to the field worker's device on the next connection.

The same loop repeats with every follow-up—no double entry, nothing lost.

02 · Access

Each role sees only what it should.

Access is role-based, so each person sees only what fits their job. At the point of care the same role is shared by the patient, their family, or a local care worker—then doctors review and plan, supervisors track outcomes, and admins manage access.

Patient / Field worker

The same role used by the patient, a family member, or a local care worker to document care at the point of contact—no signal required.

  • Opens cases and registers patients
  • Captures vitals, photos, and audio in the field
  • Schedules and completes follow-ups

Doctor

Reviews the full history before responding—on a phone or a laptop.

  • Case queue sorted by risk and urgency
  • The patient timeline across every encounter
  • Care plans and referrals that sync back

Supervisor

Tracks program health without opening individual clinical records.

  • Follow-up compliance by district and program
  • Referral pipeline with overdue tracking
  • Aggregate reports for donors and partners

03 · Privacy

Identities stay protected by default.

Records are encrypted on device, pseudonymous by default, and scoped to each program—with a server-side audit trail for every clinical change.

Encrypted on every device

Patient records on your device are protected with AES-256 encryption. All communication with our servers is secured with TLS.

Pseudonymous by default

Every patient is referenced by a pseudonymous ID—no real name on the record unless a program explicitly enables it for the clinicians and field workers who need it.

Isolated and accountable

Each program is its own security boundary: one program cannot see another's data. Every clinical change is logged server-side, so access and edits leave a trace.

Capture in the field, review from anywhere—and trust that every record stays complete and protected.

For programs where continuity is the challenge

Care fragments when patients move, providers change, and connectivity drops. Welnote keeps one shared patient record across every encounter—so follow-ups don't stall, referrals don't pile up, and program managers see where districts need support.

A dusty sunset over a rural Afghan village, with people walking in silhouette.

Continuity, where care is hardest to reach.

Community Health Programs

Cases pass between CHWs, districts, and remote clinicians—without a shared timeline, follow-ups stall and history disappears.

Follow-up complianceCase volume by districtOverdue follow-ups

Refugee Health Services

Patients move between sites and providers; pseudonymous IDs keep one continuous record without storing real identities.

Referral urgencyCase type mixSync status

Mobile Outreach Teams

Visits happen offline in areas with no signal—capture persists locally and syncs to clinical review when connectivity returns.

Sync statusOverdue follow-upsProgram completion rate

Maternal Health Follow-Up

Antenatal visits and risk flags must carry across months of care—one timeline tracks every scheduled follow-up through delivery.

Follow-up complianceRisk flag trendsReferral urgency

Chronic Disease Monitoring

Recurring episodes and observations need a longitudinal view—not isolated visits scattered across providers.

Case type mixProgram completion rateRisk flag trends

Humanitarian Health Response

Fragmented providers, staff turnover, and unstable networks—deploy fast with a shared record that survives site and team changes.

Case volume by districtReferral urgencySync status

For doctors

Review incoming cases with the patient's full history in front of you—not a list of disconnected tickets. Write care plans and referrals that sync directly back to field workers, all from your phone.

Explore the doctor experience

For NGOs

No facilities, no IT team. Go live in days, not months, and start capturing care in the field on day one. Track follow-up compliance, referral pipelines, and regional performance without touching individual clinical records, and report to donors on data that never identifies a patient.

Explore programs

For partners & sponsors

Fund care that reaches further. Welnote turns support into continuity of care—with measurable, pseudonymous outcomes and data ethics built in from the start.

Explore partnership

Where care is hardest to deliver, continuity matters most

Running a humanitarian health program or coordinating remote clinical review? Get in touch.

Sign inPartner with us