Afghanistan Pilot Program

Pilot Snapshot

The key facts of the pilot at a glance—its scope, timing, team, and focus.

Item	Value
Country	Afghanistan
Duration	3 months
Dates	Aug 1 – Oct 31, 2026
Team	1 Program Lead · 2 Clinicians · 2 Field Workers
Target Patients	100
Technology	Welnote
Primary Focus	Continuity of Care
Status	Seeking Pilot Partners

1Program Overview

Objective

The Afghanistan Pilot Program will evaluate whether an offline-first care coordination platform can improve continuity of care in low-resource communities—by connecting field workers, remote clinicians, and program coordinators around structured patient follow-up.

The pilot is intentionally limited in scope. It is designed to validate operational workflows rather than clinical outcomes at scale.

Pilot duration

1 August 2026 – 31 October 2026.

Geographic area

To Be Confirmed (TBC). A district will be selected with an implementation partner against the following criteria:

Existing local partner presence
Availability of field workers
Access to referral facilities
Community acceptance
Mobile device availability
Basic mobile network coverage

2Pilot Team

Core team

Role	Count	Responsibility
Program Lead	1	Program oversight, partner coordination, and reporting
Remote Clinicians	2	Direct patient contact, case creation and review, care plans, and referral recommendations
Field Workers	2	Patient registration, follow-up visits, and data collection

Partner organizations

The pilot will be conducted through one or more locally registered implementation partners. Partner responsibilities may include:

Community engagement
Field worker recruitment
Clinical supervision
Referral pathway management
Regulatory and operational approvals

3Pilot Scope

Included services

Initial activities focus on structured follow-up and continuity-of-care workflows, such as:

Maternal health follow-up
Postpartum follow-up
Child health follow-up
Nutrition monitoring
Chronic disease follow-up
General community health check-ins

Out of scope

The pilot will not provide:

Emergency response services
Hospital management
Medication dispensing
Diagnostic imaging
Laboratory operations
Autonomous AI diagnosis
Replacement of local clinical authority

4Pilot Workflow

Step 1 — Patient contact & case creation

A case can start in the field or remotely: a field worker visits the patient in the community, or a doctor contacts the patient directly. Creating a case may involve:

Registration
Consent confirmation
Structured observations
Symptom collection
Follow-up documentation

Step 2 — Case submission

Case information is stored locally on the device and synchronized when connectivity becomes available.

Step 3 — Clinical review

A remote clinician reviews the submitted case and may provide:

Follow-up recommendations
Referral recommendations
Additional information requests

Step 4 — Follow-up

A field worker—or the doctor in direct contact with the patient—conducts the follow-up and records the outcome.

Step 5 — Program monitoring

The program lead reviews aggregate metrics and operational performance—without accessing individual clinical records.

5Target Activity Volume

This pilot is intended to validate workflows rather than achieve large-scale coverage. Targets may be adjusted with partner feedback.

Metric	Target
Patients enrolled	100
Cases reviewed	100–200
Follow-up visits completed	50+
Clinical reviews completed	90%+ of submitted cases
Program duration	3 months

6Technology

Welnote Mobile App

Used by field workers for:

Offline data collection
Patient tracking
Follow-up scheduling
Case submission

Welnote Web Portal

Used by clinicians and program leads for:

Case review
Care planning
Program monitoring
Reporting

Data principles

Offline-first operation
Store-and-forward synchronization
Pseudonymous patient records
Audit logging
Role-based access control

7Monitoring & Success Criteria

Operational success

The pilot will be considered operationally successful if:

Field workers consistently use the platform
Cases can be reviewed remotely
Follow-up activities can be tracked
Data synchronization remains reliable
Referral workflows function as expected

Learning objectives

The pilot seeks answers to the following questions:

Can field workers effectively capture structured patient data offline?
Can clinicians review cases remotely with sufficient information?
Can patient follow-up be tracked more consistently?
Can program reporting be generated with reduced administrative effort?
What workflow improvements are required before broader deployment?

8Privacy & Safeguards

Patient privacy

The pilot follows the principle of minimum necessary data collection. Measures include:

Pseudonymous by default; real names visible only to program members (row-level security)
Controlled user access
Encrypted data transmission
Audit trails
No public disclosure of patient information

Clinical boundaries

Field workers collect information, conduct follow-up, and escalate concerns.

Field workers do not:

Diagnose conditions
Prescribe treatment
Replace clinicians

Clinical decisions remain the responsibility of qualified healthcare professionals.

9Budget Summary

The initial pilot budget is expected to be modest and focused primarily on personnel and operations. A detailed budget will be finalized with implementation partners.

Item	Amount
Clinician honorarium	¥150,000
Product development & operations	¥450,000
Connectivity, devices & SIM, etc.	¥100,000
Translation & interpretation	¥50,000
Research & evaluation	¥200,000
Legal consultation	¥150,000
Contingency	¥100,000
Total	¥1,200,000

10Partner Feedback Requested

Welnote welcomes feedback across four areas:

Clinical

Appropriate service scope
Referral pathways
Clinical supervision requirements

Operational

Staffing assumptions
Community engagement approach
Training requirements

Regulatory

Licensing considerations
Data handling requirements
Deployment approvals

Program design

Target patient populations
Success metrics
Sustainability considerations

11Next Steps

Before launch

Confirm pilot district
Confirm implementation partner
Confirm clinical team
Finalize operating procedures
Conduct training
Complete field readiness review

Pilot period