The Community Health Toolkit (CHT)

A digital public good including open-source software and open-access resources to help partners design and deploy digital health apps for community health systems and frontline health workers.

Past and Current Partners

Skoll Award of Social Entrepreneurship, Global Citizen Accelerate Award, GAVI INFUSE, Pacesetter Laureate of the Tech of Global Good, Fast Forward Accelerator

Active Countries
Burundi, Democratic Republic of the Congo, Ghana, India, Kenya, Malawi, Mali, Nepal, Niger, Philippines, South Africa, Tanzania, Togo, Uganda, Zimbabwe
Thematic area(s)
Open Source
Organisation Name
Medic Mobile Inc. (Medic)

The Problem

Half of the world's population cannot obtain essential health services because doctors, nurses, and facilities are either inaccessible, unaffordable, or under-resourced. These health system failures drive millions of annual deaths and incalculable morbidity, but software and new models of doorstep care can make a difference. System strengthening and system change are needed at unprecedented scale to ensure people can access the care they need and deserve.

The Solution

Medic serves as technical steward and core contributor of the CHT. The CHT is the only fully-open, human-centered, scalable digital solution that is designed specifically for last mile health delivery. It is a free and open-source digital public good, without licensing or per-user fees. Apps built with the CHT support many languages, run offline-first, work with feature phones (via SMS), smartphones (via Android apps), tablets, and computers and contain five highly configurable areas of functionality: messaging, task and schedule management, decision support workflows, longitudinal person profiles, and analytics. Key user groups include Community Health Workers (CHWs), frontline supervisors, facility-based nurses, health system managers, and patients and caregivers.

How it works?

  • Step 1: Medic builds, sustains, and advances the CHT as a digital public good.
  • Step 2: Medic partners with Ministries of Health, NGOs, researchers, and public and private technical partners to design, deploy, and scale digital health apps that meet specific community health, wellbeing, and development needs
  • Step 3: After dedicated training, health workers begin using the digital health apps in their day-to-day activities as they provide doorstep care in their communities.
  • Step 4: High-quality data is created through the use of apps, offering an opportunity and responsibility to monitor health system performance, analyze data across use cases, understand impact, and continually improve the tools.
  • Step 5: With data aggregation and data visualization, Medic works with NGOs and government health system partners to incorporate data into national planning processes and allocate resources to address urgent health needs at the community, regional, and national levels."
Digital X Solution The Community Health Toolkit (CHT)

Bridging the digital divide

Medic designs solutions for complex use cases and health systems with the voice of the end-user included throughout the process (often user groups with historically low literacy rates and minimal exposure to advanced technology). Digital health apps must also support health systems in a wide range of low-infrastructure environments. Apps built with the CHT Core Framework are designed to be offline-first and work with limited internet connections, enabling health workers to carry out important duties even when opportunities to sync their devices may be weeks apart.

Impact and highlights

Digital health apps built with the CHT are deployed in 15 countries in Africa and Asia and support more than 40,000 health workers. Collectively, this cadre of frontline health workers has used CHT-based digital health apps to perform 85M+ caring activities in the communities since 2014. The largest health worker networks currently supported by the CHT are in Kenya, Nepal, and Uganda, each with approximately 10,000 active app users.

Plans for expansion

Where there is interest, political will, and available resources, Medic and the CHT are prepared to support any Ministry of Health, technical organization, and/or implementing agency working to advance community-based health systems.