It feels like there aren't a lot of people in this thread that have spent any time in this space, specifically health care in East Africa or the wild wild world of NGOs / aid there.<p>This has the same breathless and "six weeks of hacking to save babies" feel to it that every other project starts out with. What exactly is different? There are a zillion mini-EMRs operating in East Africa, especially Uganda, what most lack is real integration and cooperation with the government to make them sustainable and scale. What is the story there for Watsi? Why will Watsi avoid the complexity of a real EMR like OpenMRS? Are you integrating with them?<p>There's a slide somewhere that I think UNICEF put together of all the NGO (as in non-UG-government, not just non profit) health projects active in Uganda. It is this hilarious demonstration of the crazy amounts of bootstrapped projects exactly like this and just how much they overlap.<p>To the founders, have you read The White Man's Burden? If not, please bump it to the top of your list.<p>Source: I lived in neighboring Rwanda for 5 years and work in this space, including projects in Uganda. It is a fascinating space with lots of opportunity for good, but also one that requires real introspection on why you are pursuing particular strategies and whether that is being driven by ego or truly because you think it is the best for the people. Almost always the answer is that no, a new thing isn't required, but rather you should be pitching in with someone else or building upon an imperfect system to better it, because that system is government owned and managed and thus will be sustainable and gives the country and people agency. This is why aid is hard work, because most good organizations have moved past the "hey, look what we built you stage" to instead trying to build capacity and institutionalize changes. That is so much more difficult but much better tack, though my beliefs are still more in the camp of direct cash transfers these days.