A South Sudanese midwife examining a child with a stethoscope at a rural clinic

No power. No records.No history.

Most of South Sudan's clinics run on paper-based records that get lost, damaged, or destroyed — and when the paper goes, the patient's story goes with it. Tamam brings digital records that work offline, so care never starts from zero — one system built to hold every community's story, not just one clinic's.

Scroll
The Problem

A health system asked to do the impossible

Across South Sudan, clinics and hospitals deliver care through conflict, flooding, and displacement — on paper registers, without reliable power or connectivity.

1,223maternal deaths per 100,000 live births

The highest maternal mortality rate in the world. In the US, the rate is under 20.

WHO
1:65,000
doctors to peopleOne physician serves roughly 65,000 people — among the lowest ratios on Earth. WHO / UNFPA
40%
of health facilities are functionalFewer than half of clinics and hospitals can actually deliver care. UNFPA
10M+
people need humanitarian assistanceTwo-thirds of the entire population, projected for 2026. UN OCHA

How care breaks down, visit after visit

Paper → Delay → Misdiagnosis
A family reviewing paper health records
Paper-based record systemEvery visit starts from scratch — histories live in ledgers, slips, and memory.
A crowded pediatric ward
Slow diagnosis processClinicians rebuild each patient's story by hand while wards fill past capacity.
A health worker recording medication in a paper register
MisdiagnosisMissing history means duplicate treatment, wrong calls, and lost follow-up.
Ground Truth

The daily reality inside South Sudan's facilities

Documented across South Sudanese facilities, from the wards to the waiting line — the same failures repeat on both sides of the consultation desk.

From the wards

Medical experts

High data loss between visits and departments
Duplicate treatment from missing histories
Poor insights for planning and reporting
From the waiting line

Patients

Manual transfers between facilities are ineffective
Misdiagnosis from incomplete records
Very slow clinical flow, long waits
The Solution

Simple enough for the front desk. Strong enough for the nation.

Everything the paper system loses — history, time, trust — Tamam keeps. One offline-first record that follows the patient through every visit.

Today — fragmented on paper
Paper ledgersLab slipsReferral notesPharmacy logsVaccination cards
Scattered across desks, drawers, and memory — lost with every flood, fire, and transfer.
Tamam Healthcare System
With Tamam — one connected record
One patient record Facility dashboard DHIS2-ready national reports
Offline-first, synced when connection returns — nothing lost, nothing rewritten.

Offline first

Clinics keep working through power cuts and network gaps, then sync safely when connection returns.

Fingerprint registration

Patients without papers register once — fingerprint and photo give undocumented patients an identity that can't be lost.

GeocodeIDs

Geocoded patient IDs make every record findable across facilities — referrals and transfers follow the patient.

One patient record

Every visit adds to the same story — no duplicate files, no histories rebuilt from memory at the front desk.

Full clinical workflow

Registration, triage, consultation, lab, pharmacy, and billing — every step tied to the same visit.

Dashboards & reporting

Clean records roll up into facility dashboards and DHIS2-ready national reports — no month-end tally sheets.

Secure by design

Sensitive health data is encrypted and access-controlled at every layer, from the clinic device to the national server.

Runs on simple devices

Works on affordable tablets and phones with solar power — no server room, no IT department required.

The Products

Six products, one connected encounter

From referral hospitals to single-room clinics — every product ties back to the same record, built for intermittent connectivity.

Hospital clinicians coordinating patient care
HMIS

Hospital Management System

For State, County & Referral hospitals

A connected facility platform for OPD, IPD, ward management, laboratory, imaging, pharmacy, billing, HR, and reporting, all tied to the same patient record.

Patient RegistryOutpatient & InpatientWard & Bed ManagementLaboratoryImagingPharmacyBilling & PaymentsReporting & BIDHIS2 Sync
Community health worker at a primary care clinic
CMS

Clinic Management System

For PHCUs, private practices & faith-based clinics

Everything a single-site clinic needs to run a full patient day: registration, consultation, prescriptions, basic lab, dispensing, billing — offline-first.

Patient RegistryOutpatient ConsultationLab OrdersPharmacy DispensingBillingDHIS2 Sync
Lab staff recording results
LIS

Laboratory Information System

For diagnostic centres & hospital labs

Receive orders from any clinician, run bench workflows, capture results, validate, and release them back into the encounter.

Order IntakeSpecimen TrackingResult CaptureQuality ControlTAT DashboardsCritical Result Alerts
Radiologist reviewing imaging on a workstation
RIS

Radiology Information System

For radiology centres & imaging departments

Schedule modalities, accession studies, capture findings, and deliver reports back to the ordering clinician — connected to the same record.

Modality SchedulingStudy WorklistStructured ReportingPACS IntegrationDICOM Export
Pharmacist preparing a prescription
PMS

Pharmacy Management System

For retail & hospital pharmacies

Track medicines from stock to dispense, manage batches and expiry, fill electronic prescriptions, and keep pharmacy activity visible.

Inventory & BatchesExpiry TrackingReorder AlertsElectronic Rx DispensingPOS for OTCSupplier Orders
Health worker helping a patient access their records on a phone
PPS

Patient Portal

Patients' window into their own care

Patients see their own records, prescriptions, lab results, and visit history — on a phone, by SMS, or at a kiosk — and share feedback that flows back to the facility.

My RecordsPrescriptions & ResultsVisit HistoryAppointment RemindersFeedback & Follow-up
National Alignment

Built around South Sudan's own health system

The Ministry of Health's 2025 Essential Health Services Packageorganises the country's care into six levels — and names fragmented, paper-bound data as one of its biggest gaps. Tamam is shaped to fit that system, not replace it.

The six levels of care

Served by Tamam
Community — Boma Health InitiativePromotion, screening & referral
Registry & referral
Primary Health Care Unit (PHCU)First formal point of care
CMS
Primary Health Care Centre (PHCC)Expanded primary & maternity care
CMS
County HospitalFirst referral & inpatient care
HMIS
State HospitalSecondary & specialised care
HMIS
Referral / Tertiary HospitalTertiary & teaching care
HMIS

Every level writes to the same patient record and rolls up into DHIS2-ready national reports — with laboratory, imaging, pharmacy, and the patient portal plugging in across the hospital and diagnostic tiers.

The reality Tamam is built for
4%of facilities have a computer with internet SARA / EHSP 2025
13%have any on-site power source SARA / EHSP 2025
1.42health facilities per 10,000 people — against a national target of 2 EHSP 2025
7.6health workers per 10,000 people — the WHO norm is 44.5 EHSP 2025
38.7UHC service-coverage index, out of 100 EHSP 2025
The Ministry's own diagnosis

The sector still runs on parallel, disconnected systems — and the lack of accurate, timely data means care and planning can't rely on what's recorded.

Paraphrased from the South Sudan Essential Health Services Package, 2025 — the exact gap a single offline-first record closes.
The Goal

Prove it works, then bring it to every clinic that needs it

We're raising $100,000 to launch TamamHealth in 10 clinics across Juba and greater South Sudan — proof that offline-first digital records can work in the hardest conditions.

$100Kpilot goal to launch across 10 clinics
10clinics in Juba and greater South Sudan
12mofrom equipment to measurement and scale
The Team

Built by people who've lived this

Teny Makuach
Teny MakuachFounder & Developer
Ekow Williams
Ekow WilliamsCommunity & Partnerships
Toye Adebayo
Toye AdebayoProject Manager
Mark Dosu
Mark DosuSoftware Developer
Chinonye Hycent
Chinonye HycentResearch Lead
Isaac Kyalo
Isaac KyaloTechnical Lead
Get involved

The problem is enormous. The fix is buildable.

Facility, NGO, funder, or just curious — tell us what you're building or how you want to help.

support.tamam@gmail.comFounded at Tufts University · starting in South Sudan, built to scale