How We Reached 12,900+ Patients & Healthcare Workers in 120+ Countries With Zero Internet Required
The complete implementation toolkit from Hepatitis Care Companion — Real lessons, templates, and frameworks for building offline-first digital health tools that reach excluded populations.
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⚠️ LOOKING FOR THE FREE HEPATITIS CARE COMPANION APP?
This is NOT the app. The Hepatitis Care Companion app remains completely FREE for all healthcare workers and patients.
This toolkit is a PAID professional resource for programme managers, NGOs, and developers who want to BUILD their own offline-first tools.
12,900+ users
67% in LMICs
120+ countries
73% offline usage
100% 5-star rating
6 languages
What's Inside This Toolkit
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9 comprehensive sections with real implementation lessons, budgets, and templates
📘Section 1: Introduction
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Why offline-first architecture matters for health equity
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The case for designing for excluded populations first
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Digital health equity framework
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Real-world examples from 120+ countries
📘Section 2: Digital Divide Reality
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Understanding connectivity barriers in high-burden regions
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WHO guideline accessibility gaps
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Field data from Nigeria, Pakistan, India
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Quantifying the digital exclusion problem
📘Section 3: User-Centered Design
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Designing for low-literacy, low-connectivity users
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Field testing lessons from real deployments
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Language adaptation strategies
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Interface simplification techniques
📘Section 4: Technical Architecture
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PWA vs. Native vs. Hybrid - decision framework
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Local storage strategies for 200MB+ content
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Sync architecture patterns
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Testing frameworks for offline-first
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Real technical specifications
📘Section 5: Partnership & Funding
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Why grant-dependency fails
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Structuring commercial partnerships ethically
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Gilead Sciences + NNUH governance model
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Protecting editorial independence
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Partnership agreement framework
📘Section 6: Implementation Process
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Month-by-month roadmap (24-month timeline)
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Phase 1: Development & Co-Design (Months 1-6)
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Phase 2: Pilot Deployment (Months 6-12)
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Phase 3: Scale & Evaluation (Months 12-24)
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Real budgets: $105,000-$262,000 development
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Common pitfalls and how to avoid them
📘Section 7: Evaluation & Impact
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Metrics that matter for equity (NOT vanity metrics)
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How to prove you're reaching excluded populations
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Device data as income proxy
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Offline usage patterns analysis
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Cost-effectiveness: $13.95/user
📘Section 8: Complete Case Study
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Problem: 254M with chronic hepatitis B, only 3% treated
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Design decisions and alternatives considered
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Results: 12,900 users, 100% 5-star, 73% offline
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What worked and what we'd do differently
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Replication for HIV/TB/NCDs/maternal health
📘Section 9: Appendix
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Appendix: M&E Plan Template (KPI tracking, cost calculator)
Preview: Introduction Section
Sample from Section 1 — The complete toolkit includes 9 sections + 1 appendix (100+ pages)
📘Section 1: Introduction
1.1 The Digital Divide in Digital Health
Digital health tools designed for high-income countries with reliable internet systematically exclude the populations with the highest disease burden. 254 million people live with chronic hepatitis B globally, yet 68% are in regions (Western Pacific, Africa) where internet connectivity is unreliable or absent.
Traditional digital health approaches fail because:
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They require constant internet connectivity (excluding 2.6 billion people offline or with intermittent access)
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They're designed for English-speaking, tech-literate users (excluding billions who speak other languages or have limited digital literacy)
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They're built with grant funding that expires (creating "innovation graveyards" where tools die after 2-year pilots)
1.2 The Offline-First Alternative
This toolkit provides an evidence-based alternative: offline-first architecture that prioritizes excluded populations from Day 1, not as an afterthought. Hepatitis Care Companion deployed this approach and reached 67% of users in low/middle-income countries, with 73% of usage occurring completely offline.
Cost per user: $13.95 over 3 years vs. $100-150 for one-time in-person training.
1.3 What This Toolkit Provides
This is not theory — this is the complete implementation guide from deploying a real offline-first digital health tool to 12,900+ healthcare workers across 120+ countries. You'll get:
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Real budgets ($105K-$262K development ranges with detailed breakdowns)
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Partnership frameworks (commercial + academic governance structures)
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Technical specifications (PWA vs native decisions, storage strategies, sync architecture)
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Equity metrics (how to prove you're reaching excluded populations)
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Implementation roadmap (24-month timeline with month-by-month deliverables)
👉 This is just a sample. The full toolkit includes 8 additional sections covering technical architecture, partnerships, implementation, evaluation, and complete case study + 3 ready-to-use templates.
Who Uses This Toolkit?
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Programme Managers
Implementing digital health interventions in low-resource settings
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NGOs & UN Agencies
ImpleWorking in low-connectivity environments across LMICs
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Digital Health Developers
Building equity-focused health technology tools

