OneHealthEHR Goes Live in Liberia, Ghana

OneHealthEHR Inc. has moved its electronic health record (EHR) and disease-surveillance platform from development into live clinical use in Liberia and Ghana, marking a significant step in the company’s effort to modernize healthcare information systems in low-resource settings.

The platform went live on September 1, 2026, initially across four facilities. Within just over three weeks, the deployment had expanded to seven active clinics and health centers, with additional facilities reportedly waiting to join the rollout. The company is targeting between 30 and 40 clinics and hospitals by the end of December 2026.

The development places Liberia at the center of an emerging digital-health initiative designed around one of the country’s most persistent healthcare challenges: how to maintain reliable patient records and generate timely public-health information in an environment where electricity and internet connectivity can be inconsistent.

OneHealthEHR says its platform was specifically designed for such conditions. Unlike systems that depend continuously on internet connectivity, the platform is offline-first, allowing clinicians to continue recording patient information when connectivity is unavailable and synchronize data securely once a connection is restored.

That design could have particular relevance for Liberia, where healthcare facilities outside major urban areas can face infrastructure constraints. OneHealthEHR’s own implementation materials identify paper-based records, fragmented care, limited digital infrastructure and unreliable connectivity as among the challenges confronting healthcare systems in the region.

The transition to production use represents an important change in the company’s development trajectory.

OneHealthEHR had previously described its initial rollout as a limited pilot involving selected Liberian facilities, including Barcolleh Health Center in Kakata, Care Africa Medical Foundation in Buchanan, Ruth Howard Medical Clinic in Paynesville and Hope For Women International in Monrovia.

The company’s latest announcement indicates that the technology has now progressed beyond preparation and testing into daily clinical operations involving real patients.

“This is a defining moment for OneHealthEHR and for the clinicians we serve,” said Richmond Appleton, President and CEO of OneHealthEHR Inc.

“We set out to build a health record system that works where many systems fail: in clinics with unreliable power and connectivity, serving communities that deserve the same quality of care as anywhere in the world.”

Appleton said seeing doctors, nurses and registration personnel use the platform in routine care represents the practical validation the company had been seeking.

“The demand we are seeing from clinics waiting to join tells us the need is real, and we are ready to scale,” he added.

That emphasis on real-world implementation is significant. Digital-health projects can demonstrate technical capabilities in controlled environments, but their value ultimately depends on whether health workers can incorporate them into everyday clinical workflows without disrupting patient care.

OneHealthEHR is built around FHIR R4 and HL7 interoperability standards, which are intended to facilitate structured exchange of health information between compatible systems.

The significance goes beyond replacing paper files.

The company says the same platform can provide clinicians with patient information at the point of care while also generating timely information for disease surveillance and outbreak response.

That creates a potential bridge between clinical care and public health.

For a country such as Liberia, which has experienced Ebola, COVID-19 and other public-health emergencies, the ability to move reliable information from health facilities toward surveillance authorities can be particularly important.

The company’s partnership with the National Public Health Institute of Liberia (NPHIL) is therefore central to its broader strategy. OneHealthEHR says its collaboration with NPHIL supports digital-health technology for public-health surveillance, disease monitoring and pandemic preparedness.

The company’s earlier engagement with Liberian policymakers also points toward a broader ambition. In March 2026, OneHealthEHR Africa announced engagement with Liberia’s Senate and House health committees around a national digital-health framework, while a February delegation to Liberia reportedly secured commitments from healthcare facilities for pilot implementation.

Local design for local realities

Another important feature of the initiative is its stated emphasis on co-design.

OneHealthEHR says the platform was developed with local clinical staff to reflect how healthcare is actually delivered in participating facilities.

That approach addresses a common problem in technology adoption: systems designed elsewhere can impose workflows that do not correspond to local staffing patterns, infrastructure, reporting requirements or clinical realities.

Appleton said the company deliberately sought to reverse that model.

The objective, he explained, is to build technology around the conditions in which African healthcare workers operate rather than expecting facilities to conform to technology designed for better-resourced environments.

The company’s own materials describe its broader mission as removing technological barriers to healthcare access and empowering providers with digital tools for patient care and health-system management.

OneHealthEHR’s expansion also highlights the importance of partnerships in digital-health transformation.

The company identified a consortium involving Actimage GmbH of Germany; OneHealthEHR Africa; NPHIL; Eticas Research and Consulting SL and Vall d’Hebron Research Institute of Spain; MERIC of Switzerland; Dialectos.ai of Greece; and Byron Labs SL of Spain.

The partnership brings together public-health institutions, technology developers and research organizations.

“No single organization can transform health systems alone,” Appleton said.

“Our partners bring public health leadership, technical expertise, research excellence, and a shared commitment to health equity. Together, we are laying the digital foundation for stronger, more resilient health systems in West Africa.”

Christopher Kunney, Corporate Board Chair of OneHealthEHR Inc., described the transition into live patient care in two countries as an important organizational milestone.

“Moving from development to live patient care in two countries shows what this company can deliver,” Kunney said, adding that the board is committed to supporting the team as it scales.

The expansion from four to seven facilities in approximately three weeks is encouraging for the company, but the larger test will be whether that pace can be sustained without compromising reliability, cybersecurity, data protection, user training and clinical quality.

Moving from seven facilities to 30–40 by December will require more than software.

It will require dependable technical support, adequate devices, power solutions, staff training, user adoption, data-governance safeguards and mechanisms for measuring whether digitization actually improves clinical workflows and patient outcomes.

The company’s stated five-year ambitions are considerably larger. OneHealthEHR says it aims to work with more than 100 healthcare facilities and serve between 5,000 and 10,000-plus patients through partner facilities.

That makes the current pilot particularly important. The facilities now using the system effectively become a testing ground for whether an offline-first model can be expanded across different types of health facilities and geographic environments.

The Liberian healthcare system has made progress since the civil war, but the country continues to face constraints involving health infrastructure, workforce capacity, information management and access to timely data.

Digital transformation cannot solve all of those problems. But reliable electronic records can potentially improve continuity of care, reduce dependence on vulnerable paper files, strengthen reporting and give health authorities better information for planning and responding to disease threats.

OneHealthEHR’s significance, therefore, is not simply that another technology company has launched a product.

Its larger proposition is that digital health systems can be designed around African realities rather than treating infrastructure limitations as a reason to postpone digitization.

The company is also seeking healthcare facilities, partners and investors to support expansion, reflecting its intention to develop the initiative beyond the current pilot.

For Liberia and Ghana, the immediate question is whether the technology can translate its technical promise into measurable improvements in clinical practice and public-health intelligence.

If the platform can demonstrate that clinicians can work efficiently offline, synchronize securely, access usable patient histories and contribute timely surveillance information, the current seven-facility rollout could become more than a pilot.

It could become a practical demonstration of how locally adapted digital infrastructure can help move West African healthcare from fragmented paper records toward connected, data-informed and more resilient care.