Boolbyte

For Government & Public Health

Every clinical hour counts.
Automation makes more of them available.

When the constraint is structural, the only answer is making every clinical hour go further. Boolbyte runs the coordination across every facility, consistently, at scale.

Coordination coverage

36 STATES
LOWER
HIGHER

73%

COVERAGE

+9.4%

VS Q1

12

NEED SUPPORT

The context

Nigeria cannot hire its way out of this.

The workforce constraint is structural compounded by migration and geographic concentration
Adding clinicians faster than the system loses them is not a viable strategy
Making every clinical hour currently available go further is the only answer

Nigeria health system key figures

Doctor-to-patient ratio 1 : 5,000
Doctors emigrating annually 43,221
Health workers in urban areas 75%
Enrolled in health insurance <5%

The implication

"The question for policymakers is not how to increase the supply of clinicians fast enough. It is how to make every clinical hour currently available go further."
1 : 5,000 doctor-patient ratio
43k+ doctors emigrate / year
75% workforce in urban areas

What automation changes

At every point in the care pathway.

The front door opens wider
Any channel: SMS, WhatsApp, voice
Triage at first contact
No administrative gatekeeper needed
Intake burden removed
History collected before the appointment
Health workers begin encounters prepared
Admin component of consultation eliminated
Scheduling capacity protected
Reminders & confirmations auto-sent
No-show rate drops across the network
Rebooking runs without staff involvement
Referrals completed, not lost
Letters prepared, sent, and tracked
Stalled referrals flagged automatically
Completion rates measured per facility
Documentation burden lifted
Notes drafted from the clinical encounter
Clinician reviews does not write from scratch
Time after the patient leaves reduced
Follow-up systematised
Post-discharge protocol runs automatically
Chronic, maternal, immunisation monitoring covered
Coverage without additional workforce

What a health system gains

System-level metrics WITH BOOLBYTE
Admin load per health worker / wk 40h 4h ↓ 90%
No-show rate network average 18% 5% ↓ 72%
Referral completion rate 65% 94% ↑ 45%
Consistent protocols across sites variable 100% ↑ std
Follow-up coverage ad hoc defined ↑ str

INDICATIVE · PILOT RESULTS VARY

01

Clinical capacity

Admin load removed from health worker time. More patients seen per available clinical hour.

More capacity
02

Consistency at scale

Every facility runs the same protocols. Outcomes are not determined by location or shift.

Standardised
03

System intelligence

Referral rates, no-shows, documentation compliance, follow-up coverage visible at every level without manual reporting.

Live overview
04

Workforce sustainability

Reduced admin burden means the work that remains is clinical. Retention improves when roles feel like clinical roles.

Retention

How to work with us

Pilot first.
Scale on evidence.

01

Define

One facility or a cluster. One or two workflows. Agreed outcome metrics.

02

Deploy

FHIR-native integration. Live in days, not months. No migration.

03

Measure

Clinical hours recovered, no-shows, referrals, documentation time. Results from week one.

04

Scale

What worked in the pilot deploys across the network. Same infrastructure. Consistent protocols.

What you measure

Clinical hours recoveredPatient access rateNo-show rateReferral completionDocumentation timeFollow-up coverageAdmin burden survey

What this is not

Not an EHR replacement

Integrates alongside existing clinical systems.

Not autonomous clinical decisions

Coordination only. Clinical judgement stays with health workers.

Not a lock-in contract

Pilots are finite and scoped. No results no expansion.

Research partnerships available for government institutions and academic collaborators. Outcome data shared under agreed terms.

More clinical hours available.
To more patients.

Explore a pilot programme Discuss a research partnership