🧪  RESEARCH PILOT PROGRAMME — Not yet approved for independent clinical deployment. Always use alongside standard clinical protocols.   Learn more ↓
Active Pilot · Eastern Uganda

Smarter maternal care
for every mother
in the Elgon region

ELMNS is an AI-assisted early warning system designed to support midwives and clinicians at health facilities across Eastern Uganda — catching warning signs earlier, reducing delays, and keeping more mothers and newborns safe.

ELMNS Early Warning
Mbale RRH · Ward 3
Patient
Namubiru A. — ANC #4
Gestational Age
36 weeks
BP
150/98
FHR
142 bpm
Hb
7.2 g/dL
🔴
HIGH RISK DETECTED
Severe anaemia + elevated BP. Review required.
✅  Referral to Mbale RRH initiated
Risk score
ANC visits complete
⚠️

RESEARCH PILOT — Important Notice for Health Professionals

ELMNS is currently in an active research pilot phase led by the Elgon Region Health Team. It is designed to support and augment — never replace — the clinical judgment of qualified midwives, doctors, and health workers. All alerts and risk scores are decision-support tools only. This system has not been submitted for independent regulatory approval and is deployed strictly within participating pilot facilities under the supervision of trained clinical staff. Data is stored securely and used solely for improving maternal health outcomes in the Elgon region.

The Challenge We Are Addressing
Maternal mortality in Uganda remains one of the highest in the world — most deaths are preventable.
189
maternal deaths per 100,000 live births in Uganda
Source: Uganda DHS 2022
60%
of maternal deaths are preventable with timely clinical action
Source: WHO 2023
3
of the 4 delays — recognition, decision, transport — are addressable with digital tools
Thaddeus & Maine model
100%
of facilities in rural Eastern Uganda are now required to transition from paper based ANC to a digitalized form of registration
MOH Uganda 2023
What ELMNS Does
Built around the real workflows of Ugandan health workers
Every feature was designed with midwives and clinicians in the Elgon region — not against their existing processes, but in support of them.
🔔

Early Warning Scoring

Automatically scores each patient visit using validated obstetric risk parameters — haemoglobin, blood pressure, fetal heart rate, urine protein, and more — and flags high-risk patients in real time.

Core Feature
📋

Digital ANC Visit Records

Replace paper registers with structured digital ANC records. Capture all four WHO-recommended contacts, lab results, birth plans, and interventions in one place.

ANC
🚑

Managed Referral Pathway

Create and track inter-facility referrals digitally — from pending approval through in-transit to arrival — with urgency classification and clinical summaries for the receiving facility.

Referrals
📈

WHO Partograph — Digital

Record labour observations every 30 minutes on a digital partograph. The system alerts automatically if cervical progress falls behind the action line or if fetal distress signs appear.

Labour
📡

Offline-First Design

Built for facilities with intermittent internet. Data is captured offline and synced to the cloud automatically when connectivity is restored — no data loss, ever.

Offline
🔒

Role-Based Access

Six clinical roles — from midwife to obstetrician — with access scoped to what each person actually needs. Patient data never leaves the facility without authorisation.

Security
How It Works
Simple for the midwife. Powerful for the patient.
1

Register the patient

Midwife opens ELMNS on a phone or tablet and registers the patient at first ANC contact. No internet needed.

2

Record each visit

Vitals, lab results, and clinical observations are captured in a structured form built around MOH Uganda guidelines.

3

System flags risk

ELMNS scores the patient automatically and alerts the duty doctor or midwife if intervention is needed — before it becomes an emergency.

4

Act and track

Issue a referral, open a partograph session for labour, or acknowledge the alert — all within the app. Every action is timestamped and auditable.

About the Pilot
A responsible, supervised rollout
  • Clinician-led. The pilot is led by Dr. Kenneth Mugabe (FCOG) and the Elgon Region Health Team — not an external technology company dictating to clinicians.
  • Decision support only. ELMNS never overrides clinical judgment. Every alert and score is a prompt for a human decision, not a substitute for one.
  • Data stays local. Patient data is stored on encrypted servers. It is not shared with third parties or used for commercial purposes.
  • MOH alignment. Designed to complement existing MOH Uganda maternal health protocols, HMIS reporting, and DHIS2 integration.
  • Trained deployment. Every participating facility receives hands-on training and ongoing support before go-live. No facility is left to figure it out alone.
  • Open to inspection. Participating district health offices and hospital administrators have full visibility into how the system works and what data it holds.

Pilot Facilities — Elgon Region

Mbale Regional Referral Hospital Active
Bududa District Hospital Active
Budadiri HC IV Active
Bukasakya HC IV Onboarding
Bugobero HC IV Onboarding
Your facility could be next Apply →
The Team
Clinicians first. Technology second.
KM

Dr. Kenneth Mugabe

FCOG(ECSA) — Lead Clinician & Pilot Principal Investigator, ECSA is East Central and South Africa.

Dr. Mugabe is a Fellow of the College of Obstetricians and Gynaecologists with over 2 decades of maternal health experience. He is the coordinator of the Elgon LMNS since it's inception. This project addresses the persistent gap between clinical guidelines and real-world outcomes at the facility level. His clinical oversight ensures every feature maps directly to what saves lives on the ward.

See It in Action
A walkthrough of the system

Full Clinical Walkthrough — Coming Soon

We are preparing a 5-minute guided video showing a complete patient journey from ANC registration to referral.

Available Q2 2026

Is your facility ready to join the pilot?

We are actively onboarding health facilities across Eastern Uganda. Whether you are a HC III, district hospital, or regional referral hospital — if you serve pregnant women, we want to hear from you.

🏥  Expression of Interest — Pilot Facility

Your information is only used to contact you about the ELMNS pilot. We do not share it with any third party.

Questions? Reach the Elgon Region Health Team directly.

✅  Thank you! We'll be in touch within 3 working days.