EdZola
Health & Wellbeing sector playbook

Every health programme works differently. Your system should too.

A door-to-door treatment programme, a community clinic, a hospital referral network and a district training unit do not need the same system. Use this playbook to find the model closest to your work, see what your team needs to follow and choose the parts worth building first.

Written for programme teamsWorks offline and in local languagesPrivacy built around each role
R
Ramesh YadavCase HL-3308 · Age 41 · Varanasi
FULL JOURNEY
Screening_register_Ward12_Aug.xlsxCHW Sunita
Ramesh Y.cough 3 wksample??
Ramesh Yadavcoughdup?
01 · Screened at home
Sample picked up 5 AugFour household contacts listed for screening
Done
Ramesh result +ve?
told him?? CHW to visit
02 · Diagnosed and started
Treatment started 2 days after resultNikshay ID 10294471
Started
Treatment card · Week 9 · pg 2
Ramesh Y.PPPAAA
03 · This week
Three missed doses in a rowPPPAAA
Flagged
Action today
Tracing call assigned to SunitaRefill, or a transfer if he's staying in Surat
Due today
PDF
Quarterly_cohort_report_FINAL_v3.pdfDue Friday · 'not evaluated' left out
04 · Outcome
End-of-treatment test dueStays open until an outcome is recorded
Feb 2027

Five places, one patient. Nobody can see he's stopped his doses.

Start here · Find your programme

Which kind of health work looks most like yours?

Most nonprofits combine two or three of these. Pick the closest starting point, not a perfect label. It changes what your team must keep track of, what can wait and what a useful first version should do.

Model 01

Community outreach & treatment

Your team finds people in homes, camps or workplaces and stays with them through diagnosis, treatment and follow-up.

The work revolves around
Each person and household
Keep connected
Screening, tests, treatment start, missed visits or doses, referrals and outcomes
Start with: a daily follow-up list and closed referrals
Model 02

Clinic & primary care

You run a clinic, mobile unit or telehealth service where people return for consultations, tests, medicines and referrals.

The work revolves around
Each visit and the person's continuing care
Keep connected
Appointments, providers, consultations, lab results, pharmacy stock, refills and outside referrals
Start with: today's care queue and medicine availability
Model 03

Patient navigation & family support

You help families move through hospitals, funding, documents, treatment milestones and practical support.

The work revolves around
Each family and care case
Keep connected
Hospital coordination, approvals, financial aid, travel, nutrition, milestones and survivorship
Start with: pending approvals and the next action for every family
Model 04

Hospital or service partner network

You work through hospitals, diagnostic centres or specialist providers rather than delivering every service yourself.

The work revolves around
Each partner and episode of care
Keep connected
Partner onboarding, approvals, procedures, quality checks, complications, bills and follow-up
Start with: partner readiness, approvals and unresolved quality issues
Model 05

Prevention & behaviour change

You work with schools, communities, workplaces or peer groups before illness becomes a treatment journey.

The work revolves around
Each group, institution and campaign
Keep connected
Who was reached, repeat exposure, peer leaders, referrals, feedback and change over time
Start with: reach quality, not only event attendance
Model 06

Health-system strengthening

You improve how facilities, districts or frontline teams perform through assessment, training, mentoring and technical support.

The work revolves around
Each facility, district and improvement plan
Keep connected
Readiness gaps, staff competency, mentoring visits, agreed actions, supplies and service quality
Start with: overdue actions and whether gaps actually close

Run a hybrid model? That is normal. A community clinic may also run camps, referrals and entitlements. Keep one shared picture of the person and programme, then add only the workflows each service needs.

Sound familiar?

Your programme runs on good people and scattered data.

These come up in almost every first conversation we have with health & wellbeing teams.

"His result was positive. Nobody told him for three weeks."

The lab register and the treatment register don't talk, so people get lost between the test and the first dose.

Treatment coordinator
"We screened the same easy houses three times."

The screening count looked good. The migrant colony at the edge of the block was never visited.

Field supervisor
"We screen 2,000 workers a month. We can't tell you whose BP came down."

Camp readings sit in one sheet per factory, so nobody can see who got medicine, who came back for a refill and who's now in the normal range.

Workplace health lead
"Our success rate leaves out everyone we lost."

'Not evaluated' and 'transferred out' quietly drop from the denominator, and the report looks better than the programme.

Founder / CEO
Real work, not only illustrations

What we've actually built.

We haven't published a health programme case study yet. We've worked with health organisations including FMCH and The Antara Foundation, and these are real systems built on the same foundations: eligibility and application tracking for families, and field systems used by 20,000+ people.

Health organisations we've worked with:FMCHThe Antara FoundationMindhug

Recognise your programme? Tell us where the work gets stuck and we'll suggest a useful first version.

One worked example · Outreach to treatment

For a TB programme, four questions keep a person from getting lost.

This is one programme model, not a template for every health nonprofit. Pick a stage to see what the field team does, what can happen automatically and what the programme manager needs to see.

Stage 01 · Find every case

Which houses haven't we reached?

Clinics catch the people well enough to walk in. The rest cough at home for months. Door-to-door screening closes that gap, if the register shows which houses you've actually covered.

Your team does

  • CHWs screen door to door on an offline phone form, synced at the sub-centre.
  • Supervisors review the coverage map every Friday and reassign unvisited clusters.
  • Camp teams add X-ray results to the same person's journey.

The system does on its own

  • A presumptive case creates a sample pickup task, due within 48 hours.
  • Household contacts of a newly diagnosed patient appear on the CHW's list for screening.
  • Villages under 70% coverage at month-end are flagged to the supervisor.

Where AI helps at this stage

  • CHWs speak the screening form in the local language instead of typing
  • A weekly summary of coverage gaps and low-yield villages
  • The monthly screening report drafted in the district's HMIS format
Field supervisor · Screening driveHealth & Wellbeing · Stage 01
EXAMPLE DATA
Households screened2,406of 3,120 listed
Coverage77%Target 90%
Presumptive cases6427 per 1,000 screened
Samples not collected11Past 48 hours
Case ref.PersonVillageStatus
HL-3308Ramesh YadavWard 12Sample collected
HL-3321Shabana BanoBrick kiln colonySample overdue
HL-3317Mohan LalChaubeypurPickup today
HL-3302Geeta DeviWard 12Ruled out
Do nextThe brick kiln colony is at 41% coverage with four overdue samples. Send the camp van on Saturday, when the workers are home.

Your programme will have different questions. A clinic may ask who is waiting, a navigation team which approval is stuck, and a district team which facility action is overdue. Return to the six programme models ↑

The care cascade

Where people fall out between the screen and the outcome.

The same pattern, whatever the condition. Switch between two illustrative programmes.

DiagnosedLab confirmed
150
Told and started treatmentWithin 7 days of the result
138
12 not startedResult not told in time, traced
On treatment at month 2Doses logged
124
14 missing dosesHome visit booked
Completed six monthsEvery dose accounted for
109
15 stoppedStopped after week 8, traced
Cured or completedOutcome recorded
101
49 other or unknown32 with no outcome, still counted
101cured or completed
17other outcomes
32no outcome recorded, still counted

Illustrative numbers. The unknowns stay in the base.

Build your version

Choose the parts your programme actually needs.

Do not begin with a long software wish list. Begin with the work that falls between people today. Most organisations need a small shared foundation, then two or three building blocks shaped to their model.

People, households & consentBasic details, family links, risks, programme enrolment and clear permission for how information may be used.
Care, follow-up & referralsScreening, appointments, results, care plans, next actions, closed referrals and outcomes.
Clinics, teams & suppliesProvider schedules, visits, lab work, medicine stock, equipment, claims and service readiness.
Navigation & assistanceDocuments, hospital approvals, financial aid, travel, nutrition support, treatment milestones and survivorship.
Partners, quality & escalationPartner onboarding, agreements, approvals, audits, complications, complaints and unresolved actions.
Learning, campaigns & changeGroups reached, repeat exposure, peer leaders, feedback, pre/post measures and qualitative evidence.

A useful first version should answer these questions

What needs attention today?

Your system should help a real person decide what to do next, not just create another report.

  • Who screened positive but is not confirmed?
  • Which referral or hospital approval is still open?
  • Which family is waiting for aid or documents?
  • Which facility action or partner issue is overdue?

Are we seeing the whole journey?

Count the people who disappear between steps, not only the people who complete them.

  • Coverage: did we reach the intended population?
  • Speed: how long did each handoff take?
  • Continuity: did care or support continue?
  • Quality and equity: for whom did it work less well?
  • Outcomes and unknowns: what changed, and what do we still not know?

What must remain human?

Use automation to reduce repetition. Keep judgement, care and accountability with people.

  • AI may turn voice notes into draft records
  • It may flag overdue work or draft reports
  • A person confirms every important change
  • Diagnosis, treatment, eligibility denial and safeguarding decisions stay with trained staff

In plain language: the goal is not “one Patient ID.” The goal is that the outreach worker, clinic, programme manager and referral partner can each see the part they need, and that no person, family or unresolved action disappears between them.

Go deeper · how health really works

What changes when you have to follow one person for years.

A health programme needs a person-level record that outlasts any single visit. These short reads cover what to collect and protect, what to connect to, what goes wrong and what success means in health.

Five short reads. Open the ones you need.
01Data that mattersFollow the person closely, and show everyone else only what they need

Rule of thumb. Follow one person closely, because continuity of care is the point. The discipline is purpose and consent: join up visits, referrals and tests for the person, and show everyone else only what their role needs. Education is the opposite case: collect less. See education →

Collect: it earns its place

  • One person-level ID across every contactScreening, diagnosis, treatment, referral and follow-up must join up, or you lose people between stages.
  • Visits and test results, with datesThe time between steps shows where people fall out: screening to diagnosis, diagnosis to treatment.
  • Each referral and its outcomeA referral is not complete until someone confirms the person arrived and what happened.
  • Treatment and adherenceDoses, refills and missed visits. This is the data behind follow-up calls.
  • Outcome at a set pointCured, controlled, lost to follow-up. Defined the way your clinical protocol defines it.

Handle with care

  • Diagnoses and test resultsSpecial-category data in many countries. Visible to clinical roles only, with consent recorded for each purpose.
  • Highly stigmatised conditionsHIV, TB and reproductive health need extra restriction, and must stay out of reports and chat.
  • Identity of key populationsHide it from roles that do not need it. Reports show counts, never names.
  • Contact details and home visitsA visible home visit can disclose a condition. Agree discreet follow-up with the person.

Leave out, or think twice

  • Clinical detail nobody will act onIf no one will use it, it is liability. Keep the clinical record in the clinic's system and link to it.
  • Names in donor reportsDonors need counts, trends and stories shared with consent, not identities.
  • Scanned identity and health cardsUse a national health ID number only where the person agreed and the scheme needs it.
  • Patient lists in shared sheets or chat groupsThe most common way a record leaks. Use role-based views instead.
02Systems you connect toHealth reporting, health IDs and disease programmes
Facility and community reportingYour numbers should match the official ones
India, for exampleHMIS and state health portals; the RCH portal for maternal and child records
ElsewhereDHIS2, used by ministries of health in dozens of countries (Kenya's KHIS is built on it)
Digital health identity and recordsOnly with the person's consent
India, for exampleABDM and ABHA health IDs, where the person has agreed
ElsewhereFHIR and OpenHIE standards; national health information exchanges
Disease programmesCase finding and treatment follow national protocols
India, for exampleNi-kshay for TB, U-WIN for immunisation, national HIV programme systems
ElsewhereNational programme registers, often DHIS2 Tracker, with WHO and Global Fund indicator definitions
Frontline worker toolsWhere the data starts
India, for exampleASHA and ANM registers, and the state apps replacing them
ElsewhereCommCare and other community health worker apps tied to national community health strategies

Systems and rules change. We confirm what applies to you in the first conversation, and we use the equivalent in your country.

03Risks and safeguardsFour things that go wrong, and how the build prevents them

Stigma follows a leaked record

What goes wrongA patient list in a shared sheet, or a visible home visit, discloses HIV, TB or another condition.

How it is designed outRole-based masking, discreet contact preferences recorded with the person, and no condition names in reports or chat.

Consent given once covers everything

What goes wrongOne tick-box at registration is treated as permission for every later use.

How it is designed outConsent recorded for each purpose, easy to withdraw, and checked before data goes to a partner or donor.

People vanish between stages

What goes wrongA person is screened, referred and never seen again because nobody owns the handoff.

How it is designed outEvery referral has an owner, a due date and a closure. The follow-up list is the main screen.

Clinical data in tools never meant for it

What goes wrongTest results are pasted into public AI tools or personal messaging apps.

How it is designed outAI runs only inside your account, on approved fields, with a person reviewing. No patient data in public tools.

04What success looks likeThe same MIS, three different questions

A clinic and a foundation can both ask for an MIS and need different answers. Start from the question the person at the table will ask.

Programme head
Who has missed a visit or a refill, and who is going to call them today?
  • Missed-visit list
  • Referral closure
  • Time from screening to treatment

Watch outCounting screenings tells you about outreach, not whether anyone got treated.

Funder or foundation
Are people getting timely follow-up, and does it change their health?
  • Time to diagnosis and treatment
  • Adherence
  • Outcome at a set point

Watch outCoverage figures hide who is lost after the first visit.

Health department or partner hospital
Do your numbers match ours, and can we trust them?
  • Reporting completeness
  • Data matched to the official system
  • Stock-outs and referral closure

Watch outParallel reporting that disagrees with the official system costs you the partnership.

05Language and calendarTerms your funder and the health department use, and the health year

Words you will hear

Continuum of care
The path from screening to diagnosis, treatment and follow-up. Records should follow the person along it.
Loss to follow-up
A person who stops coming and is not traced. Often the biggest hidden number.
Referral closure
Confirmation that the person reached the service they were sent to, and what happened there.
Cascade
The share of people at each step: screened, diagnosed, treated, controlled. It shows where the drop is.
Longitudinal record
One person's history over time, joined up across visits and providers.
HMIS
Health management information system: the routine reporting a government health department runs.
ASHA
Accredited Social Health Activist: the community health worker of India's public system.

The programme year

  • Mar to AprFinancial year ends 31 March. Facility and funder reporting peaks.
  • Jun to SepMonsoon: vector-borne and diarrhoeal illness rise, and road access gets harder.
  • Oct to NovFestival season and seasonal migration make follow-up of migrant patients harder.
  • Nov to FebWinter: respiratory illness rises, especially in the north.

This is India's financial year and seasons. Many countries report on a calendar year or a July to June year, and rainy seasons and malaria peaks vary a lot by region.

How we build it · the MAP approach

We fix the data first. AI comes last, and it's better for it.

Most AI projects stall because the records underneath are messy. So we work in a fixed order.

M
Model

Start with the decisions you need to make.

Every question on a form should help someone decide or act. If nobody uses the answer, your team should not have to collect it.

  • Keep the person, household, screening, care, follow-up and field-team work connected
  • Match Nikshay, ABHA or NCD portal references without asking staff to enter the same details twice
  • Agree what “reached”, “continued care” and “outcome known” mean before the first form goes out
A
Align

Fit it to how your field team already works.

A system people avoid is worse than a spreadsheet. We design around shared phones, patchy signal and WhatsApp.

  • Offline forms in Hindi, Bhojpuri, Odia or your language, synced at the sub-centre
  • A different screen for the CHW, the supervisor, the MO and the manager
  • Sample pickups, home visits and tracing cases that start on their own
  • The CHW sees the outcome for every case she found
P
Power with AI

Then add AI where it saves real hours.

On clean, connected records, AI can read paperwork, draft reports and flag who needs attention. A person always checks.

  • Six tested use cases, picked for the hours they save
  • A human check written into every one
  • Clear lines on where AI doesn't belong

Where you start depends on where you are. If your records are already in good shape, we can move to AI quickly. If they're in notebooks, we start there, and we don't start from zero.

Offline forms, local languages, links to government IDs and AI features are set up to suit each programme's needs and consent rules, so not every build includes all of them.

Where AI helps

Six places AI earns its keep.

We picked the jobs that save health & wellbeing teams the most hours. Each starts with a problem we hear often, and each keeps a person in charge of the decision. How we think about AI →

Collect fasterFind every case

“We lose half a CHW's day typing symptom screens on a small phone screen in a language the keyboard doesn't handle well.”

Lets CHWs speak the screening form in Kannada, Hindi or their own language and fills the fields from what they say.

Your team still decides: the CHW confirms each answer on screen before saving.

Work smarterKeep them on treatment

“We only find out someone has dropped off when they've missed a month of doses or refills.”

Flags people whose dose, refill or visit pattern suggests they're drifting, before they stop altogether.

Your team still decides: the supervisor reviews the list weekly and notes whether each flag helped.

Collect fasterKeep them on treatment

“Our counsellors hear why people stop treatment, but it stays in their heads or in voice notes nobody reads.”

Turns counsellors' local-language voice notes into recorded barriers such as wage loss, travel cost, side effects or stigma.

Your team still decides: the counsellor confirms each barrier before saving.

Work smarterKeep them on treatment

“We know families are missing out on schemes that would keep them on treatment, but nobody has time to check eligibility one by one.”

Matches each household's details against your scheme list and suggests the pensions, insurance or nutrition support they're likely eligible for.

Your team still decides: the help desk worker checks documents with the family before any application goes in.

Build fasterFind every case

“We type the same numbers into our own sheets and then again into the government's format every month.”

Drafts the monthly report in the district HMIS, NCD or NACO format straight from the register.

Your team still decides: the M&E officer matches totals to the register before submitting.

Build fasterRecord every outcome

“Every funder and brand wants a quarterly report in its own template, and our MEL team spends a week on each.”

Drafts each funder or brand report from the same cohort data, in that funder's template, with last quarter's narrative as a starting point.

Your team still decides: the programme manager checks every figure and caveat before sending.

Where we won't use AI.

Health records are the most sensitive data you hold. These lines don't move, whoever's asking.

  • Patient data in public AI toolsNames, locations and diagnoses stay in a private system, with consent.
  • Reading lab reports with general AIResults need validated tools and a clinician.
  • AI choosing a regimen or doseThat's the MO's call, under national guidelines.
  • Labelling patients 'non-compliant'It blames the patient and hides the real barrier.
  • Assigning outcomes automaticallyCured or completed needs test evidence and a clinician.
  • Predicting who'll fail to ration careThe people struggling most need more support.
What changes, and for whom

Everyone enters less and gets something back.

CHW

Sees every case through.

Each person she flagged shows up later as ruled out, diagnosed, cured or traced. The walk counts.

Treatment supporter

Gets a clean daily list.

Today's patients, yesterday's missed doses and who reported side effects, without flipping through cards.

Medical officer

Sees who's due for review.

Patients due for a monthly review or sputum test, with dose history and side effects on one screen.

Programme manager

Sees where patients drop off.

Screened to diagnosed to started to cured, by block, every week.

Leadership & funders

Get a success rate they can defend.

Treatment success with full denominators, and 'not evaluated' and transfers counted in.

If 'not evaluated' and 'transferred out' drop from your denominator, your treatment success rate looks better than your programme is. We record an outcome for every patient who started, and count the unknowns.

District reviewers notice. So do funders.
How we work with you

From your first email to a system your team actually runs.

Most systems launch in three to four months. The timeline moves with the number of programmes and roles, how messy the old data is, and how many tools need connecting.

Email us what hurts

Tell us where the work gets stuck today. Spreadsheets, notebooks, WhatsApp groups, all of it.

A 30-minute walkthrough

Free

You show us how the programme runs. We'll tell you straight if you need a new system, a better workflow or nothing at all.

Diagnosis

1 to 2 weeks

We map how your programme works, talk to the people who'll use it, review the tools you use today and hand you a System Blueprint, a clear plan of what we'll build.

Build in stages

6 to 16 weeks

Working screens every 2 to 4 weeks, tested by your field team in your own terms. We clean up your old spreadsheets and move them across.

Launch, then stay

30 to 60 days

Field training and launch, then 30 to 60 days of close support. After that, the system keeps changing as your programmes do.

What we'll need from you

  • A programme owner who can make decisions and join a short weekly review
  • Your current forms, trackers and one recent donor report
  • A few field staff to test screens before launch
  • Access to the tools you want connected

Works with what you already use

We connect to Nikshay, ABHA and NCD portal exports, point-of-care devices, WhatsApp, SMS and IVRS, and the apps your own tech team already runs, rather than replacing what already works. Zoho licences sit in your organisation's name, and everything exports whenever you want it.

100+organisations worked with
150+systems built
5+countries
ZohoAdvanced Partner
75%of our work is with nonprofits
Your data, your rules

What 'your data stays yours' actually means.

The questions your finance head and IT lead will ask, answered before the call.

Your account, your licence

Zoho licences are bought in your organisation's name and hosted in the Zoho data centre region you choose, including India. We work inside your account.

Export any time

Every record exports to Excel or CSV whenever you want, including the day you stop working with us. You're not locked in to us for support either.

Access by role

Each person sees only the records their role needs. Identities of key populations are hidden from roles that don't need them. Employers and brands see totals, never a worker's name.

A trail on every change

Edits are logged with who made them and when, so an audit or a funder query doesn't start from memory.

Consent and DPDP

Consent is recorded for each purpose, and we agree up front how long data is kept and when it's deleted. ZolaShield, our DPDP platform, shows where you stand.

AI stays inside your system

AI features run on your records under your account's controls. Beneficiary records never go into public AI tools.

Go deeper

Practical guides for this programme context.

Use these focused implementation guides alongside the sector playbook.

Tell us which model you run. Bring us one tracker.

Bring one tracker, one donor report and the process your team dreads. In 30 minutes we'll show you where the handoffs break, and tell you whether you need a better workflow, a connected programme system or no new software at all.

If budget is tight, ask about the Built for Impact Programme, which gives eligible nonprofits free Zoho credits.

Other sectors we build for

The same approach, shaped to each kind of work.

See all 18 sectors on one page →

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