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Governments are committed to strengthening community health systems, but they face mounting pressure to do more with fewer resources. Traditional enterprise eCHIS deployments can cost upwards of $1 million a year, putting national-scale digital health out of reach for many ministries. So, drawing on 20 years of CommCare, we’ve built a next-generation eCHIS designed to change that.
Dimagi now offers national eCHIS (electronic Community Health Information Systems) as a cloud-based SaaS product for governments, at roughly one-tenth the cost of the traditional model. See the full offering.
A new, affordable model
The next-generation eCHIS radically lowers the cost of deployment and long-term maintenance to $60,000 USD a year. There are no professional services required to get started: governments procure the system directly and configure it themselves, removing the large, recurring implementation contracts that have historically made national digital health programs so expensive to sustain.
Configurable and government-owned
The offering puts full control into the hands of governments. No-code tools let ministry teams build, adapt, and sustain their own systems, adding workflows, updating protocols, and responding to local needs without waiting on a vendor. It is a model built for ownership and independence, not dependence.
Full data ownership, proven scale
Governments retain full ownership of their data. They can host in the cloud for scale while keeping complete control over how data is managed and used. And because the next-generation eCHIS is built on CommCare, a proven open-source platform that already scales to millions of users, ministries adopt a foundation that has been tested at national scale rather than an unproven prototype.
Already running at national scale
This is not a pilot. Nine African nations, Benin, Burkina Faso, Ethiopia, Madagascar, Mozambique, Niger, Nigeria, Senegal, and South Africa, together representing more than one-third of Africa’s population, already run community health systems on CommCare. More than 84,000 community health workers use CommCare in their day-to-day work today, and have registered over 76 million people.
The message from governments is clear: with funding under strain, sustainability is no longer optional. The next-generation eCHIS is our answer, a resilient, scalable, and affordable path to government-owned community health systems.
Building a national digital health system?
Explore how the next-generation eCHIS helps governments deliver resilient, scalable community health systems at a fraction of the traditional cost.
See the next-generation eCHIS


