Building a digital foundation for primary care at national scale.
Our work in Sierra Leone began in 2022 with Betteh Lyfe, strengthening hypertension and diabetes care through decentralized service delivery.
Today, Medtronic LABS is working with the Ministry of Health and partners to build an integrated digital model for community and primary care. SPICE is deployed across five districts, connecting community health workers and primary health facilities through digital workflows for screening, treatment, referral, and follow-up — with a pathway toward a government-owned model at national scale.
Our work at a glance
5
Districts
152
Facilities
1,000
Community health workers and supervisors
159,000
People reached
What we’re building
Digitally enabled primary care
Supporting integrated digital workflows across essential community and primary care services.
Community-to-facility coordination
Strengthening referral and follow-up so patients remain connected to care.
Better data for decision-making
Connecting frontline data with national systems to improve visibility and action.
A pathway to national scale
Working toward a government-owned model that can expand across Sierra Leone.
Partners
How it Works
SPICE, our open-source technology platform, supports outcomes-focused patient care.
Community Screening
Community health workers (CHWs) screen patients for a range of conditions including hypertension, diabetes, malaria, TB and more, leveraging point-of-care diagnostics and symptom-based algorithms. Those eligible are referred to the nearest health facility.
Diagnosis and Risk Stratification
Medical staff confirm the diagnosis, and patients enroll in our programs. Upon enrollment, each patient receives a risk score, based on WHO-approved clinical protocols. The risk score supports a personalized care plan.
Community-based Management
CHWs follow up with patients directly in the community to monitor relevant conditions. The cadence of follow-ups is driven by the risk-based care plan for efficient and effective care management.
Patient Engagement
Patients engage in services customized to their unique needs.
Clinical Decision Support
Clinicians have access to longitudinal patient records and follow-up with patients based on real-time data. Throughout the program, clinicians can update the care plan, order prescriptions or labs, conduct medical consults and more.
SPICE Highlights
Integrated Care
SPICE is supporting a range of conditions including hypertension, diabetes, TB, malaria and more.
Flexibility
SPICE easily adapts to unique health system structures and protocols in Sierra Leone.
Analytics
We support our partners with capacity building focused on data literacy.
Meet SPICE, the technology behind our work
We’re cultivating system-level change through digital health transformation. SPICE is the world’s leading digital health platform for community-based population health.
Our Technology