What is the name of your organization?
One to One Africa Childrens Fund
What is the name of your solution?
Enable-tech
Provide a one-line summary or tagline for your solution.
Mobile clinics with tech-driven mHealth tools deliver targeted, accessible healthcare to South Africa's most remote areas.
In what city, town, or region is your solution team headquartered?
South Africa
In what country is your solution team headquartered?
South Africa
What type of organization is your solution team?
Nonprofit
Film your elevator pitch.
What specific problem are you solving?
In rural South Africa, thousands of families, especially women and children, struggle to access timely, quality healthcare. In districts like O.R. Tambo, where 65% of the population lives in poverty, health facilities are overstretched, under-resourced, and often too distant or costly to reach. Clinics frequently experience stockouts and chronic staff shortages. In 2023, a single doctor served over 130,000 people at Canzibe Hospital, with no ambulance service available.
Crucially, care is undermined not only by poor access but also by the absence of effective triaging and data use. Risk factors including for maternal and child health, go unnoticed and untreated. Antenatal risks, nutritional vulnerabilities, and HIV exposure are rarely flagged early enough to prevent serious consequences. This is due to outdated paper-based systems, but also a lack of systems for prioritizing high-risk patients or following up over time.
As a result, preventable conditions become life-threatening. Diarrheal diseases, lower respiratory infections, and HIV/AIDS remain leading causes of under-five deaths in rural areas (Stats SA, 2022).
Without real-time, actionable data and a health system capable of identifying and responding to risk early, which this solution addresses, rural communities are left behind.
What is your solution?
One to One Africa’s Enable programme brings healthcare to the doorstep of rural communities in South Africa’s Eastern Cape. At its core are trained local Mentors who deliver health education, maternal and child support, and chronic disease management at the household level, ensuring prevention and early intervention for the most vulnerable.
To extend reach, we also deploy mobile clinics that travel to underserved areas with nurses, Mentors, and screening tools to deliver essential services like immunisations, HIV/TB testing, and emergency care.
The heart of our innovation is our enhanced mHealth app, developed with Dimagi. This tool transforms how rural healthcare is delivered. It enables Mentors and mobile clinic teams to capture real-time health data, identify high-risk individuals early, and triage patients for urgent care. The app uses predictive analytics to flag antenatal risks, unmanaged chronic illness, or signs of emerging health crises, ensuring those most in need are seen first, and unnecessary referrals are reduced. This digital layer strengthens the impact of our community-based model, especially in areas with no clinics or health workers. It ensures rural patients are no longer invisible in the system, giving them timely, data-informed care that saves lives.
Who does your solution serve, and in what ways will the solution impact their lives?
One to One Africa’s solution serves families living in South Africa’s most remote and underserved rural communities in the Eastern Cape. These are communities where health services are scarce or unreliable, and people, particularly women and children, face significant obstacles to care. Most live in deep poverty, often in households headed by grandmothers or young mothers, and depend on informal income or subsistence farming. Many are caring for children, living with chronic illness, or managing multiple responsibilities without nearby support.
Our solution addresses these realities with Mentor Mothers and nurses stationed in mobile clinics that meet people where they are. Rather than relying on families to travel long distances to overstretched clinics, we bring health education, screening, referrals, and treatment directly to them. With the support of a digital mHealth app, we are now enhancing our model to respond faster and more precisely, identifying health risks early and prioritising care where it’s needed most.
This will result in: 1) More people accessing healthcare, especially in isolated communities; 2) Earlier identification and prevention of serious health conditions; and 3) High-risk individuals—such as pregnant women or malnourished children—being triaged and referred for urgent care.
