GB-CHC-1186748-NTMalawi Neotree This is an 3,5 year programme supported by the UK Foreign, Commonwealth and Development Office and undertaken in collaboration with University College London and the Global Health Informatics Institute (GHII) in Malawi. The purpose of this programme is to build quality improvement networks between primary health facilities and hospitals and expand use of Neotree's digital health platform to 11 additional sites (1 district hospital, 10 primary healthcare facilities). Neotree will use programme activities and outputs to deliver a business case/ plan for larger scale-up of Neotree across Malawi. This will involve work to improve the functionality of Neotree based on experience from a pilot of its system in primary care and evaluating the impact of implementing Neotree across this network of health facilities in Malawi on (i) quality of care and (ii) outcomes for sick and vulnerable newborns and (iii) the effectiveness of the implementation strategy across the network. This will also involve capacity building work in academic experience of digital health implementation and evaluation (which includes an academic partnership with the implementation science team at Kamuzu University of Health Sciences (KUHeS). Throughout this project, Neotree will facilitate shared South to South learning, dissemination to key stakeholders and capacity building. UK - Foreign, Commonwealth and Development Office University College London Neotree Global Health Informatics Institute (GHII) 256479 417769 320000 240067.00 157899.73 304164 139602.99 166558 281258.00 193697.95 353407 86317.56 141546 76285.00 77826 111897.02 105639.14 104417.33 64547 102248 119450 119674 1695.80 144580 33107 124021.00 313830.00 35427 3703 5843 105049.50 54779 42381 GB-CHC-1186748-300745-402 Neotree To build sustainable governance and ownership of a neonatal module in the national Electronic Health Record (EHR) system in Malawi, to ensure its continued use and impact in reducing preventable newborn deaths, and to provide learnings on how to build sustainable ownership and governance of national health technologies. Government commitment and confidence in sustaining the neonatal moduleCoverage of use at facilities using the neonatal moduleNewborn case fatality rate at facilities using the neonatal module Main beneficiary groups: Newborns and their families in Malawi who benefit from higher quality care, which translates into improved health outcomes and higher survival rates Frontline health workers (doctors, nurses and midwives) who use the current Neotree application and will use the neonatal module in MaHIS to guide care and gather high-quality data to inform both real time and future careThe Government of Malawi, particularly the Ministry of Health and Sanitation's Digital Health Division and Reproductive Health Directorate, who will gain sustainable ownership and governance capacity over a critical national health technology, and valuable insights on how this model could be applied more broadly.How they've shaped the project: The design builds directly on years of frontline clinical feedback from health workers using Neotree at Kamuzu Central Hospital and other sites, which has informed the workflows and features carried into the MaHIS neonatal module. Planning has also been shaped by ongoing engagement with GoM stakeholders through Technical Working Groups, who will co-develop the scale and transition roadmap so the approach reflects government priorities and real institutional capacity. UK - Foreign, Commonwealth and Development Office University College London Global Health Informatics Institute (GHII) 149509 149509 GB-CHC-1186748-400915-407 Neotree Operating under two primary objectives, (1) deploying Neotree within the existing Impilo framework and (2) developing a specialised, national hospital-level module. Together these objectives will result in a managed and sustainable handover to the Zimbabwean Government by the end of year 2. A third objective, the development of the Mummytree perinatal care digital learning health system, will provide a significant additional resource to combat the drivers of neonatal mortality linked to complications during childbirth, and contribute to reduced maternal mortality. Organization for Public Health Interventions and Development (OPHID) University College London Start date per FCDO contract End date per FCDO contract Zimbabwe Health sector 825000 775000 258522.85 Invoice for Q1 FCDO 158747.24 24780 16906.28 285935.59 Invoice for Q2 FCDO 18782.02 Neotree July 2026 spend 34395.65 4326.06 Neotree Aug 2026 spend 4326.06 Neotree Aug 2026 spend 125966.35 GB-CHC-1186748-NT Neotree This is an 18-month programme supported by the UK Foreign, Commonwealth and Development Office and undertaken in collaboration with University College London and the Biomedical Research And Training Institute in Zimbabwe. The purpose of this programme is to test Neotree's quality-improvement platform at a greater scale to better understand its impact on newborn deaths, and internationally defined measures of quality of care. This will involve work to substantially improve the functionality of Neotree and capacity building work in quality improvement knowledge and skills through a UK-Zimbabwe Quality Improvement programme. Neotree will use these activities and outputs to deliver a business case/ plan for larger scale-up of Neotree across Zimbabwe. UK - Foreign, Commonwealth and Development Office University College London Neotree Biomedical Research and Training Institute Organization for Public Health Interventions and Development (OPHID) 496441 503146 193888 82267.85 19418 187277.64 161141.66 318381.99 177868 37406 67491 106587 21250 107967 142699 107285.05 12970.09 81411 160002 178786.14 216794.91 44144 26548 201993.97 126515.48 171685 270425 275569 421189 9186.33 88406.26