The Clinics Are Still Open. No Donor Re-Entry.
Every H-Shape health post transferred to a nurse-entrepreneur remains operational. These are not pilot sites on standby — they are local businesses running clinical services on their own revenue.
Each One a Running Business
Operational. Self-Funded. No Re-Entry.
Full Equipment Load. Owner-Operated.
Minimum Spec. Maximum Outcomes.
The equipment specification held. Maternal referral rate dropped 41% in the first year after transfer — the nurse's income model incentivised early detection.
Transferred in year one. Now running on clinic revenue alone — 38 antenatal consultations per month, zero external subsidy in the last 24 months.
Solar panel, pulse oximeter, medication cold chain intact. The nurse-entrepreneur expanded hours in month 14 without a capital request — income covered it.
Numbers from Operating Posts
These figures come from active H-Shape posts in the field — not projections. Each metric is drawn from clinic records held by the nurse-entrepreneur who owns the site.
100%
41%
24 mo.
Of transferred clinics remain operational with no donor re-entry. Ownership transfer held across every site in the current cohort.
Average reduction in maternal emergency referrals across active posts in the first 12 months post-transfer — driven by earlier antenatal detection.
Longest uninterrupted autonomous operation on record — the clinic runs on its own revenue cycle with full equipment load intact and solar supply stable.
The next transfer is ready. Capital is the only variable.
A site is identified. A nurse-entrepreneur is trained. The H-Shape post is designed. Every input is in place except the capital allocation that triggers construction.