Dr Sam Musariri

Doctor. Builder.Scaling health
systems across
Africa.

I’m a medical doctor (MBChB), MBA and health informatics specialist, with 16+ years across clinical care, national digital health, investment and entrepreneurship.

I helped scale Zambia’s national EHR from pilot sites to 2,054 facilities and 12M records, and co-built a RAG-based tool for plain-language data questions.

Based in Lusaka, Zambia

Dr Sam Musariri smiling, wearing glasses and a dark jacket.
Dr Sam Musariri
Clinician · Health-systems builder
Clinical careDigital healthInvestmentEntrepreneurship
Explore the impact

A PERSONAL STORY

My story, chapter by chapter.

I’m sharing the experiences behind my work, one chapter at a time.

Chapters 1–5 and 7 added · Story in progress
My storyA personal story · in progress
Chapter 01

Age 15: The Spark

I first fell in love with human biology and science at the age of 15, when I discovered how vaccination worked.

The idea that introducing a harmless or weakened form of a pathogen could train the immune system to protect the body fascinated me.

That's how my love story with science began.

Illustration for Age 15: The Spark. A student studies vaccine and immune-system diagrams beside an open human biology book.
Chapter 1 illustration
My story · in progress01
Page 1 of 6

Select a chapter or use Previous / Next. Arrow keys work while the reader is focused; swipe left or right on mobile.

01 / THE IMPACT

National scale. Measurable impact.

I build the clinical, digital and investment systems that help health workers and governments act on better information.

2,054

health facilities

On Zambia's national EHR, scaled from 1 clinic.

12M

patient records

In Zambia’s national electronic health record.

US$35M

US Government-funded programme

Led as Acting Project Director with 100+ staff.

24h

surveillance reporting

Reporting cut from 2 months to 24 hours.

US$26M+

health-SME financing demand

Unmet demand mapped through a national health-financing feasibility study.

US$20M+

healthcare investment transaction

Lead investment sourced for a healthcare transaction.

02 / THE WORK

From one clinic to a national EHR.

SmartCare Pro is the work that brings my clinical, product and health-systems practice together.

Zambia's national EHR

I joined IHM Southern Africa in 2022 as a consultant to re-engineer the national EHR. It reached deployment readiness in under two years, which led to a full-time leadership role.

01

Build for the clinical reality

As clinical lead and product owner for the CDC-funded SCHISS programme, I took SmartCare Pro from pilot sites at Bauleni Mini Hospital and Chongwe District Hospital to 2,054 facilities and 12M records. The system covers HIV, TB, maternal and child health, OPD, family planning and surgery.

02

Make adoption part of the product

I drove adoption with the ADKAR change-management framework across major teaching hospitals: UTH, Levy Mwanawasa, Ndola and Kitwe. I also built the reporting pipeline and dashboards that made national reporting faster for health teams.

03

Leave the system more open

I spotted that officials could not query national data without engineers, so I co-built a RAG-based AI tool for plain-language data questions. It later rolled into SmartCare 2.0, an AI-first EHR; I now lead the transition of the programme to Zambia's Ministry of Health and the open-sourcing of SmartCare Pro for adoption by other African countries.

See the standards, data and integration work

I directed data standards using ICD-10, ICD-11, LOINC and SNOMED CT, and led WHO SMART Guidelines / DAK-to-FHIR work. I also directed interoperability with DISA for laboratory data, eLMIS for the supply chain and community health systems.

Using Tableau, Power BI and Superset, I built the reporting pipeline and dashboards that cut disease-surveillance latency from two months to 24 hours.

I am now the transition lead for handing the US$35M programme over to Zambia's Ministry of Health. I am also leading the open-sourcing of SmartCare Pro so other African countries can adopt it.

Career timeline

I have moved between clinical care, national digital health, investment and entrepreneurship.

  1. Business Development, Investment & Partnerships Lead

    IHM Southern Africa

    I lead resource mobilisation and partnerships, support the Zambia–Rwanda digital health exchange, and spoke at the Global Digital Health Forum 2025 in Nairobi.

    Partnerships and government exchange

    My partnerships include the Gates Foundation, PATH, Regenstrief Institute, Qure.AI, NeoTree and the Ministry of Health Somalia. The Zambia–Rwanda exchange is government-to-government.

  2. Senior Clinical Lead, Product Development & Transformation

    National EHR (IHM)

    I led 6 business analysts and 4 implementation staff, with a US$200K+ departmental budget.

  3. Health Informatics Lead / Consultant

    IHM

    I consulted on the re-engineering of Zambia's national EHR and helped take it to deployment readiness in under two years.

  4. Lead Expert

    PharmAccess / Medical Credit Fund (USAID ZAM-Health)

    I mapped US$26M+ in unmet financing demand and helped set up a capacity programme for 400+ healthcare SMEs.

    Study and programme outcomes

    The national health-financing feasibility study included 87 key-informant interviews across 3 provinces. The SME programme had 95% completion, and 12 SMEs were offered finance.

  5. Investment Banking Consultant

    Pangaea Securities

    I sourced the lead investment for a US$20M+ healthcare transaction and prepared a US$25M medical supply-chain proposal with the U.S. DFC.

  6. Senior Resident Medical Officer

    Ministry of Health Zambia — Chaisa, Chawama, University Teaching Hospital

    I worked across internal medicine, paediatrics, surgery, HIV, TB, maternal and child health, and contributed to the National TB Prevalence Survey.

03 / THE VENTURES

Build, test, then make it useful.

I have built companies and programmes where healthcare needs meet practical delivery.

2012–2023Telemedicine

Teledoctor → iVitals BV

I co-founded and led this company as CEO. It became one of Zambia's early telemedicine services, connecting UTH and Mary Begg Health Services. I delivered telehealth for MTN aYo and Prudential insurance, with partnerships with Airtel, Zamtel, Econet/Cumii and Stanbic.

The company reached an approximately US$1M valuation.

1st place, Slush Global Impact Accelerator Rockstart accelerator, Netherlands
2023Health-SME innovation

BongoHive Health SME Hackathon & Incubator

I conceived and led Zambia's first end-to-end health-SME hackathon and incubation programme. I mentored founders as they developed their ideas.

BongoHive Health SME Hackathon & Incubator

04 / LEADERSHIP

Strengthening the field around the work.

I contribute through professional bodies, boards and fellowships that connect health, technology and capital.

Treasurer & Board Member

HELINA (Health Informatics in Africa).

Co-Vice President & Founding Member

Zambia Health Informatics Association. I am leading the 2026 national digital health capacity-building programme.

Board Member

Zambia Medical Association Cooperative, with a planned US$30M hospital investment.

Executive Committee

Performance Insurance Brokers.

06 / CONTACT

Let's build what health systems need next.

Open to conversations on scaling health systems, digital health and investment in African healthcare.