Question 1

What is the best alternative to eFiche in Rwanda?

Accepted Answer

For Rwanda-based deployments, start by comparing Dawa Health and SPICE by Medtronic LABS alongside eFiche. Dawa Health is available in Rwanda and focuses on maternal and paediatric care with AI screening, while SPICE is used for community-based population health in Rwanda and other countries.

Question 2

What can I use instead of eFiche for teleradiology and DICOM reporting?

Accepted Answer

If your priority is imaging workflows, InstantRad is the closest fit because it is built around teleradiology with PACS, RIS, DICOM viewing, and reporting. You can also compare it with SPICE by Medtronic LABS if your radiology needs sit inside a broader public-health programme.

Question 3

Are there apps like eFiche that support telemedicine across multiple African countries?

Accepted Answer

Yes, InstantRad is positioned as pan-African and is tagged for telemedicine, and Hollard Health also includes telemedicine as part of its employer health cover experience. If you need telehealth inside maternal and child care, Dawa Health offers telehealth support in Rwanda, Zambia, and Zimbabwe.

Question 4

Is eFiche available in Rwanda, and what are the local alternatives?

Accepted Answer

Yes, eFiche is explicitly active in Rwanda, including a rollout across 70+ health posts in Nyagatare district. For Rwanda-based alternatives, Dawa Health is available in Rwanda, and SPICE by Medtronic LABS lists Rwanda among its operating countries.

Question 5

Which eFiche competitor is open source for public-sector or NGO programmes?

Accepted Answer

SPICE by Medtronic LABS is the option to prioritise because it is tagged as open source and is used across Kenya, Ghana, Rwanda, Tanzania, and Sierra Leone. It is built for managing last-mile population health programmes and measuring outcomes, which is often the public-sector requirement.

Question 6

How does eFiche pricing compare with alternatives?

Accepted Answer

eFiche’s public pricing is not listed, so you will usually need a facility-level quote, then compare like-for-like against alternatives such as InstantRad (a teleradiology platform offered as a service) or Hollard Health (modular employer health insurance with online admin and claims support). When you compare costs, match the pricing unit to your use case, for example per facility, per programme, or per insured member.

Question 7

What is the fastest way to switch from eFiche to another platform?

Accepted Answer

Start by choosing a target platform based on your primary workflow, for example InstantRad for DICOM-based radiology reporting or Dawa Health for maternal and paediatric programme delivery. Then plan a data migration and parallel run so clinicians can validate records before you fully cut over; this matters most for Electronic Health Records and longitudinal patient history.

Top 5 Best eFiche Alternatives & Competitors (2026)

Alternatives to eFiche

Dawa Health

InstantRad

SPICE by Medtroni...

Hollard Health

Kera

Frequently Asked Questions

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