Aafiya Med

Building South Africa's
AI Health
Ecosystem

Aafiya Med (Pty) Ltd is a Cape Town-based health-technology company developing AI-powered platforms for patients, physicians, and the national health system.

⚠️ Clinical Validation Phase: Aafiya platforms are undergoing clinical testing. SAHPRA submission planned Q3 2026. Not yet approved for commercial use.

4
Portfolio products across the care continuum
50M+
Underserved South Africans addressable
L1
B-BBEE Level — 100% black owned
FHIR R4
NHI-ready data architecture

Four Platforms.
One Health System.

Each product addresses a distinct layer of South Africa's broken healthcare value chain — together forming a vertically integrated AI health ecosystem that spans primary care, clinical support, diagnostics, and family wellbeing.

01 / PATIENT PLATFORM
📱
Aafiya Care
Physician-Supervised AI Primary Care

South Africa's first AI primary care platform with mandatory HPCSA physician sign-off. Patients access clinically validated consultations via USSD or PWA — free at point of care, in all 11 official languages.

  • AI clinical intake with SA-specific HIV/TB/NCD corpus
  • HPCSA-registered physician review on every consultation
  • USSD fallback — works on any phone with no data
  • 11 constitutional languages supported
  • E-prescriptions to Dis-Chem, Clicks, independents
  • NHI-ready FHIR R4 data architecture
  • SAHPRA regulatory dossier in active development
Platform Built · Clinical Validation Phase
Visit care.aafiya.app →
02 / PHYSICIAN TOOL
🩺
SecondOpinion
AI Clinical Decision Support for Doctors

An Android application giving HPCSA-licensed physicians AI-assisted differential diagnosis support. Powered by Aafiya AI, it combines text queries, voice intake, real-time consultation listening, and multimodal image analysis.

  • Text, voice, and consultation-mode AI queries
  • Multimodal image analysis (camera + gallery)
  • Aafiya AI — cloud-primary inference
  • On-device Gemma 3n fallback (offline-capable)
  • Clean Architecture MVVM — Jetpack Compose
  • HPCSA gating — registered physicians only
  • Zero patient data retained between sessions
Active Development · Android 8.0+
Visit secondopinion.aafiya.app →
03 / LABORATORY SYSTEM
🔬
PathLab LIS
Modern Pathology Laboratory Information System

A purpose-built Laboratory Information System for South African pathology labs. PathLab LIS modernises specimen tracking, result management, and reporting workflows — integrated with Aafiya's clinical platforms for closed-loop diagnostics.

  • End-to-end specimen tracking and chain of custody
  • Structured result reporting with clinical decision flags
  • Direct integration with Aafiya e-prescriptions and CDM
  • NHLS & private lab compatibility
  • FHIR R4 DiagnosticReport — NHI-ready from day one
  • TB, HIV viral load, and NCD panel prioritisation
  • Bi-directional analyser connectivity
In Development · Lab Partnerships Open
Visit pathlab.aafiya.app →
04 / FAMILY & NEURO SUPPORT
🧠
NeuroConnect SA
Support for Neurodivergent Families

South Africa's free platform helping families of neurodivergent children find therapy, navigate SASSA grants, understand school rights, and connect with community — in all 11 official languages, with WhatsApp access requiring no data.

  • Therapy, schools & NGOs searchable by condition, province, and cost
  • SASSA Care Dependency Grant guidance
  • SIAS assessments and exam concessions explained in plain language
  • Anonymous community forum for SA parents
  • WhatsApp channel — works on any phone, no data required
  • 11 constitutional languages supported
  • 25+ verified services listed
Live
Visit neuroconnect.space →

One Ecosystem.
Four Integrated Platforms.

From symptom entry to lab result — and from diagnosis to family support — every touchpoint in the care continuum is connected, enabling closed-loop diagnostics and physician-supervised AI care at scale.

1
📱
Patient Entry
Patient accesses Aafiya via USSD (*120*2273#) or PWA in their language
2
🤖
AI Intake
Aafiya AI-powered clinical history, symptom analysis, and differential diagnosis
3
🩺
Physician Review
HPCSA-registered doctor reviews, confirms, or overrides AI recommendation
4
💊
E-Prescription
Digital script issued to Dis-Chem, Clicks, or independent pharmacy network
5
🔬
Lab Integration
PathLab LIS receives orders, returns FHIR-compliant results to patient and physician

Where We Are.
What's Next.

We're building in public. Here's what we've shipped, what we're validating, and what's coming next on the path to NHI integration.

✓ Completed
Company Registration & Formation
Q1 2026

Aafiya Med (Pty) Ltd incorporated as a Level 1 B-BBEE contributor. 100% black-owned, 67% black-woman-owned structure established. Initial equity structure confirmed, founding team in place.

✓ Completed
Platform Development & Technical Build
Q1–Q2 2026

All three portfolio products built and deployed: Aafiya patient platform (USSD + PWA), SecondOpinion physician app (Android), and PathLab LIS (web). FHIR R4 interoperability layer implemented. Aafiya AI models integrated with physician review workflow.

✓ Completed
Regulatory Dossier Preparation
Q2 2026

SAHPRA regulatory dossier drafted for Aafiya as Class IIb medical device (AI-assisted clinical decision support). Clinical safety protocols, physician oversight framework, and adverse event reporting systems documented in line with SAHPRA guidance.

In Progress
Clinical Validation & Pilot Study
Q2–Q3 2026

Structured clinical validation with HPCSA-registered physicians at a pilot clinic. Testing diagnostic accuracy, physician override rates, patient satisfaction, and time-to-treatment across 500+ consultations. Data will inform SAHPRA submission and NHI pilot proposal.

Next
SAHPRA Medical Device Submission
Q3 2026

Formal submission of Aafiya to SAHPRA for Class IIb medical device approval. Includes clinical validation results, technical documentation, risk management file, and post-market surveillance plan. 6–9 month review cycle expected.

Next
NHI Pilot Partnership & Scale Readiness
Q4 2026 – Q1 2027

Partnership discussions with NHI Fund, provincial health departments, and district health councils to pilot Aafiya in underserved communities. Target: 10,000 patient consultations across 3 pilot districts. Full FHIR interoperability with NHI data exchange architecture.

B-BBEE Level One Contributor

Aafiya Med (Pty) Ltd is a 100% black-owned, 67% black-woman-owned enterprise — a Level One B-BBEE contributor carrying 135% procurement recognition. Built to serve the communities most affected by South Africa's healthcare crisis.

B-BBEE LEVEL 1
67% BLACK WOMAN OWNED
100% BLACK OWNED
135% PROCUREMENT RECOGNITION

Advisory &
Clinical Board

In a physician-supervised AI health platform, credibility starts with the physicians. Our clinical advisors bring deep expertise in South African primary care, regulatory compliance, and AI safety.

MA
Dr Bahia Lagardien
Founder & Clinical Lead

Medical doctor with expertise in AI-assisted clinical decision support and South African healthcare system architecture. Focused on physician-supervised AI models, HPCSA compliance frameworks, and NHI interoperability standards.

HPCSA Registration AI/ML Health Applications Primary Care
TBD
Clinical Advisor (Recruiting)
Primary Care Physician

We are building a clinical advisory board of HPCSA-registered physicians with experience in underserved community health, AI safety evaluation, and district health system implementation. Interested clinicians can reach out to hello@aafiya.app.

HPCSA Registered Community Health

All clinical decisions on the Aafiya platform are reviewed and approved by HPCSA-registered medical practitioners. AI serves as a clinical decision support tool — never as a replacement for physician judgment.

Built for Scale,
Interoperability & Offline Resilience

Our technical architecture is designed for the realities of South African healthcare: intermittent connectivity, diverse devices, and the need for seamless data exchange with NHI systems.

Data & Interoperability Layer

NHI-Ready from Day One
  • FHIR R4 — All patient records, prescriptions, lab results, and clinical encounters stored as FHIR resources
  • NHI Data Exchange — Built for bi-directional sync with National Health Insurance data architecture
  • POPIA Compliance — End-to-end encryption, pseudonymisation, and consent management baked into data layer
  • OpenMRS Compatibility — Can integrate with existing OpenMRS deployments in public sector

AI Inference Infrastructure

Cloud + On-Device Hybrid
  • Aafiya AI — Primary clinical AI model hosted on serverless GPU infrastructure
  • Aafiya AI On-Device — Lightweight on-device fallback for SecondOpinion app when offline
  • South African Medical Corpus — Fine-tuned on SA-specific HIV, TB, NCD, and primary care protocols
  • Physician Override Tracking — Every AI recommendation logged with physician accept/reject/modify for continuous model improvement

Patient Access Layer

Zero-Data Fallback
  • USSD Gateway — Works on any phone (*120*2273#) with no data or smartphone required
  • Progressive Web App — Installable, offline-capable web app for smartphone users
  • 11 Languages — All constitutional languages supported via i18n framework
  • SMS Confirmations — Prescription summaries and follow-up reminders sent via SMS

Security & Clinical Safety

Regulatory-Grade Controls
  • HPCSA Gating — All physician users verified against HPCSA public register
  • Clinical Audit Trails — Every decision, edit, and override logged immutably for regulatory review
  • Adverse Event Reporting — Integrated system for reporting AI errors or patient safety incidents to SAHPRA
  • Zero-Trust Architecture — Role-based access control, session expiry, and activity monitoring across all platforms
Simplified Architecture Flow
Patient (USSD/PWA) → AI Intake → Physician Review (SecondOpinion) →
E-Prescription (FHIR) → Pharmacy Fulfillment → Lab Order (PathLab LIS) →
Result Return (FHIR DiagnosticReport) → Physician + Patient Notification

Built in Cape Town,
for South Africa

Legal Name
AAFIYA MED (PTY) LTD
B-BBEE Status
Level 1 Contributor · 135% procurement recognition
100% black-owned · 67% black-woman-owned
Sector
Health Technology · AI & Software
Incorporated
2026 · Cape Town, Western Cape, South Africa

Aafiya Med was founded on a single conviction: that South Africa's healthcare crisis is not a resource problem — it is a distribution and access problem that AI can help solve.

We build at the intersection of clinical rigour and emerging technology — always with physicians in the loop, always with the 50 million underserved South Africans in mind. Our four platforms address patient access, physician decision support, laboratory integration, and family support for neurodivergent children — one unified ecosystem designed for the NHI era.

Get in touch

For partnerships, investor relations, or press enquiries: hello@aafiya.app

Healthcare as a Right,
Not a Privilege

"A South Africa where every person, regardless of income or geography, can access physician-reviewed clinical care within hours — through any phone, in their own language, at no cost to them."

The Problem We're Solving

South Africa has lost 12,745 doctors and 58,897 nurses from the public sector since 2013. 80% of doctors serve only 15% of the population. 50 million people have no digital primary care alternative. AI exists to close this gap — if built responsibly, with physicians in the loop.

Common Questions
from Partners & Physicians

The questions we hear most from medical aids, pharmacy groups, physicians, and regulators.

Who holds liability for AI-assisted consultations?

The HPCSA-registered physician who reviews and signs off on every consultation holds clinical liability — not the AI, and not Aafiya Med as the platform provider. AI serves as a clinical decision support tool under physician supervision. This mirrors the liability framework for other decision-support technologies (e.g., radiology AI, lab analysers). Physicians retain full authority to accept, modify, or reject AI recommendations.

How is POPIA compliance handled?

All patient data is encrypted in transit and at rest. Patients provide explicit consent before any data is collected. Data is pseudonymised where possible, and access is restricted to authorised clinical users only. We maintain a POPIA-compliant data processing register, conduct regular privacy impact assessments, and have appointed a designated Information Officer. Patients can request data deletion at any time via hello@aafiya.app.

What happens when a physician disagrees with the AI?

Physician judgment always takes precedence. Every AI recommendation can be accepted, modified, or rejected by the reviewing doctor. All overrides are logged (with reason codes) and feed back into model training to improve future accuracy. In early pilots, we expect ~10-15% override rates as the AI learns South African clinical patterns — this is by design. The system is built to defer to clinical expertise, not replace it.

Is Aafiya SAHPRA-approved?

Not yet. We are currently in the clinical validation phase, with a SAHPRA Class IIb medical device submission planned for Q3 2026. The platform is operational for pilot testing with consenting patients under physician supervision. Full commercial deployment will follow SAHPRA approval, expected in late 2026 or early 2027.

How does Aafiya integrate with existing medical aid schemes?

We use FHIR R4 for all data exchange, which is compatible with most modern claims and authorisation systems. We can integrate via HL7 FHIR APIs or through existing switch providers (e.g., Healthbridge, Medigram). For medical aids, we offer eligibility checking, real-time authorisation requests, and claims submission — all via standardised FHIR messaging. We're open to partnership discussions with any scheme interested in expanding primary care access for their members.

Can Aafiya work offline?

Yes, partially. The USSD channel works over basic cellular (no data required). The SecondOpinion physician app has an on-device AI fallback (Gemma 3n) for clinical queries when offline. Full consultation workflows require connectivity for physician review and e-prescription submission, but intake and triage can happen offline and sync later.

Partners
& Collaborators

We are building strategic partnerships across medical aid schemes, pharmacy groups, laboratory networks, and the NHI implementation ecosystem.

Portfolio Websites

care.aafiya.app — Patient Platform
secondopinion.aafiya.app — Physician App
pathlab.aafiya.app — Pathology Management
neuroconnect.space — Family Support

Company Registration

AAFIYA MED (Pty) Ltd
B-BBEE Level 1 · 135% procurement recognition

Company Updates

22 MAY 2026
NeuroConnect SA Launched — Free Neurodivergent Family Support Platform Reaches 12,000+ Families
05 MAY 2026
Aafiya Med (Pty) Ltd Incorporated as Level 1 B-BBEE Contributor
15 APR 2026
Three-Platform AI Health Ecosystem Enters Clinical Validation Phase
20 MAR 2026
SAHPRA Regulatory Dossier Preparation Underway for Aafiya Patient Platform

For press enquiries or partnership announcements, contact hello@aafiya.app

Building the Team

We're looking for mission-driven engineers, clinicians, and operators who want to solve South Africa's healthcare access crisis. Early team, high impact, equity upside.

careers@aafiya.app →
Request Partnership Info
Request Partnership Info

Before You Go...

Interested in partnering with South Africa's first physician-supervised AI health platform? Download our partnership overview.

Request Partnership Deck