For governments, multilaterals, and funders
Health system strengthening,
rendered in cryptography
Bangladesh's healthcare failures are identity failures: the unverifiable prescriber, the ghost-signed report, the mother who arrives at her third facility as a stranger. We build the layer that fixes them. Below is that work mapped to the framework you evaluate in: the WHO health system building blocks, accountability to affected populations, and governance that survives us.
The last mile · where the system has to arrive
01 — The six building blocks
Where Glyph sits in the WHO framework
Health information systems
The identity layer and the patient-held record: the missing national HIS, built bottom-up, owned by citizens, PDPO-compliant by construction rather than by retrofit.
Health workforce
Verifiable professional identity against the registry gaps BMDC itself has stated publicly. A matching engine that creates durable doctor-patient relationships. Clinical upskilling for CHWs, factory health assistants, and dispensers.
Access to essential medicines
A prescription verification loop at the pharmacy counter, built against documented baselines of 50 to 92% non-prescription antibiotic dispensing. Dispensing records that make stewardship enforceable instead of aspirational.
Service delivery
Preparation before the consultation, verified diagnostics, asynchronous care across borders, scheduled maternal surveillance, and referral routing that delivers an expected patient instead of a stranger.
Financing
A direct attack on the waste inside 73% out-of-pocket spending: duplicate diagnostics, wrong first stops, and medication errors. ADB modelling already prices the duplicate-diagnostics problem in the hundreds of millions of dollars annually.
Leadership and governance
Verifiable compliance instruments for BMDC, DGDA, DGHS, and DIFE. Pilot data measured against published baselines and offered openly to regulators. A grievance system whose resolutions are attested, not self-reported.
02 — Accountability
Grievance redress, with resolutions that prove themselves
Bangladesh's health ministry already operates a national Grievance Redress System. A 2025 analysis in PLOS Digital Health examined 11,604 messages submitted to it over eight months: 67% were forwarded to another department, 30% were closed, and 2.55% were resolved. The channel exists. The accountability does not.
In the Glyph network, a grievance is a credential: filed by an identified patient or through anonymous mode for the complaints people are afraid to sign, bound to the encounter it concerns, and tracked to a resolution that is attested rather than self-reported. Aggregate resolution rates are visible to funders and regulators through selective disclosure, with no individual exposed.
For donor-funded programs this is a standing requirement, not a feature: World Bank safeguards and UN accountability policy both demand functioning grievance mechanisms. Ours is built into the record architecture itself.
03 — Measurement
Measured against published baselines, published either way
Every pilot in this program is specified against a documented baseline: the 48-second consultation, the 50 to 92% non-prescription antibiotic rates, the preeclampsia mortality plateau the national surveys describe, the 2.55% grievance resolution rate. Because every encounter in the network is a signed record, program outcomes are verifiable data rather than self-reported aggregates. Funders see what their money produced: visits that demonstrably happened, blood pressures that were demonstrably taken, prescriptions that were demonstrably verified.
Nutrition surveillance is joining the same spine: growth monitoring at every immunization contact and anaemia screening through pregnancy, in a country where 28% of children under five are stunted and anaemia in women shows no recorded progress. Real-time, consented, longitudinal nutrition data as a side effect of care.
04 — Where to engage
Three pilots, specified and costed
05 — Governance
Built to outlive its operator
Glyph is a single-operator system built on portable open standards, and it says so plainly. Every wallet exports in W3C-standard form; credentials verify against published keys with or without our cooperation. KhaM Labs' governing documents carry a named succession obligation: if the operator fails, keys, namespace, and resolution infrastructure transfer to a designated successor, in preference order a Bangladeshi public authority, a consortium of participating institutions, or an international digital-public-goods custodian.
The Personal Data Protection Ordinance 2025 made the citizen the owner of her data by law. This architecture makes her the owner by cryptography, ahead of the ordinance's enforcement date. Raw patient data is never sold, and the patient-held-key design makes that a structural fact rather than a policy promise.