LUMA · GLOBAL EXPANSION SUB-SAHARAN AFRICA

SAME FRAMEWORK.
FOUR COUNTRIES.

luma's framework — Bayesian projections over CHW-tagged WhatsApp interactions, grounded in published priors — generalises to every country with a stipended CHW network and WhatsApp penetration. Lesotho is live. Botswana, Eswatini, and Malawi are the obvious next three. Each new country becomes one more ministry running primary-care infrastructure without an INGO partner.

Module 01 · Bayesian posterior comparison

HIV prevalence — prior vs posterior, by country

Same Beta-Binomial machinery, four different priors. Lesotho's posterior reflects 4,700+ tagged CHW interactions; the others are prior-only — that's where deployment goes next.

Module 02 · Comparable health-system metrics

Why these four

All four have stipended CHW cadres, WhatsApp penetration, and a TB+HIV+MNCH burden that justifies the same protocol corpus. Sources cited per row.

Module 03 · Operational reality

Why each country comes next

Lesotho (live). Pioneered SSA CHW institutionalisation — 11,000 Village Health Workers professionalised under the 2014 health reform. Highest TB-HIV co-infection rate. Government motivated, geography rural — perfect beachhead.

Botswana (next, ≤6 months). Wealthier health system, faster procurement. 95% ART coverage means treatment-cascade indicators dominate the conversation — precisely what luma's structured extraction surfaces. Setswana ASR shares phonetic structure with Sesotho — the voice pipeline retunes in days.

Eswatini (next, ≤9 months). Highest HIV prevalence on Earth (27%+). Maternal mortality crisis. Tiny, concentrated population (1.2M) means rapid coverage. Government enrolled in pan-African 2-million-CHW initiative — political will is already there. siSwati is mutually intelligible with isiZulu and Sesotho.

Malawi (moonshot, ≤18 months). 21.7M people, <0.5 doctors per 1,000. The 11,000 Health Surveillance Assistants operate under severe supervision deficit — luma is a force-multiplier. Chichewa is a high-resource ASR target. The largest single growth lever in our 36-month plan.

Module 04 · The math, identical across countries

Same framework, swap the prior

The Beta-Binomial conjugate update doesn't care which country it's in. The prior changes (UNAIDS 18.5% in Lesotho, 19.7% in Botswana, 27% in Eswatini, 7.1% in Malawi). The CHW-observed counts change. The posterior reflects whichever combination is in front of it. Read the methodology →