~/case-studies/ganda-care.md
GandaCare — Offline Dermatology AI Triage
Aug 2026
Offline-first, explainable dermatology triage platform awarded 2nd Place at Cimas Healthathon 3.0, engineered for low-connectivity clinics with dark-skin fairness calibration.
- // problem statement
- Dermatologists are severely scarce in Sub-Saharan Africa, creating months-long referral backlogs. Mainstream medical computer vision models underrepresent darker skin phototypes (Fitzpatrick V & VI) and fail in rural clinics without continuous internet connectivity.
- // engineering solution
- Engineered a multi-tier clinical triage architecture: an offline Flutter mobile application running on-device edge AI triage and evaluating clinical safety gates (pediatric age, immunosuppression, fever, facial involvement), escalating high-risk cases to a React + Vite Specialist Portal with EDLIZ-aligned clinician treatment recommendations.
- // key outcome & impact
- Won 2nd Place (Runner-Up) at Cimas Healthathon 3.0. Validated zero-cloud dependency for rural clinic intake, sub-second on-device inference, and safety-gated specialist escalation.
System Architecture & Data Flow
Frontline Clinic (Offline Mobile) Specialist Telehealth Layer (Edge / Web)
┌─────────────────────────────────────┐ ┌────────────────────────────────────────┐
│ Flutter Mobile App │ │ Specialist Portal (React + Vite) │
│ ├─ Camera Lesion Capture │───►│ ├─ Remote Triage & Review Queue │
│ ├─ On-Device Edge AI Model │ │ ├─ Clinical Safety Gate Inspection │
│ └─ Clinical Safety Check (EDLIZ) │ │ └─ EDLIZ Treatment Protocol Selection │
└──────────────────┬──────────────────┘ └───────────────────▲────────────────────┘
│ (Background sync when online) │
└──────────────► Spring Boot API ───────────┘
(PostgreSQL + Docker)Key Technical Highlights:
- Awarded 2nd Place (Runner-Up) nationwide at the prestigious Cimas Healthathon 3.0.
- 100% offline-capable on-device mobile vision model enabling diagnostic triage in off-grid clinics.
- Strict clinical safety gates preventing algorithmic overconfidence on high-risk lesions (e.g., facial spread, fever).
- Full alignment with the Essential Drugs List of Zimbabwe (EDLIZ) for specialist review workflows.
- Flutter
- Dart
- React
- Vite
- Python
- PyTorch
- Spring Boot
- PostgreSQL
- Docker







