Many digital programmes stall for a simple reason: the institution automates yesterday’s process instead of redesigning the work the system is meant to support.
Digitising a broken workflow preserves the breakage at greater speed and cost. In medicines management, that can mean weak data-for-action routines, unclear ownership and systems that never settle into national practice.
Mitambo & Co’s advisory work on digital medicines management and eMMS alignment in Malawi emphasised national ownership, governance and implementation pathways — not technology for its own sake.
Successful transformations treat technology as an enabler of redesigned institutional practice. Tools follow process; process follows the problem.
