27–51% reduction in mortality
In pediatric care, mortality reduced by 40–51%. In neonatal care, mortality reduced by 27–35% over 12 months in separate studies in Tanzania and Rwanda. Critical illness events were reduced by 26-47%.
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GOAL 3 Brochure
IMPALA unburdens health workers and saves lives.
A patient monitoring-and-management solution built for health workers in under-resourced settings, shifting care from reactive to proactive.
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01 · Contents
Table of Contents
02
The Problem
A shortage of qualified staff and adequate equipment keeps low-resource hospitals in a reactive cycle of care
Access alone does not guarantee timely, high-quality care
65%
health worker shortfall across Africa
Africa has 1.55 health workers per 1,000 people, 65% below the WHO-recommended benchmark of 4.45.
Greater pressure on health workers and poorer outcomes for patients
1
Overburdened staff
Too few health workers for too many patients, often without adequate monitoring equipment.
2
Late detection, reactive care
Intermittent monitoring means early signs of deterioration may be missed or recognized late, so treatment is delayed.
4
More workload, more pressure
Staff time and hospital resources are stretched further, reinforcing the reactive cycle of care.
3
More intensive care required
Delayed intervention can contribute to patient complications, longer admissions, and avoidable referrals.
03
The IMPALA Solution
IMPALA
Hardware, software and service, that unburdens healthworkers
In the hospital
What IMPALA looks like on the ward
01 IMPALA MONITOR
Built for context
Continuous vital sign patient monitoring that unburdens health workers and transforms patient outcomes.
Patient monitoring where you need it most
- ●Continuous measurement of patient vital signs
- ●Alarms for when a patient is outside normal thresholds
- ●Regulatory approved (CE Mark, plus Kenya, Tanzania and Rwanda)
Built for Sub-Saharan Africa
- ●Heat resistant up to 45 degrees
- ●Dust and insect resistant
- ●10-hour battery life
- ●Resilient against power fluctuations
Silicone protective sleeve
Protects the monitor from impacts and UV damage.
Reusable probes
Robust probes, available for every age group from neonate to adult.
Smartphone-like screen
Easy to use interactive screen allowing health workers to easily navigate and understand patient data
Specialised alarms
Five paediatric alarm thresholds plus one for adults, up to 54% fewer alarms.
02 IMPALA PLATFORM
Clear visibility. Confident decisions. Better care over time.
The IMPALA Platform brings together a Central Patient Overview, Clinical Support Application, Data Dashboards*, and local infrastructure to support ward-level care.
*Data Dashboard is expected to be available Q1 2027
Software
Faster Triage: With >90% health workers reporting improved efficiency
- Color system stratifies patients according to risk
- Patient avatars make it easy to see exactly what is wrong with the patient
- Continues to work without power due to on-premise server with a 24hr battery life
Know the full patient story (not just snapshots)
- Patient History for up to one year after discharge
- Log clinical interventions on the patient
- Built in PEWS automated scoring
Intermittent Monitoring expected Q1 2027
Improve patient care over time
- Monitor usage and uptime
- Number of patients monitored
- Top indications
- Discharge outcomes
- Length of stay
*Data Dashboard is expected to be available Q1 2027
Hardware
24" central display
Wall-mounted in the ward, showing the status of every monitored bed.
IMPALA server hub
On-premise hub with on-site data storage, 24-hour power backup, a local WiFi network and automated remote updates.
Mobile 10" tablet
Carried in the ward, bringing the patient overview and clinical support to the bedside.
03 IMPALA CARE
Service and support for sustainable success
IMPALA Care is a comprehensive service package that helps hospitals implement, adopt, maintain, and continuously improve the value of IMPALA.
Technical support
- ●$75 credit for consumables / monitor / year
- ●Fast-response WhatsApp service line
- ●System monitoring to detect errors
- ●Local service teams
Personnel support
- ●E-learning modules*
- ●Weekly tips via a country-wide WhatsApp community
- ●GOAL 3 Champion Program
Supportive Supervision*
- ●4 additional days per year of on-site technical and clinical support
- ●Refresher trainings
- ●System optimization
Monitoring, Evaluation & Learning (MEL)**
Add-on · $1,500/year — not in standard package
- ●Support for data review and data reporting
- ●Informing quality improvement
- ●Programme evaluation
*Supportive supervision & e-learning modules are not yet commercially available.
**MEL is not included in the standard IMPALA Care package, but is available as an add-on at extra cost - $1,500/year.
04
Impact & Evidence
Evidence
Saving lives, time, and costs.
0
patients with improved care annually
0
hospitals
0
IMPALAs
0
health workers trained
0
estimated annual lives saved
Reducing health expenditure
For every $1 spent on IMPALA, $4–16 in health expenditure is avoided. The IMPALA monitoring system costs $2.90 per hospitalized patient, with $10.50 in health expenditure savings and $28.50 in societal savings. IMPALA reduced direct medical, direct non-medical, and indirect costs in two hospitals in Malawi.
45% reduction in monitoring time
Time spent on monitoring reduced from 3.3 to 1.8 hours. 92% of health workers report reduced stress levels. 98% would recommend IMPALA to others.
05
Impact Stories
Human stories behind the evidence.
Voices from the ward
Impact in their own words
Oscar
Nurse, Zomba Hospital, Malawi
While on duty in the Pediatric Ward, we received a 3-year-old child presenting with a Blantyre Coma Score of 3/5. The child had been treated for hypoglycemia and was diagnosed with severe malaria. Upon admission, the patient was transferred to the High Dependency Unit (HDU) for continuous monitoring using the IMPALA system.
A few hours later, while seated at the nurses’ station, an emergency alert appeared on the patient overview dashboard, the child’s heart rate was critically high, and oxygen saturation was dropping despite being on oxygen therapy.
We immediately rushed to assess the child. On the monitor, both ECG and SpO₂ waveforms appeared normal, but the Perfusion Index was alarmingly low (0.1). This guided us to assess for shock and anemia. Our assessment confirmed both: the child was in shock and had a hemoglobin level of 5 g/dl.
A quick and life-saving decision was made to initiate blood transfusion. Shortly after transfusion, the heart rate began to stabilize, and oxygen saturation improved significantly. By the next day, the child was fully alert (BCS 5/5), the feeding tube was removed, and the patient was almost ready for discharge, just kept for another 24 hours of observation.
"Thanks to the IMPALA continuous monitoring system, we detected deterioration early and acted immediately, saving a young life that could have been lost without real-time alerts."
Ellen
Nurse, Queen Elizabeth Central Hospital, Malawi
While on duty in the pediatric ward, Ellen was moving between patients during a typically busy morning shift. Care was ongoing, and the team was managing multiple cases simultaneously.
During this time, an IMPALA alert was triggered. Ellen turned back to review the monitor. The pulse rate of a 2-month-old infant had risen sharply to 310 beats per minute.
Routine activity paused, and attention shifted immediately to the patient. The team gathered at the bedside, initiated assessment, and began urgent interventions. Care was escalated in response to the critical change in vital signs.
"It was that alarm that saved that baby."
06
Pricing
Simple transparent pricing. High quality, low costs.
Projected Value Gain
Based on 10 IMPALA Monitors plus the IMPALA Platform, assuming 2,500 patients admitted per year. These numbers vary by hospital and setting.
40–48
paediatric lives saved per year
50–70
healthcare workers supported per ward
Up to $33,000
in annual health-system savings
Up to $110,000
in annual societal savings
Pricing
A transparent package
One-time equipment costs
$18,850
- ●10 IMPALA Monitors (2-year warranty)
- ●IMPALA server hub with power backup
- ●10-inch tablet
- ●24-inch screen
Recurring fees
$2,000/year
- ●Clinical support application
- ●Data dashboard
- ●Central patient overview
- ●IMPALA Care
- ●$750 worth of probes and sensors per year
07 · Thank You
Together, we can raise the standard of care.
Partner with GOAL 3 to help empower health workers and transform patient outcomes.
About GOAL 3
Who we are
GOAL 3, named after Sustainable Development Goal 3, is a purpose- driven health tech company founded in 2019. We leverage health-tech innovation and innovative business models to tackle systemic challenges in under-resourced health systems.
Vision
Fair and accessible healthcare for everyone, everywhere
Mission
To enable and empower health workers where it is needed the most
Goal
To improve access to high quality care for 100 million people by 2030