April 2026

This quarter, we will be launching a subscription plan offering for regular clients. Further details are outlined in our Terms of Service.

March 2026

🔗 Bridges or Bottlenecks? How The Middleman Became The System & How To Redesign It.

This deep dive explores the role of intermediaries in Africa, exploring three models: agent-first, platform, and hybrid. An argument is made that hybrid models are uniquely placed to build agency, and strengthen systems.

Below is an excerpt:

“Why did Horizon Health Network enter the market as an intermediary if intermediaries are the problem? The longer I’ve worked on this problem, the more I’ve realised that the intermediary issue isn’t about individuals behaving badly. It’s more structural than that; a symptom of agency that’s been redistributed so widely that no one feels responsible for the full picture. Clinicians, patients, payers, and facilitators each optimise for different factors and in doing so, collect fragments of information. They rarely have enough information or context to act decisively (or ethically for that matter). In that gap, intermediaries thrive. They become translators between actors who have stopped speaking the same language. But rather than being a zero-sum game, agency is a design choice. The more we build systems that assume users can’t self-advocate, the more we guarantee they won’t. That’s why I think the next generation of health platforms in Africa will be about rebuilding agency across the chain, so continuity of care stops depending on who shouts loudest or pays first.”

January 2026

January has been a busy month at Horizon Health Network. We:

• Launched our first patient education series on Substack and so far, received a positive response. The feedback from this education series, filters into the content and events we organise in future.
• Visited three of Egypt’s largest private healthcare provider groups. During the visit we reviewed each hospital’s facilities, unique value proposition and patient journey to support us in delivering on our commitment to match patients with a healthcare provider that is best suited to their needs. We also discussed various systems strengthening initiatives for Nigeria with health providers in Egypt and KSA.

January 2026

This month we are launching an education series, which covers a range of topics where we have noticed information asymmetry impacting health outcomes.

We are collaborating with partners and clinicians in both high- and low-resource settings to deliver clear, accessible information in an attempt to build patient agency.

While some topics are disease specific (such as sickle cell disease or diabetes), others are context specific (such as caring for elderly relatives or air travel and illness).

Each topic comes in four parts. Once a topic is complete, we’ll invite readers to share pending questions (to be compiled and answered by clinicians), insight on where they would benefit from in-person community events and detail on topics they’d like to learn more about in the future.

The first edition is on sickle cell disease which was put together with the support of HHN clinicians, Dr. Aisha Amal Galandanci (consultant haemotologist and researcher), Zainab Garba-Sani (sickle cell society) and Suzi Reybould (red-cell CNS) to whom we extend our special thanks. You can access the links to each publication below or by following our LinkedIn page.