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afyaflow

diaspora flow · interactive sketch

James, Boston ↔ Wanjiku, Sagana

SCENE 01 · 11:43 PM Boston / 7:43 AM Sagana

A WhatsApp from his mother changes the night.

James is closing his laptop. His phone buzzes. It is his mother. He reads the messages twice before he understands what she is asking him.

The situation

James Kamau, 38. Software engineer in Boston, 11 years in the US.

Wanjiku Kamau, 67. His mother, lives alone in Sagana, Kirinyaga County. Healthy enough to manage her own home, but slowing down.

Her clinic check up last week flagged her blood pressure as dangerously high. The doctor wanted her to see a cardiologist. The earliest appointment in Nairobi is six weeks away.

James has a sister in Mombasa. A cousin who is a nurse but unreachable. A family WhatsApp group with fourteen contradicting opinions.

He has been here before. He does not want to be here again.

Testing: does this opening moment feel familiar to diaspora users? Have they lived a version of this? Listen for the specific things they tried, the names they called first, what failed them.

M

Mum

online

Habari mwanangu

7:41

I went to the doctor at Sagana clinic this week. He said my pressure is too high. Something with my heart also is not okay he said.

7:42

He gave me a paper. I will send picture. He said I should see a specialist but it is 6 weeks

7:42

IMG_2847.jpg

📄 blurry photo of ECG

7:43

Sasa nifanye nini?

7:43

Type a message

SCENE 02 · 11:48 PM Boston

A friend's recommendation he had forgotten.

Two months ago, in a diaspora WhatsApp group, someone shared a link. James saved it without opening it. Now he opens it.

🔒 afyaflow

a

afyaflow

Healthcare for your parents in Kenya, managed from anywhere in the world.

We coordinate with verified specialists in Kenya, send a trained care giver to be physically present with your parent, and report back to you. You stay informed. They stay cared for.

Start on WhatsApp

A coordinator will reply within 30 minutes

24h

to specialist review

KMPDU

verified specialists only

USD

pay in your currency

🔒 Every case is encrypted with a unique code only you can access. We protect your parent's medical data the way we would protect our own.

What this page does

→Headline names the customer. "Your parents in Kenya, from anywhere" speaks to James directly.
→Care giver mentioned upfront. Not just a referral platform. Someone is physically there.
→Three numbers, not a feature list. 24h, KMPDU, USD. Each one is an anxiety answer.
→Encryption surfaced early. Diaspora users care about data sovereignty more than in-country users do.
→One action only. Tap to start on WhatsApp. No signup, no email capture.

Testing: does the proposition land in 10 seconds? Does "care giver physically present" feel reassuring or like a red flag? Does the encryption line build trust or surface a concern they had not had yet?

SCENE 03 · 11:51 PM Boston

A reference number, a quick verification, then a real conversation.

The bot greets James, generates a case reference, asks for KYC for both him and his mother, and only then connects him to a human. The whole onboarding takes under three minutes.

The case file gets created

Reference number

AFYA-7K4M-9N2P

Emailed to james.kamau@gmail.com as soon as KYC is complete.

✓

Your KYC

Name, country of residence, ID photo, selfie. 90 seconds.

✓

Your parent's KYC

Their National ID (Kitambulisho), photo, relationship to you. You can send these on her behalf.

✓

Reports uploaded

ECG photo, clinic notes. Attached to the case.

→

Coordinator assignment

Grace is matched to your case.

Testing: does the KYC moment feel like reasonable diligence, or does it feel like friction? Diaspora users are used to verification (banks, Wise) but their parents may not be. Does asking for the mother's ID feel respectful or invasive?

a

afyaflow

automated · then Grace

Today, 11:51 PM

Hi I need help for my mother in Sagana

11:51 ✓✓

Hello and welcome to afyaflow. I am the automated assistant. I will set up your case in 2 minutes, then connect you with a human coordinator.

11:51

Your case reference:
AFYA-7K4M-9N2P
We have emailed this to you.

11:52

First, a quick verification. Please send a photo of your ID and a selfie. (For your security and to comply with Kenyan data law.)

11:52

📎 Sent: passport.jpg, selfie.jpg

11:54 ✓✓

Thank you James. Now your mother's details. Her name, age, and a photo of her National ID. You can send on her behalf.

11:54

Wanjiku Kamau, 67. ID photo coming.

11:56 ✓✓

Got it. And the medical reports?

11:56

📎 Sent: ECG, clinic notes

11:57 ✓✓

All received and attached to case AFYA-7K4M-9N2P. Connecting you with Grace, your coordinator. She is online now.

11:58

Grace joined the conversation

Grace, coordinator:
Hi James, I have read everything. So sorry about your mum. Let me find the right cardiologist now.

11:59

Type a message

SCENE 04 · 7:02 AM Boston, next morning

The dashboard James scans before his first cup of coffee.

He logs in with his reference number. Everything that happened overnight is here. This screen is the entire diaspora proposition in one view: visibility, names, KMPDU numbers, status.

Encrypted access

QR code — scan to open case AFYA-7K4M-9N2P

Scan to open your case on phone

Or enter your code:

AFYA-7K4M-9N2P

🔒 This case is encrypted. Only someone with your code can view it. Not even afyaflow staff can see it without your authorization.

Testing: does the QR + code combination feel secure or paranoid? Do diaspora users understand encryption claims, or do they ignore them?

🔒 afyaflow/case/AFYA-7K4M-9N2P

Active case · AFYA-7K4M-9N2P

Wanjiku Kamau, 67

Sagana, Kirinyaga County · Hypertension follow up

● awaiting specialist review

⚡ AI preliminary review completed 4:12 AM Boston

pending specialist confirmation

Intake summary: ECG shows likely atrial ectopics, not immediately dangerous. Blood pressure is in stage 2 hypertension range. Current medication (amlodipine 5mg) is likely under-dosed for this BP level.

This is a structured AI summary to help the specialist. A KMPDU-licensed cardiologist will review and confirm or correct this within the next few hours.

Timeline

✓

Case created, KYC complete

11:58 PM Boston · 7:58 AM Nairobi

✓

Grace assigned as your coordinator

11:59 PM Boston

✓

AI preliminary review complete ⚡ AI

4:12 AM Boston · pending specialist sign off

→

Specialist matched: Dr. Margaret Mwangi

Cardiologist · Aga Khan University Hospital · KMPDU 21847

Reviewing your case now

○

Schedule consult · expected within 4 hours

○

Consult completed · care giver reports back

Attached to this case

ECG

ecg_2025.jpg

CLINIC

notes.pdf

ID

kitambulisho

Coordinator

Grace W.

on duty until 9 PM Nairobi

Specialist

Dr. M. Mwangi

KMPDU 21847, Aga Khan

Care giver

to be confirmed

based in Embu, will travel to Sagana

SCENE 05 · 8:30 AM Boston · 3:30 PM Nairobi

Specialist assigned. James picks a time. He pays.

Dr. Mwangi has reviewed the case and is available. James sees her calendar, picks a slot that works for Wanjiku, and pays via afyaflow payments. Total time on the screen: under two minutes.

🔒 afyaflow/case/AFYA-7K4M-9N2P/schedule

Your specialist

MM

Dr. Margaret Mwangi

Cardiologist · MMed (Cardiology), University of Nairobi

Aga Khan University Hospital · KMPDU 21847 · verified Jan 2025

Languages: English, Kiswahili, Kikuyu

Not comfortable with this specialist? Request a different one →

Available consult times (Nairobi time)

10:00 AM Nairobi = 2:00 AM Boston. Care giver Beatrice will be physically with your mother. You can join by video, optional.

Payment

afyaflow payments · M Pesa, card, bank

Specialist consult

USD 38 (KES 5,000)

Care giver visit (Sagana)

USD 12 (KES 1,500)

Total

USD 50

You will receive a receipt and a calendar invite by email. The 10 AM Nairobi slot is held for 10 minutes.

What this screen does

→Specialist is introduced, not just assigned. Full credentials, languages, and an explicit "request a different specialist" link to preserve agency.
→Time conversion shown. Nairobi time and Boston time both visible. "2:00 AM Boston" tells James he does not need to wake up.
→Care giver named. Beatrice will be there. Wanjiku will not be alone.
→Payment in USD. KES shown alongside for transparency, but the price is in the currency James thinks in.
→Care giver visit is a separate line item. Honest about what costs what.

Testing: does USD 50 feel like nothing (in which case why?), reasonable, or too cheap to trust? Diaspora users have a strong intuition for "this is too cheap to be real." Watch for that signal.

SCENE 06 · 10:14 AM Boston · 6:14 PM Nairobi

The consult is done. The report is in. Six words change everything.

Care giver Beatrice was with Wanjiku for the consult. She recorded the specialist's findings. The AI scanned the new prescription for interactions. James reads it all on the train to work.

🔒 afyaflow/case/AFYA-7K4M-9N2P

Consult completed

Tuesday, 6:14 PM Nairobi

✓ resolved

Specialist findings

No emergency. No need to fly home.

Atrial ectopics are mild and not dangerous on their own. The real issue is uncontrolled hypertension at stage 2. Medication adjusted, follow up in 4 weeks.

Signed by Dr. Margaret Mwangi · 6:14 PM Nairobi

⚡ AI medication check all clear

New prescription: Amlodipine 10mg + Losartan 50mg, both daily.

✓ No dangerous interactions with current medication.
✓ No conflict with known allergies in case file.
✓ Dosing within standard guidelines for her age and BP range.

AI cross checks every prescription. A pharmacist also reviews before dispensing. The specialist signs off.

BN

Beatrice N., care giver

on site in Sagana · 6:30 PM

"Mama Wanjiku was a little nervous at first but Dr. Mwangi was very patient with her. She understood everything. I have given her the new medication and explained when to take it. She is having tea now. She said to tell you not to worry."

The line everything rests on

"No emergency. No need to fly home."

This is what James actually paid for. Not a consult. Not a prescription. Not even peace of mind. Permission to not get on a plane tonight. The entire diaspora proposition is held in six words.

Three roles, one case

G

Grace

coordinator, manages the case end to end

MM

Dr. Mwangi

specialist, clinical decisions and prescriptions

BN

Beatrice

care giver, physically with Wanjiku

The triangle that makes diaspora coordination work. AI helps the team move faster. It does not replace any of them.

Testing: does the AI medication check feel reassuring or anxiety inducing? Does Beatrice's quote land as warmth or as performative? Most importantly: does "no need to fly home" trigger an emotional response?

SCENE 07 · 3:42 PM Boston · the next afternoon

James decides he wants a second opinion. Two clicks. One payment.

The first specialist said no emergency. James trusts that. But his father died three years ago because nobody got a second opinion in time. He never wants to feel that again. So he taps once.

🔒 afyaflow/case/AFYA-7K4M-9N2P/second-opinion

Get a second opinion

A different cardiologist reviews the same case file

Your full case file, including Dr. Mwangi's findings, will be shared with another verified cardiologist. They will provide an independent opinion within 24 hours. You decide what to do with both.

Suggested second opinion

JO

Dr. Joseph Otieno

Cardiologist · Kenyatta National Hospital

KMPDU 19412 · 18 years experience

No prior relationship with Dr. Mwangi. Independent review.

ℹ️

Why a second opinion? Some diagnoses, especially cardiac, benefit from independent review. We do not recommend second opinions for every case, only when you want extra confidence. The two specialists work independently and do not see each other's findings until both submit.

Second opinion fee

USD 38

Why this feature exists

The founder of afyaflow lost her father because a diagnosis went unchallenged for three months. That is not a marketing line. It is the reason this button exists.

A second opinion is a low friction, optional, paid feature. We do not push it. We do not bundle it. We make it possible for the families who want it, easy enough that the cost of saying yes is small, and offered exactly at the moment when the question naturally arises.

The hypothesis afyaflow tests

Diaspora Kenyans are not paying for healthcare access. They are paying for the ability to sleep at night. afyaflow succeeds if, three months from now, James automatically opens afyaflow the next time his mother says something he does not understand. Not because of features. Because of trust.

Testing: does the second opinion offer feel useful or like upsell? Does Dr. Otieno feel like a real alternative or like a dummy entry? Would James actually click, or would he close the tab feeling reassured by the first opinion?

What we built

· WhatsApp first intake with auto KYC
· Encrypted case access via QR or code
· Specialist + care giver + coordinator triangle
· AI preliminary review, AI medication check
· Scheduling, payment, second opinion path

What we deliberately did not build

· No patient mobile app (parent uses phone normally)
· No insurance flows yet
· No diagnostic equipment tracking yet
· No AI diagnosis or recommendations
· No data residency outside Kenya

What we test next

· 5 diaspora interviews against this prototype
· Care giver pricing and willingness to pay
· Trust impact of AI tags (positive or negative)
· Whether parents accept the care giver presence
· Real KMPDU specialist recruitment, weeks 4 to 6

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afyaflow · diaspora flow, interactive sketch

v0.3