Healthcare people can trust — designed for Africa

From fragmented care to a connected health network

Project53 provides the foundation for connected healthcare networks across Africa, while CareVault serves as the digital coordination layer linking people, providers, and services.

One coordinated platform

Telehealth, diagnostics, EMR, and AI-assisted workflows operating as a unified system from the start.

Unified clinical operations

Why change is needed

Healthcare delivery often becomes difficult to navigate, costly to maintain, and disconnected across services. Patients deserve care that is accessible, affordable, and respectful.

About FHI

Clinicians first. Builders by necessity

Filzer Health Innovations is a clinician-led company founded by European healthcare professionals and focused on improving access to healthcare across Africa. We combine digital platforms, operational models, and physical care networks to create practical solutions that can grow with the communities they serve.

Alexandra Filzer

Alexandra Filzer

Founder & CEO · Abu Dhabi, UAE

European-trained healthcare professional with international business education, based in Dubai since 2016, and with more than a decade of experience developing clinics, diagnostic centers, and imaging services. A clinician turned business architect, she combines frontline healthcare experience with long-term strategic thinking to build scalable healthcare systems across emerging markets.

MBA – Hult International Business School MScN · Nursing Design Thinking – Harvard University Scaling – Wharton Executive Education

Who we are

FHI did not begin with a business plan. It began with a simple observation: patients were travelling abroad for care that should have been available closer to home. That experience shaped our commitment to strengthening healthcare systems where access remains limited.

How we started

We believe healthcare cannot be designed from a distance. Before entering any market, we spend time understanding local realities, meeting stakeholders, and learning how care is delivered in practice. The company was formally established in 2022, building on years of groundwork and field experience.

Why it matters

Many communities continue to face gaps in access, coordination, and continuity of care. We focus on creating systems that strengthen local capacity and support long-term improvement rather than short-term fixes.

Founding Principles

The principles behind our approach

Sustainable healthcare depends on strong foundations, thoughtful execution, and long-term commitment.

How we work

Clinicians lead the mission

Medical priorities guide every decision.

Understanding before expansion

We learn local realities before taking action.

Long-term partnerships

Relationships matter more than transactions.

Integration over dependence

Strong systems reduce reliance and increase resilience.

Open ecosystems, not closed platforms

We integrate proven technologies to support local needs.

Headquartered in Masdar City, Abu Dhabi, with ongoing activities across sub-Saharan Africa through the Project53 ecosystem.
Services Catalogue

What we deliver

We help healthcare organizations create the systems, infrastructure, and operating models needed to deliver care sustainably and at scale.

Pillar 1

Healthcare Systems & Infrastructure

Integrating technology and infrastructure to support connected, efficient care delivery.

1 Connected Clinical Systems 2 activities
Core Activity
Clinical Workflow Design

Designing operational workflows supported by automation and predictive analytics to improve patient flow and resource allocation.

Core Activity
Clinical Data Integration

Connecting clinical systems and health data to create a unified view across care settings.

2 Modular & Hybrid Clinical Infrastructure 2 activities
Core Activity
Rapidly Deployable Care Units

Planning and deploying modular facilities designed for rapid expansion and regional access.

Core Activity
Integrated Care Networks

Integrating physical modular assets seamlessly with regional tertiary hospital networks to ensure continuous, software-coordinated care delivery.

3 Virtual Care Platforms 2 activities
Core Activity
Telehealth Platforms

Enabling telehealth, remote monitoring, and unified patient records across distributed care networks.

Core Activity
Remote Diagnostics Deployment

Extending specialist services through remote diagnostics and connected devices.

Pillar 2

Healthcare Strategy & Operations

Helping healthcare organizations align strategy, operations, and long-term growth.

1 Strategic Advisory 2 activities
Core Activity
National & Enterprise Digital Roadmaps

Developing multi-year digital health strategies, maturity assessments, and adoption frameworks for health authorities and healthcare organizations.

Core Activity
Public–Private Partnership (PPP) Advisory

Structuring collaborative frameworks between government entities and private innovators to finance, build, and operate long-term healthcare systems.

2 Clinical Operations & Asset Optimization 2 activities
Core Activity
Equipment Planning & Lifecycle Management

Evaluating, procuring, and orchestrating advanced clinical machinery and smart medical devices to maximize asset utilization and clinical precision.

Core Activity
Clinical Workflow Optimization

Optimizing clinical and administrative workflows to preparing teams for the adoption of efficient digital workflows.

Project53

A framework for scalable healthcare

Project53 is a long-term initiative designed to support safe, continuous, and scalable healthcare across Africa through responsible governance and sustainable operating models.

Healthcare in many African settings faces a dual constraint: high medical need and extremely limited financial headroom. If a model isn't lean from day one, it doesn't scale — and it doesn't survive.

Why Project53 is different

Re-engineered from first principles

Rather than layering technology onto inefficient structures, we redesign delivery models around local realities:

  • Cost constraints
  • Workforce realities
  • Infrastructure limitations
  • Governance and accountability

Less complexity, by design

The objective isn't "more technology". It is simpler systems that remain accessible, governable, and scalable.

Core principles

Clinical governance first

Medical responsibility and patient safety guide all implementations.

Lean by design

Cost discipline is foundational — not an afterthought.

Technology as infrastructure

Technology supports care; it does not replace clinicians.

Local adaptation

Frameworks are repeatable, but implementations are locally calibrated.

Economic sustainability

Systems must be financially viable to scale without continuous capital expansion.

Repeatable models

Growth comes from repeatable models, not endless customization.

Focus areas

Primary care access

GP-first models, structured workflows, continuity.

Remote diagnostics & screening

Measurement and monitoring where equipment access is limited.

Diagnostics & imaging

Lean diagnostics as a credibility and safety anchor.

Connected systems

Interoperability principles and privacy by design.

Workforce planning

Predictable workloads supported by quality and strong governance.

Data protection & trust

Consent-driven data usage; auditability; security.

The operating ecosystem

The initiative · framework

Project53

Provides the operating model and long-term foundation that guide the solutions below.

Product · coordination
CareVault

The coordination layer connecting patients, clinicians, and services across the network.

Product · diagnostics
InsightVault

Reliable diagnostic reporting across connected sites.

Product · infrastructure
HealthGrid

Modular healthcare facilities designed around local realities and long-term sustainability.

Governance

  • Clinical accountability
  • Patient safety
  • Ethical care delivery
  • Privacy & data protection

Project53 is led by medical professionals and operators. It does not promote unsupervised clinical automation — technology supports care delivery, while clinicians remain responsible for medical decisions.

Current focus

West Africa, starting with Côte d'Ivoire

Our market study is complete, and Côte d'Ivoire has become the center of our current efforts as we move from insight to implementation.

Active market · study complete

Côte d'Ivoire — Abidjan

With strong local partnerships and growing demand for modern healthcare, Côte d'Ivoire has become our primary focus in Francophone West Africa. We are now preparing the next phase of collaboration with stakeholders across the region.

Past site visit

Nigeria — Lagos & beyond

Lessons from four cities helped shape our thinking around access, virtual care, and scalable delivery models. A market we continue to follow closely.

Past site visit

Ethiopia — Addis Ababa

Early planning work for a future advanced imaging center highlighted the potential for connected diagnostics and molecular imaging in the region.

Insights from the ground

Healthcare is built in person

From market studies and site visits to workshops and long-term partnerships, we work alongside healthcare leaders to design solutions that are practical, scalable, and rooted in local realities.

Field Visit · Current focus
Côte d'Ivoire
Abidjan, Yamoussoukro, Bouaké, San Pedro & more · 8 cities

Côte d'Ivoire — from insight to implementation

Over multiple visits across Côte d'Ivoire, we moved beyond assumptions and built a practical understanding of local healthcare realities. Conversations with providers, employers, and community leaders revealed where demand is strongest and where scalable solutions can create lasting impact.

Today, our work is focused on turning those insights into action through partnerships, workshops, and long-term collaborations designed to deliver sustainable healthcare infrastructure.

Transformation does not happen through plans alone. It is built through partnerships, practical execution, and healthcare solutions designed to last.

Field Visit · Past
Nigeria
Abuja · Akwa Ibom · Obudu · Lagos · 4 cities

Four cities, one pattern

Our Nigeria discovery tour took us across four very different places — and everywhere we went, the same story kept surfacing.

We set out to understand demand the only way that's reliable: in person. From the policy corridors of the capital to the coast, into the highlands, and finally the commercial engine of the country — each stop had its own character, constraints, and opening.

  • AbujaThe administrative heart — where policy, payers, and partnerships are shaped.
  • Akwa IbomCoastal communities where access to specialists remains limited and demand for closer care is clear.
  • ObuduHighland reach, where geography itself is the barrier — built for a virtual-first model.
  • LagosDense, fast-moving, and commercially dynamic — offering the strongest near-term demand and serving as our first anchor market.

Across every location, the same themes emerged: strong demand for trusted private care, real distance between patients and specialists, and healthcare professionals ready to embrace new models of care.

Field Visit · Past
Ethiopia
Addis Ababa · Future imaging center

Planning diagnostics from the ground up

In Addis Ababa, we visited the site designated for a future medical imaging center and worked alongside local stakeholders to plan its development, including advanced molecular imaging capabilities and a future cyclotron facility.

Rather than studying an existing operation, we focused on designing one from the beginning. The discussions centered on workflow, infrastructure requirements, equipment strategy, and how advanced diagnostics could be introduced in a way that is technically sound and economically sustainable. The project highlighted the growing demand for high-quality imaging services and the importance of long-term planning.

The visit confirmed Addis Ababa as a long-term opportunity: a growing healthcare market with the ambition to develop advanced diagnostic capabilities and establish a foundation for advanced molecular imaging capabilities.

STRATEGIC · PARTNERSHIPS
China
Shenzhen · Shanghai · sourcing trip

Where the partnerships began

Lean healthcare infrastructure depends on trusted manufacturing and technology partners. Through multiple visits to China, we sought out organizations capable of delivering the quality, scalability, and reliability required for future healthcare networks.

Rather than selecting suppliers from catalogues alone, we visited production facilities, reviewed manufacturing processes, and evaluated whether quality and cost could support the realities of African healthcare markets. Those visits resulted in long-term relationships that now underpin our supply chain.

  • Infrastructure partnerOur modular infrastructure partner provides the foundation for HealthGrid's rapidly deployable clinical footprints and future healthcare campuses.
  • Medical imagingOur imaging partner supports the delivery of reliable diagnostic capabilities designed for scalable healthcare networks.

The journey transformed concepts into capabilities: partnerships built on trust, proven quality, and a shared commitment to delivering healthcare infrastructure that lasts.

Partners

Built through trusted partnerships

We believe lasting healthcare transformation is achieved through collaboration. Together with technology, infrastructure, and clinical partners, we design and deliver solutions that are practical, scalable, and rooted in local realities.

Healthcare Design & Architecture
Tangram Architects

UK-based healthcare architects with four decades of experience designing world-class medical facilities across the MENA region.

Medical Imaging Technology
United Imaging

Global leader in advanced medical imaging and radiotherapy solutions, serving more than 14,000 institutions in over 75 countries.

Digital Health & IT Solutions
Intertec

Award-winning technology company delivering digital transformation, telehealth, analytics, and healthcare solutions across the Middle East and beyond.

Modular Infrastructure
Wishvin Smart Homes

Specialist in prefabricated modular structures enabling rapid deployment of scalable healthcare facilities.

Partner with us

Ready to build healthcare that lasts?

We collaborate with hospitals, healthcare operators, investors, and technology leaders to design and deliver scalable healthcare systems that create lasting impact.