Alma Intelligence

How Alma understands health.

Alma provides health information, not medical diagnosis.

Every answer is screened for safety before it is drafted, grounded in a corpus clinicians curate, and shown with the sources it drew on. Alma works in English, Pidgin, Yorùbá, Hausa and Igbo, by voice or text.

The pipeline

Five stages, in this order, every time.

01QueryPlain, keyword or Pidgin. The question arrives as it is asked.
02Intent classifierRoutes the query and sets the register, consumer or clinical. The register is stored per thread.
03RetrievalNigerian sources are checked before the model writes.
04GenerationThe model writes the answer from the retrieved text. It never names its own sources.
05Cited answerSources are attached by the system, not by the model. Shown above a similarity threshold, and only where terms match.

A query as it arrives, illustrative: “Body dey hot since yesterday, wetin I go do?”

Clinical guidelines

12,683 actively retrievable document chunks.

Federal Ministry of Health of Nigeria · Nigeria Centre for Disease Control · WHO and WHO AFRO · the DHS Program with NPC Nigeria · Diabetes Association of Nigeria with the Nigerian Society of Endocrinology and Metabolism

NAFDAC drug register

8,791 entries. 989 brands mapped across 102 generics.

Deterministic trigram match. Brand names are expanded to generic before the search runs.

Surveillance data Held out

3,102 chunks sit outside the searchable set.

Their reporting weeks could not be parsed reliably. Undated epidemiological data is not safe to reason from, so it is excluded until it can be dated.

Symptom lexicon, Pidgin Next

150 rows, awaiting clinician review.

Retrieval measured on Pidgin queries.

Figures describe the current build and are published by Kindred Labs. The corpus and the pipeline are growing.

Fallback and failure behaviour

What happens when a stage cannot do its job.

Fallback chain

A primary generation model with two providers behind it. Every failover reason is logged, and reducing how often answers fall through the chain is active engineering work.

Fail closed on clinical queries

A clinical question with no grounded Nigerian source returns a refusal, not a guess. No clinical answer is produced from model recall alone, on any provider in the chain.

Prompt architecture, how sources are ranked and selected, and how the components are configured are not published. What this page shows is what flows, in what order, and who is answerable for each stage.

Grounding and citations

Every answer shows where it came from.

Alma answers from a corpus that clinicians curate and review, and each answer carries the sources it drew on. That is the difference between an answer you can check and an answer you have to trust. A doctor reading it with you can go to the same source.

The system is Alma's. Some of its components are built on external foundation models.

Amlodipine relaxes the blood vessels so the heart pumps against less pressure. Taking it at the same time each day keeps the effect steady.

Source 1Source 2Clinician reviewed

Illustrative. Not a real answer or a real citation list.

Source composition beyond the public sources named above, and how sources are weighted or ranked, are not published.

Safety and guardrails

Named stages, not a black box.

01 · Screen before answer

Every question passes a safety screen before anything is drafted. Nothing reaches the person until it has been through it.

02 · Refusal

A clinical question with no grounded Nigerian source returns a refusal rather than a guess. No clinical answer is produced from model recall alone.

03 · Escalation to care

Alma says when something needs a clinic rather than a chat. Pointing toward care is part of the answer, not an afterthought.

04 · Human in the loop Building

The doctor workspace will put a clinician on the other side of the same record, so a person can move from an answer to the doctor holding their history.

Thresholds, scores and the rules inside each stage are not published. Naming the stages is what lets a clinician judge whether the shape is right. Publishing the numbers inside them is what would let someone route around them.

Security and data governance

Consent decides where a record goes.

A facility sees what it is given, not a whole history.

Consent-first

Records travel only where the person sends them. Alma does not sell personal health data.

Encrypted and NDPA-aligned

Records are encrypted, and the privacy model is built to Nigeria Data Protection Act standards.

One identity Beta

A Universal Health ID that stays with the person rather than with the facility.

Retrieval logs

Questions about sexual and reproductive health are redacted from retrieval logs before they are written. The log records that a retrieval happened, not what was asked.

Append-only records

A correction is a new record that points at the one it amends. Nothing is overwritten.

Interoperability Building

FHIR and HL7-compatible APIs and claims submission. The technical surface is documented on Health Rails.

Clinician governance

A doctor is answerable for the clinical content.

Dr. Roseline Chima-KaluChief Medical Officer. Clinical oversight on every Alma protocol, from triage safety to maternal care.
Clinician boardNames, credentials and MDCN numbers publish here as the board is seated.
ReviewHow protocols are reviewed and re-approved as guidance changes publishes with the clinician board.
How we evaluate

The benchmark, and why there are no numbers here yet.

Alma's clinical benchmark is in development. Evaluation is clinician in the loop, not automated scoring alone.

Knowledge recallWhether the underlying clinical knowledge is correct.
Clinical reasoningWhether a multi-step answer holds together, not just whether the facts are right.
Safety and refusalHow the system behaves at the edges, including what it declines to answer.
Five-language accuracyWhether an answer is as good in Yorùbá, Hausa, Igbo and Pidgin as it is in English.
Citation supportWhether the sources shown actually support the answer given.

There are no benchmark results on this page because the benchmark has not run. Methodology and results publish together, or not at all. The figures in the pipeline section are measurements of the current build, not benchmark results.

In development

What is not shipped yet.

Everything on this list is being built. None of it is live, and none of it is described anywhere on this site in the present tense.

Doctor workspace BuildingAmbient notes, pre-visit briefs and the consult channel.
Provider Platform BuildingRecords, queues, billing and clinical decision support for facilities.
Records that travel BuildingConsent-controlled records moving between connected providers.
Emergency cascade BuildingOne tap to route location, next of kin and critical details to responders.
Clinical benchmark BuildingCategories above. Methodology and results publish together.
Risk assessment, medication scanning, health wallet RoadmapPlanned, not in active development.

Alma provides health information, not medical diagnosis.

If something needs a clinician, Alma says so and points you toward care.

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