Many health tools are designed as if internet access were always available. In practice, a connection can slow down or disappear. If data is not saved at that moment, people cannot tell whether their work is safe or lost.
A feasibility study in two resource-limited clinics explored an offline-first health record. The results were promising, but there were limits: multi-step syncing and unstable connections caused problems. The findings cannot be transferred directly to every clinic or pharmacy.
A good design should show a clear state: saved locally, waiting to sync, synced, or needing attention. Reconnection should not apply the same change twice. Network resilience is part of the user experience, not something only the technical team needs to see.