Database replication for global health applications

Can solid database replication support have global health impacts? Global health tech company Dimagi discusses how they use CouchDB (a NoSQL document-oriented database) for health data management in rural Zambia:

“We’ve got computers at clinics that are maintaining patient records…None of these clinics have Internet out of the box, so most of the time our only Internet connection is through a GSM modem that connects over the local cell network. It’s very hard to move data in that environment, and you can’t do anything that relies on an always-on Internet connection with a web app that is always accessing data remotely…CouchDB was a really good option for us because we could install a Couch database at each clinic site, and then that way all the clinic operations would be local. There would be no Internet use in terms of going out and getting the patient records, or entering data at the clinic site. Couch has a replication engine that lets you synchronize databases ā€” both pull replication and push replication ā€” so we have a star network of databases with one central server in the middle and all of these satellite clinic servers that are connecting through that cell network whenever they’re able to get on, and sending the data back and forth. That way we’re able to get data in and out of these really remote, rural areas without having to write our own synchronization protocols and network stack.” (via)