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Twilio Case Study

Twilio Case Study:

Twilio Programmable Wireless enables SystemOne to move test data from diagnostic instruments straight to the lab, and then send SMS results directly to patients.

Working across 40 countries in the developing world, SystemOne collects data from diagnostic instruments and moves it, transparently, from the lab to clinics, ministries, and patients. They have also built intelligence into their system; in addition to moving test results, SystemOne provides a critical view into supply chain and device maintenance.

"The Twilio pricing is very disruptive to the global-SIM market; rates are significantly lower than the usual giants in the field. " Aaron Oppenheimer, Vice President of Product Design at SystemOne

SystemOne offerings include a combination of hardware and software products. Aspect, the central data management platform, is optimized to collect information from diagnostic devices and deliver it to a secure cloud or local data center. Working in conjunction with Aspect is Aspect Reporter, a robust, solar powered, tablet-based system for receiving results. Aspect Reporter is designed for remote clinics that could be hundreds of miles from a city.

Uncharted territory in global health

Being a pioneer in the global health space, SystemOne delivers data systems in places with limited infrastructure. ‘Connectivity’ as a concept is relatively new in many developing economies, so SystemOne has had to develop strategies for delivering both data and physical systems, taking the time to define the right kind of clinic and operational data to send, as well as the data needed for operational improvements. Now, however, with dozens of countries and thousands of devices connected, SystemOne can roll-out systems quickly and efficiently.

Reliable global connectivity

In developing economies, connectivity is complicated. Initially, SystemOne worked with local providers, but that approach was unwieldy and unscalable. It’s just too complicated to manage relationships with multiple providers in dozens of countries. With Twilio Programmable Wireless, SystemOne has a single SIM rolled out to all countries. In this way, when a device is dropped from a network for any reason, the Twilio SIM will reroute to another network.

Scaling the business with Twilio services

SystemOne uses SMS services to reach customers because in developing economies, text messaging is a much more common channel of communication than email or even voice. Using SMS to deliver results to patients is a critical way to reach them, especially those that may have time-sensitive conditions. Having been a Twilio SMS customer for a number of years, SystemOne knew the high-level of service and reliability they could expect, making their decision to try and deploy Twilio Programmable Wireless that much simpler.

  • 3.8M results delivered to patients

  • 890k notifications over the last 5 years (SMS and email)

  • 1800 health facilities

Building a knowledge driven community

Since people in many of these remote clinics and labs have never before had access to such a granular level of data, there is a significant learning curve associated with interpreting the data to make decisions. SystemOne initially provides just small amounts of data to help new users understand how best to use this information, and to help with learning the new process. The future for SystemOne is one where they continue to scale while building informed and responsive communities to help fight disease in developing economies.


SystemOne provides disease intelligence in the global health industry, working across 40 countries in the developing world.

Challenge: SystemOne was the first to market with data delivery systems for the global health industry, that in itself is a challenge.

Solution: IoT

Headquarters: Springfield, MA

Founded: 2012

Related Products: Programmable Wireless


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