The verdict in three sentences
Custom software for a private clinic in Abidjan costs between 12,000,000 and 20,000,000 FCFA in 2026, with integrated calendar, patient record and Wave/Orange Money payment. Native mobile payment is the real differentiator against foreign SaaS, which cannot collect via Wave or Orange Money. Health-data security (encryption, logging, backups) is the non-negotiable foundation.
The budget module by module in 2026
Ranges for a clinic of 10 to 40 beds/stations in Abidjan (2026 order of magnitude).
| Module | Scope | Cost FCFA |
|---|---|---|
| Calendar & booking | Multi-practitioner, rooms, SMS reminders | 2,500,000 |
| Patient record | History, prescriptions, exams, timeline | 6,000,000 |
| Billing + Wave/OM payment | Invoices, mobile collection, receipts | 4,000,000 |
| Patient portal | Online booking, results, reminders | 2,000,000 |
| Queue management | Tickets, display, prioritization | 1,500,000 |
| Reporting & steering | Traffic, revenue, acts per department | 1,500,000 |
| Training & go-live | Data migration, training, go-live | 2,000,000 |
A calendar + patient record + billing/payment core runs about 12,500,000 FCFA; adding the patient portal, queue management and reporting pushes the total toward 18,000,000 to 20,000,000 FCFA.
Custom vs medical SaaS: the comparison
Comparison over 5 years for a clinic with 15 users (2026 estimate).
| Item | Imported medical SaaS | Custom Kolonell |
|---|---|---|
| Setup | 2,000,000 FCFA | 14,000,000 FCFA |
| Subscription (15 users) | 6,000,000 FCFA/yr | 0 |
| Wave/Orange Money payment | rarely supported | native, included |
| Hosting & maintenance | included | 1,800,000 FCFA/yr |
| Data residency | out of zone | controlled (Abidjan/EU) |
| 5-year total | 32,000,000 FCFA | 23,000,000 FCFA |
Integrated mobile payment also cuts unpaid bills and speeds counter collection: a hard-to-quantify but very real daily gain.
Mini case study
Mrs Kouassi runs a 25-bed clinic in Abidjan. The queue and manual collection kept patients waiting 45 minutes on average, with recurring cash errors. By integrating a queue module (1,500,000 FCFA) and Wave/Orange Money payment (within the 4,000,000 FCFA billing line), wait time drops to 18 minutes and cash discrepancies nearly vanish. The clinic sees ~120 patients/day; recovering even 8 extra patients/day at 15,000 FCFA is ~3,600,000 FCFA/month of added capacity.
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FAQ
Is Wave and Orange Money payment truly integrated?
Yes: counter and online collection via Wave and Orange Money, with automatic receipts and reconciliation in the billing module. It is the main advantage over imported SaaS.
How is health data protected?
By encryption at rest and in transit, access logging, automatic backups and role-based rights. Hosting can sit in Abidjan or the EU.
What delivery timeline?
Budget 16 to 22 weeks for a calendar + patient record + billing/payment scope, training included.
Can we start with a reduced scope?
Yes. Many clinics launch calendar + patient record (around 8,500,000 FCFA) then add billing/payment and the portal in stages.
Does the software handle multiple departments and practitioners?
Yes: multi-practitioner calendar, room management and per-department reporting are covered from the core.
Let's scope your project. Tell us your practitioner count, priority modules (booking, patient record, Wave/OM payment) and indicative budget. Detailed quote within 48 h. WhatsApp +221 77 596 93 33.
Mohamed Bah
Fondateur, Kolonell
Passionate about digital and entrepreneurship in Africa, Mohamed has been helping Sénégalese businesses with their digital transformation since 2020. Founder of Kolonell, he believes every SME deserves a professional and accessible online présence.

