Mfanimpela Mashazi is a Professional Nurse and Quality Improvement Specialist with over two decades on the frontlines of clinical care across South Africa — TB and drug-resistant TB programs, TB/HIV integration, maternal and child health, adolescent and youth-friendly services. He runs Ezami Tele Care, a WhatsApp-integrated clinical screening gateway built for the population that existing point-of-care diagnostic infrastructure cannot reach: adolescents and youth in densely networked Mpumalanga communities who avoid clinics for sexual, reproductive, and HIV services because the cost of being recognized is too high. Mfanimpela’s first session at Granted hit a wall. The NIH R21/R33 application he opened errored on US-only eligibility rules. He came back. Granted now drafts a Foreign-Component Eligibility section with three structured submission pathways — Fogarty LMIC direct, US sub-award with named institutional candidates (Johns Hopkins, UCSF, Boston University, Vanderbilt), or direct-foreign with documented rationale. Since that fix, Mfanimpela has driven eight pipelines through the product. A $2M Gates Grand Challenges proposal exported five times across one day in mid-May. A $250K Scientify Research / Center for Global Digital Health Innovation submission — Johns Hopkins, Gates-backed — exported twice. He is mid-draft on a new NIH application tonight. All on a free plan.
The problem is not what happens when a patient reaches the facility — it is that the patients most at risk never arrive.
