Vital Wave was engaged to validate and expand on a previous assessment of the electronic medical record (EMR) landscape in Malawi as a follow-on engagement. To complete this project successfully, Vital Wave employed a mix of secondary research, primary research (to include health facility site visits, in-country, and desk-based interviews), and analytical processes to validate the existing demand for EMRs further. This approach allowed the firm to identify current technological and non-technological gaps to meet that demand. The firm’s research identified the critical success factors required to fill those existing gaps and support the scaling of a sustainable EMR solution. The project’s technical and strategic support also helped facilitate a sound, cohesive approach towards future system strengthening in Malawi.