Complexity of Health Systems

1. Who We Are

The course Implementation Science as a Service (ISaaS) in Health Systems: From Concept to Practice (the course) is provided by Scalentric Limited (Scalentric, we, us). Contact us at info@scalentric.org.

2. Accepting These Terms

By creating an account or using the course, you agree to these Terms of Use and to the Acceptable Use Policy, the AI Assistant Terms, the Content and Licence Notice and the Educational and Health Disclaimer. The Privacy Notice and the Storage and Cookies Notice explain how information is handled. If you do not agree, do not use the course.

3. Who the Course Is For

The course is for adults aged 18 or over. It is written for staff of ministries and agencies of health, programme managers, researchers, funders and partners. You confirm you are 18 or older when you create an account.

4. Your Account

• Your account lives in the browser on the device where you created it. Scalentric holds no copy.
• You choose a password. Your account details and work are encrypted on the device with a key protected by your password. The password itself is never stored.
• A forgotten password cannot be recovered, and without it the encrypted work stays locked. Removing the account from the device deletes its work.
• Sessions end after 24 hours at most. Sign out when you finish, since anyone using your unlocked device during a session reaches your work.

5. Personal Devices Only

Use the course only on a personal device which you own or control and which nobody else uses. Do not use it on shared, public, borrowed or kiosk devices, including computers in offices, cybercafés or training venues. By creating an account, you confirm the device is your own personal device.

6. Your Responsibility for Data Safety

Because everything you enter stays on your device, keeping it safe is your responsibility. In particular, you are responsible for:

• locking your device with a PIN, password or biometric, and keeping its software up to date
• keeping your course password private and choosing one you use nowhere else
• signing out when you finish, if anyone else might reach your device
• keeping your own copies of work you want to keep, using Copy as Text or Copy My Data
• what you enter, including keeping personal, patient and confidential information out of the course

Scalentric has no access to your device or your data, and cannot protect, restore or recover it. To the extent the law allows, Scalentric is not responsible for loss, corruption, disclosure or unauthorised access to data on your device, whether caused by loss or theft of the device, sharing it, malware, browser updates, clearing browser data or any other event outside our control.

7. The Service

• The course is free at present. If fees are ever introduced, we will announce them before they apply, and you will be free to stop using the course.
• We provide the course as it is and as available. We aim to keep it accurate and working, and we do not promise uninterrupted or error-free access.
• We might change, pause or withdraw parts of the course, including planned features such as community discussion and lesson videos.
• The course does not issue certificates, credits or accreditation in this version.

8. Your Content

Workspace entries, notes, tool entries and capstone text you write belong to you. They stay on your device, and Scalentric does not receive them. You are responsible for what you enter, including making sure you have the right to use it and keeping personal or confidential information out of it.

9. Our Content

Course materials are owned by Scalentric Limited or used under licence or legal exception. Your permission to use them is set out in the Content and Licence Notice.

10. Third-Party Services

The course relies on other providers to host the site and, if you choose, run the AI Assistant. Their own terms apply to your use of their services. The Privacy Notice lists them.

11. No Professional Advice

The course is educational. It is no substitute for professional judgement, national guidelines, ethics review or legal advice. Read the Educational and Health Disclaimer.

12. Limits on Our Liability

• To the extent the law allows, Scalentric is not liable for indirect or consequential loss, loss of data, or decisions made using the course.
• To the extent the law allows, our total liability to you in connection with the course is limited to the amount you paid us for it, which is nothing while the course is free.
• Nothing in these terms limits liability which the law does not allow us to limit.

13. Ending Your Use

You are free to stop using the course at any time and to delete your account from your device. We might end access to the course, or to features of it, if we withdraw it or if its use breaks these terms.

14. Changes to These Terms

We will update these terms when the course or the law changes. Each version carries a number and an effective date. When a change matters to your rights, the course asks you to review and accept the new version before you continue. Past changes are listed on the Legal page.

15. Governing Law and Disputes

The laws of the Federal Republic of Nigeria govern these terms. If a dispute arises, contact us first at info@scalentric.org and we will try to resolve it within 30 days. If it remains unresolved, either party is free to propose mediation, and otherwise to bring the matter before a court of competent jurisdiction in Nigeria.

16. General

• If a court finds part of these terms unenforceable, the rest continues to apply.
• Our not enforcing a term straight away does not waive it.
• These terms and the documents they refer to form the whole agreement about the course.

1. Who Is Responsible

Scalentric Limited is the data controller for personal data it receives about you, such as messages you send to info@scalentric.org. Scalentric is based in Nigeria, and this notice follows the Nigeria Data Protection Act 2023 (NDPA) and the General Application and Implementation Directive issued under it by the Nigeria Data Protection Commission (NDPC).

2. Anonymous Counters

The course counts how far people get, so it can be improved. You choose whether to take part when you create your account, and you can change your mind at any time in My Account. Turning it off also clears the record of what this device has already reported.

When you pass a milestone for the first time, such as opening a module, passing a quiz or finishing the capstone, your device sends us the name of that milestone and your time zone. Nothing else is sent. Your device remembers it has reported that milestone, so it is never sent again.

What is never sent: your name, your email address, your role or organisation, any quiz answer, any case workspace, any tool entry, any Field Guide item, any note, any capstone text, any question asked of the AI Assistant, and any identifier of you, your device or your browser.

We turn your time zone into a country, record the country, and discard the time zone. We do not store your IP address and we do not look up your location from it. We cannot tell which report came from which device, and we cannot connect any two reports to each other.

The result is a count of how many devices reached each milestone, in each country, on each day. There is nothing in it about you, and nothing in it we could give you a copy of or delete on request, because nothing in it is yours.

3. Information Kept on Your Device

The course stores the following in your browser, on your device only:

• Account details: name, email address, role, organisation type, country, experience, interests, learning track and goal, stored encrypted. Alongside them, a password verifier, a salt and a one-way hash of your email address, used to find your account at sign-in.
• Consent records: which versions of these documents you accepted, and when.
• Learning data: parts opened, quiz scores, practice results, notes, case workspaces, tool entries, Field Guide items, capstone text and an activity log.
• Preferences: dismissed alerts and recent cases.

Scalentric has no access to this information. It never leaves your device unless you copy it out or use the AI Assistant.

4. Information Other Services Receive

• Page hosting. The provider hosting the page receives technical data needed to deliver it, such as your IP address, browser type and request times. This site, isaas.achieve-is.org, is hosted by Hostinger, whose own privacy terms apply.
• Fonts. The Barlow typeface is served from this site. No font service receives your data.
• AI Assistant. If you use it, your question and the details of the case you are viewing are sent to Claude through your own Claude account. Anthropic processes them under your agreement with Anthropic. Scalentric receives neither the question nor the answer.
• Email. If you write to us, we receive your email address and message.

5. Why We Process It and on What Basis

• Delivering the course you asked to use: performance of our agreement with you.
• Answering your messages and requests: our legitimate interest in supporting learners, and your consent where you choose to write to us.
• Using the AI Assistant: your consent, given before first use and withdrawn at any time in My Account.
• Meeting legal duties, such as responding to the NDPC: compliance with a legal obligation.

6. What We Do Not Do

• We do not sell personal data.
• We do not use analytics, advertising or tracking cookies in the course.
• We do not make decisions about you based solely on automated processing. Quiz scores and competency bars are for your own self-assessment.

7. Health and Other Sensitive Information

The course needs no health information about you or anyone else. Do not enter names, identifiers or health details of patients, clients or community members in workspaces, notes or AI Assistant questions. The Acceptable Use Policy sets this out.

8. How Long Information Is Kept

• Information on your device stays until you delete your account, delete items, or clear your browser storage.
• Messages sent to us are kept for as long as needed to handle your request and meet legal duties, then deleted.
• Hosting and AI providers keep data under their own retention rules.

9. Transfers Outside Nigeria

Hosting and AI providers might process data outside Nigeria. Where Scalentric arranges a transfer, it follows the transfer conditions in the NDPA.

10. Security

• Your account details and course work are encrypted on your device with AES-GCM, using a key protected by your password. Your password is never stored. The course keeps only a verifier derived from it with PBKDF2 (600,000 rounds) and HKDF.
• Sessions end after 24 hours at most. A session not kept on the device ends when its tab closes or after 30 minutes without activity. Session keys change every 15 minutes. Each account keeps up to three sessions, and My Account ends any of them at once.
• Changing your email, copying your data or deleting your account asks for your password again. Changing your password signs out your other sessions. Repeated wrong passwords pause sign-in for a while.
• While you are signed in, anyone using your unlocked device and browser reaches your work. Sign out when you finish.
• Data on your device is only as secure as the device and browser. Securing them is your responsibility, as the Terms of Use explain. Use the course only on your own personal device, protected by a lock.
• Scalentric has no access to your device and cannot recover or protect data stored on it.
• If a breach affects personal data Scalentric holds and puts your rights at risk, we will notify the NDPC within 72 hours of becoming aware of it, and tell affected people without undue delay, as the NDPA requires.

11. Your Rights

Under the NDPA you have rights to be informed, to access your data, to have it corrected or deleted, to restrict or object to processing, to receive your data in a portable format, to withdraw consent and not to be subject to decisions based solely on automated processing.

• For data on your device, use My Account to view and correct your profile, copy your data, withdraw AI Assistant consent or delete your account.
• For anything Scalentric holds, write to info@scalentric.org. We will respond within the time the law sets.
• You also have the right to complain to the Nigeria Data Protection Commission.

12. Children

The course is for adults. Under the NDPA a child is anyone under 18. Do not create an account if you are under 18.

13. Changes to This Notice

We will update this notice when our practices change. The version number and effective date at the top show which version applies. If we host the course elsewhere or add services such as analytics, this notice will list them before they start.

1. Protect Other People's Information

• Do not enter names, phone numbers, record numbers, photographs or health details of patients, clients, community members or colleagues.
• Describe real programmes at an aggregate level, for example facility or area totals.
• Follow your organisation's data rules and any data-sharing agreements.

2. Use the AI Assistant Responsibly

• Use it for learning and for thinking through implementation problems.
• Follow Anthropic's Usage Policy, which applies to every use of Claude.
• Check every answer before relying on it. The AI Assistant Terms explain its limits.

3. Use Your Own Personal Device

• Use the course only on a personal device which you own or control and which nobody else uses.
• Do not use it on shared, public, borrowed or kiosk devices.
• Do not share your course password, or let another person use your account.

4. Keep the Service Safe

• Do not try to break, overload or bypass the security of the course, its host or connected services.
• Do not insert harmful code or content into shared material.
• Do not access or tamper with another person's account on a shared device.

5. Respect the Content

• Do not sell, sublicense or republish course materials, or present them as your own.
• Do not scrape the course with automated tools.
• Share excerpts only as the Content and Licence Notice allows.

6. Represent the Course Accurately

• Do not claim the course gives a certificate, credit, accreditation or endorsement.
• Do not present the fictional example cases as real data.
• Do not suggest Scalentric endorses a decision, product or organisation.

7. Breaches

If use breaks this policy, Scalentric might withdraw access to features or to the course. Report misuse or a security concern to info@scalentric.org.

1. What It Is

The AI Assistant appears in case workspaces when the course is opened inside a Claude viewer. It sends a request to Claude, Anthropic's AI model, and shows the reply. Outside a Claude viewer it stays hidden.

2. What It Sends

• Your question, or the suggestion you chose.
• Fixed teaching instructions written by Scalentric.
• For an example case: the fictional case details shown on the page.
• For your own workspace: the text of the workspace, including every phase you have filled in.

It sends nothing else from your account, such as your name, email address or other workspaces.

3. Whose Account and Terms Apply

Requests run on your own Claude account. The Claude viewer asks your permission before the first request, and the usage counts against your Claude plan. Anthropic's terms, privacy policy and Usage Policy apply to these requests. Scalentric does not receive, store or review the questions or answers.

4. Limits of the Answers

• Answers are generated by AI. They might be incomplete, out of date or wrong.
• The assistant has no access to the internet or to your organisation's data.
• Answers are suggestions for learning. Decisions stay with the health system and its accountable officers.
• The Educational and Health Disclaimer applies to every answer.

5. Your Choices

• The assistant asks for your agreement to these terms before first use.
• Withdraw your agreement any time in My Account. The assistant then asks again before the next use.
• Decline the Claude viewer's permission prompt and the assistant stays hidden for the rest of the visit.

1. Ownership

The course text, structure, diagrams, tools, example cases, illustrations and software are owned by Scalentric Limited, except where a source is credited. © 2026 Scalentric Limited. All rights reserved except as set out below.

2. The ISaaS Concept

Implementation Science as a Service (ISaaS) is a concept developed by Abdu A. Adamu, founder of Scalentric. The definition, cycle, capabilities, service catalogue, Diagnostic Canvas and related models in the course form the ISaaS concept as taught here. ISaaS builds on earlier implementation research and embedded research, and credits them.

3. What You Are Free to Do

• Use the course for your own learning.
• Apply the concepts, tools and your own outputs in your professional work.
• Print or copy your own workspace, capstone and notes.
• Quote short excerpts for non-commercial teaching or research, with the citation below.

4. What Needs Our Permission

• Reproducing whole modules, cases or tools.
• Using course materials in paid training, products or services.
• Translating or adapting the course for others.

Write to info@scalentric.org to ask.

5. How to Cite the Course

Scalentric Limited (2026). Implementation Science as a Service (ISaaS) in Health Systems: From Concept to Practice. Self-paced online course. Version 1.4.

6. Cited Sources and Frameworks

• Quotations and figures from WHO, Gavi, UNICEF, Africa CDC, the World Bank, government agencies, journals and other sources are used for teaching, criticism and review, with credit, under the fair dealing exceptions in copyright law. Each is listed in the references.
• Framework names such as CFIR, the Theoretical Domains Framework, ERIC, RE-AIM and FRAME belong to their authors. Their use here implies no endorsement.
• Links to other sites are for reference. Scalentric is not responsible for their content.

7. Images

• Images in the course are illustrations. They include original artwork made for the course and imagery generated with AI tools.
• They show no real person, facility or event. Any resemblance to a real place or person is unintended.
• Do not reuse them outside the course.

8. Example Cases

The five example cases, their states, people, facilities and figures are fictional teaching material. Any resemblance to real places or people is unintended.

9. Names and Marks

Scalentric, the Scalentric name and the ISaaS name are used by Scalentric Limited to identify its work. Do not use them in a way which suggests our endorsement.

10. Reporting a Concern

If you believe material in the course infringes your rights, write to info@scalentric.org with the material, your rights and your contact details. We will review it and remove or correct material where appropriate.

1. Educational Purpose

The course teaches implementation science concepts and methods. It does not give medical, clinical, legal, financial or regulatory advice, and it creates no professional relationship between you and Scalentric.

2. Health Decisions

• Clinical and public health decisions follow national guidelines, product labels and the advice of qualified professionals.
• Decisions about programmes stay with the health system and its accountable officers.
• Nothing in the course replaces local data, local expertise or community engagement.

3. Research and Ethics

The course explains when improvement work might count as research. Local rules decide. Consult your research ethics committee before any activity which might need review. The Research or Improvement Check tool gives course guidance only.

4. Accuracy of Evidence

• Evidence in the course was checked in September 2026. Figures, policies and recommendations change over time.
• Check the latest version of a cited source before quoting a number or acting on it.
• Report an error to info@scalentric.org and we will review it.

5. Illustrative Content

Example cases, dashboards, indicator values, costs and scores in the course are fictional or illustrative unless a source is cited. They show methods and carry no information about real programmes.

6. Tools and AI Output

Tools such as the Strategy Selection Scorer and Unit Cost Calculator support structured thinking. Their results depend on what you enter. AI Assistant answers are unverified. Review every output before using it in your work.

1. Cookies

The course itself sets no cookies and uses no advertising tools. It counts how far people get, anonymously, as the Anonymous Counters section describes. The page host might use its own technical cookies or logs under its own policy.

2. Browser Storage

The course uses your browser's local storage, session storage, IndexedDB and Cache Storage. Account details and course work are stored encrypted. This information stays on your device and is never sent to Scalentric.

3. Why Consent Is Not Requested for Storage

This storage is strictly necessary to provide the account and features you asked to use. You confirm your understanding of it when you create an account.

4. Your Responsibility

Anyone able to open your browser is able to reach this storage. Use the course only on your own personal device, lock the device, and keep your own copies of important work. Scalentric cannot see, protect or recover this information.

5. Managing Storage

• Delete individual items inside the course, or your whole account in My Account.
• Clearing site data in your browser settings removes everything for this course on the browser.
• A private or incognito window keeps nothing after it closes.

1. Our Aim

We want everyone to be able to use the course, including people using screen readers, keyboards, magnification or low-end phones in bright light. We aim to meet WCAG 2.2 at level AA.

2. What We Have Done

• Body text on an 18-pixel base, with a 7:1 contrast target.
• Every control reachable by keyboard, with a visible focus ring and a skip link.
• Touch targets of at least 44 pixels.
• Labels on every form field and icon button, and live announcements for saving and alerts.
• Layouts tested at 360 pixels wide with no sideways scrolling.
• Reduced motion respected where your device asks for it.
• Diagrams carry text alternatives and captions.

3. Known Limitations

• Some complex diagrams convey detail best visually. Their captions and the surrounding text carry the same information.
• AI Assistant answers arrive as plain text and might need a moment to finish before a screen reader announces them.
• Lesson videos are not yet available. When added, they will carry captions and transcripts.

4. This Statement

This statement reflects our own testing in September 2026.

5. Report a Barrier

Write to info@scalentric.org with the page and the problem. We will reply and work on a fix or an alternative.