INSIGHTS
Executive Summary
Nepal Fertility Care Center (NFCC), a nonprofit healthcare provider, modernized its digital platform using AWS to deliver highly available, scalable, and secure digital health services. The new cloud-native architecture supports 24/7 access to appointment booking, patient records, and telehealth services while optimizing cost and operational overhead.
About the Customer
Nepal Fertility Care Center (NFCC) is a nonprofit healthcare organization based in Kathmandu, Nepal, focused on delivering fertility and reproductive health services. NFCC’s adoption of AWS cloud technology is part of its broader mission to improve healthcare access through digital transformation.
Business Challenges
NFCC needed to overcome several key challenges:
- Ensure 24/7 uptime for digital health
- Handle spikes in user activity during outreach
- Securely store and process sensitive health
- Streamline deployment of new application
- Operate within budget constraints typical for
Solution Overview
NFCC’s platform was re-architected using a fully cloud-native design to enhance scalability, availability, and performance. It features a Multi-AZ deployment, VPC segmentation with public/private subnets, ECS on Fargate for containerized apps, and Aurora MySQL for relational data. Additional services include S3 for static and backup storage and Route 53 for DNS and domain routing.
Development & CI/CD
A fully automated CI/CD pipeline was implemented using GitHub Actions for deployment triggers, Amazon ECR for container image management and scanning, and ECS Service Auto-Deploy for seamless rolling updates with zero downtime.
Production Workloads
ECS tasks are securely hosted in private subnets and load-balanced across Availability Zones using an Application Load Balancer. Aurora runs in Multi-AZ mode with auto-failover, while S3 ensures long-term, encrypted storage for media and backups.
Hybrid Connectivity
While NFCC’s current deployment is fully cloud-native, the architecture is designed with hybrid readiness in mind supporting future integration with on-premises EMR systems or secure third-party services via AWS PrivateLink or VPN connections
Security & Monitoring
Security and monitoring are enforced through IAM roles with least-privilege access, network segmentation via security groups and NAT Gateways, and end-to-end encryption of data. Amazon CloudWatch provides comprehensive monitoring and logging.
Results & Benefits
The re-architected platform delivers 99.99% uptime with seamless AZ failover, zero infrastructure management via serverless compute and managed databases, and faster, error-free deployments through CI/CD automation. It also enhances patient data protection with encryption and isolation, while reducing costs through a pay-as-you-go model.