Image courtesy of MiracleFeet and OpenFn
Every year, nearly 200,000 children are born with clubfoot. While highly treatable, the condition requires precise, multi-year follow-up care. For MiracleFeet, a global leader in clubfoot treatment, managing this at scale meant coordinating care across more than 500 clinics in 38 countries.
The backbone of this effort is CAST, a powerful mobile application built on the CommCare platform. MiracleFeet relies on CommCare to provide healthcare workers with a robust, offline-first software tool that handles complex case management in environments where internet connectivity is never guaranteed.
From Data Collection to Automated Workflows
As MiracleFeet grew from 180 clinics to over 500, the volume of data became a massive opportunity; and a massive challenge. To reach their goal of treating 17,000+ new children annually, they needed to bridge the gap between field-level patient interactions and their central Salesforce monitoring and evaluation (M&E) system.
By partnering with OpenFn to automate their data pipeline, MiracleFeet ensures that field-level data from CommCare reaches Salesforce in real-time. This shift removes the friction of manual entry and human error, empowering the MiracleFeet team to monitor patient progress globally and provide life-changing interventions the second a child’s treatment falls behind schedule.
“The success of this entire pipeline starts with good data.” says Clifford Hakimi, MiracleFeet’s Associate Director of Digital Systems.“CommCare has been a foundational partner for us since 2016. The platform’s reliability and powerful offline-first case management are critical. Knowing we have a robust, high-performance tool at the point of care in 500+ clinics is what makes this automated system so impactful in the first place.“
The Results: Saving Time to Save Lives
The shift to a fully integrated ecosystem has transformed MiracleFeet’s operational efficiency. By leveraging the strengths of both CommCare and OpenFn, the organization has achieved:
- Real-time visibility into treatment quality across 500+ global clinics.
- 800,000+ patient visits tracked annually.
- 22,020 hours of manual staff time saved every year.
This partnership proves that when best-in-class tools work together, global health organizations can scale their impact without exponentially increasing their administrative burden.
Explore the Full Technical Case Study & ROI Analysis at OpenFn.


