Softwr

Healthcare · head to head

Bahmni vs Flo

Bahmni logo

Bahmni

Healthcare

Open source hospital information system and EMR for low-resource hospitals, built on OpenMRS

From
Free
Rated
-
Full reviewWebsite
Flo logo

Flo

Healthcare

Period and cycle tracking app that settled with the US FTC in 2021 over sharing health data with third parties despite promising not to

From
Free
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: Bahmni the licence is free and the implementation is not; configuration, data migration, training and multi-year support from a partner routinely cost far more than a small commercial system would have, and hospitals that budget only for hardware stall.; Flo flo Health settled with the US FTC in 2021 over allegations it shared sensitive health data, including pregnancy and menstruation details, with Facebook, Google and other third parties despite telling users the data would stay private, a fact directly relevant to how much a user should trust current privacy claims without independently checking the published policy.
  • They diverge on capability: Bahmni covers OpenMRS clinical record, Flo covers Cycle and ovulation tracking.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which Bahmni and Flo actually diverge.

Attributes where Bahmni and Flo differ
AttributeBahmniFlo
Pricing modelOpen source, no licence feeFree with a Premium subscription
PlatformsWeb, Linux, AndroidiOS, Android, Web

Identical on both: starting price (Free), free tier (Yes), user rating (Not yet rated), category (Healthcare).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in Bahmni

  • OpenMRS clinical record
  • Configurable clinical forms
  • Laboratory integration
  • Billing and inventory
  • Imaging
  • Inpatient management
  • Offline-capable clinical app
  • Reporting

Only in Flo

  • Cycle and ovulation tracking
  • Pregnancy mode
  • Anonymous Mode
  • Symptom and mood logging
  • Expert content library
  • Community and forums

What people use each for

The jobs each tool is most often brought in to do.

Bahmni

  • A mission or charitable hospital in India or East Africa that cannot fund a commercial hospital information system licence but needs a real EMR rather than papernot Flo
  • A ministry of health standardising district hospitals on one system and required by donors to use a recognised Digital Public Goodnot Flo
  • An NGO health network wanting one clinical record across several facilities with reporting that can feed a national DHIS2 instancenot Flo
  • A hospital that needs the clinical record, laboratory, pharmacy and billing to share one patient identity rather than running four disconnected systemsnot Flo

Flo

  • Someone tracking cycle and ovulation who wants to weigh app convenience against the sensitivity of the data being loggednot Bahmni
  • A user in a jurisdiction with legal risk around reproductive health data who wants to check Anonymous Mode and current data sharing policy before logging pregnancy or fertility attemptsnot Bahmni
  • A buyer wanting to compare Flo directly against Clue on published data practices before choosing which app to trust with this informationnot Bahmni
  • Someone who wants pregnancy tracking content alongside cycle tracking in one app rather than switching apps mid-pregnancynot Bahmni

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

Bahmni

  • The licence is free and the implementation is not; configuration, data migration, training and multi-year support from a partner routinely cost far more than a small commercial system would have, and hospitals that budget only for hardware stall.
  • There is no single vendor with an obligation to you unless you contract one, so upgrade timing, security patching and defect resolution depend on whichever partner you hired and how long they stay engaged.
  • It integrates four substantial open source systems, which means an upgrade touches OpenMRS, OpenELIS, Odoo and the imaging stack together, and hospitals with heavy customisation often freeze on an old version rather than risk it.
  • Skilled Bahmni implementers are concentrated in a small number of firms in India and a few African countries, so a hospital outside those markets may find nobody local who can support it.
  • Funding for the coalition and its shared engineering comes from donors and member contributions rather than licence revenue, which makes the pace of core development dependent on grant cycles rather than on customer demand.

Flo

  • Flo Health settled with the US FTC in 2021 over allegations it shared sensitive health data, including pregnancy and menstruation details, with Facebook, Google and other third parties despite telling users the data would stay private, a fact directly relevant to how much a user should trust current privacy claims without independently checking the published policy.
  • Reproductive health data, including logged periods, fertility attempts and pregnancy status, has been the subject of law enforcement data requests in some jurisdictions following changes to reproductive rights law, and cloud-stored logs are a real category of exposure regardless of a vendors intentions.
  • Anonymous Mode, the privacy feature introduced after the settlement, is a setting that must be checked and understood rather than assumed, and its exact scope and default status should be verified in the current privacy policy rather than taken from marketing copy.
  • Free tier predictions rely on self-reported symptom data and general population models, so accuracy for irregular cycles or specific medical conditions is limited compared with clinical tracking.
  • The subscription auto-renews and, like most mobile subscriptions, must be cancelled through app store account settings rather than inside the app itself.

Pricing, plan by plan

Bahmni

Free
  • BahmniFree
    • AGPL open source, no licence fee
    • All modules included
    • Community support via forum and documentation

Flo

Free
  • Flo Premium$11.99/month
    • Free tier covers core cycle tracking, predictions and symptom logging
    • Premium adds deeper personalised insights and expert content, around $11.99 a month
    • Annual and lifetime purchase options typically offered at a lower effective rate

Which should you pick?

Choose Bahmni if

  • You need openmrs clinical record.
  • You want to start without paying.
  • You work on Web, Linux, Android.
  • You also want configurable clinical forms.
Bahmni review

Choose Flo if

  • You need cycle and ovulation tracking.
  • You want to start without paying.
  • You work on iOS, Android, Web.
  • You also want pregnancy mode.
Flo review

Questions people ask

Is Bahmni or Flo better?
Neither clearly leads. Bahmni starts at Free and Flo at Free, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Bahmni or Flo?
Bahmni starts at Free and Flo at Free.
Does Bahmni or Flo run on more platforms?
Bahmni runs on Web, Linux, Android. Flo runs on iOS, Android, Web.
Can I use Bahmni for free?
Both have a free tier, so you can try either at no cost before committing.
What is Bahmni best used for?
Bahmni is most often used for a mission or charitable hospital in india or east africa that cannot fund a commercial hospital information system licence but needs a real emr rather than paper, a ministry of health standardising district hospitals on one system and required by donors to use a recognised digital public good, an ngo health network wanting one clinical record across several facilities with reporting that can feed a national dhis2 instance, a hospital that needs the clinical record, laboratory, pharmacy and billing to share one patient identity rather than running four disconnected systems. Of those, a mission or charitable hospital in india or east africa that cannot fund a commercial hospital information system licence but needs a real emr rather than paper and a ministry of health standardising district hospitals on one system and required by donors to use a recognised digital public good are not what Flo is typically brought in for.
What can Bahmni do that Flo cannot?
Bahmni covers OpenMRS clinical record, Configurable clinical forms, Laboratory integration, Billing and inventory. Flo covers Cycle and ovulation tracking, Pregnancy mode, Anonymous Mode, Symptom and mood logging.

Answered from the vendors’ own pages

Bahmni: Is Bahmni free?

The software is, under an open source licence. Implementation, hosting, configuration, training and support are charged by whichever partner you engage.

Flo: What happened with the FTC in 2021?

The US FTC alleged Flo Health shared sensitive health data, including pregnancy and menstruation details, with third parties like Facebook and Google despite promising to keep it private. Flo settled without admitting liability, agreeing to obtain consent for future sharing and to an independent privacy review.

Bahmni: Who owns and governs Bahmni?

Thoughtworks transferred ownership in October 2017 to the Bahmni Coalition, under the fiscal sponsorship of the non-profit OpenMRS Inc. Thoughtworks remains on the governing committee.

Flo: What is Anonymous Mode?

A privacy setting Flo states disconnects entered health data from an identifiable profile. Check the current app and privacy policy for whether it is on by default or must be turned on manually, since this affects what data is linked to your identity.

Bahmni: What does an implementation actually cost?

It varies by hospital size and country, but expect the dominant costs to be partner services, training and multi-year support rather than software or hardware. Get a fixed-scope quote covering upgrades, not just go-live.

Flo: Is Flo free?

Core cycle tracking and predictions are free. Deeper personalised insights and expert content require Flo Premium.

Bahmni: Is it a recognised Digital Public Good?

Yes, Bahmni is on the Digital Public Goods Alliance register, which is increasingly a condition of donor funding for health information systems.

Bahmni: Where is it used?

More than 500 implementations across roughly 50 countries, concentrated in South Asia and Africa.

Share

Related pages

More on Bahmni

More on Flo

Keep looking

Other head to heads