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Healthcare · head to head

DHIS2 vs Kareo Clinical

DHIS2 logo

DHIS2

Healthcare

Open source health information platform run from the University of Oslo and used by national ministries

From
Free
Rated
-
Full reviewWebsite
Kareo Clinical logo

Kareo Clinical

Healthcare

Specialized EHR and practice management for independent and small practices

From
$89/month
Rated
-
Full reviewWebsite

The short version

  • Only DHIS2 has a free tier, so it costs nothing to try first.
  • Each has a real cost: DHIS2 the licence is free and the implementation is not; national rollouts routinely cost hundreds of thousands of dollars in configuration, hosting, training and support, and budgets built on the word free fail immediately.; Kareo Clinical kareo is now part of Tebra and sold under the Tebra brand rather than as a standalone product
  • They diverge on capability: DHIS2 covers Aggregate data reporting, Kareo Clinical covers Electronic Health Records.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which DHIS2 and Kareo Clinical actually diverge.

Attributes where DHIS2 and Kareo Clinical differ
AttributeDHIS2Kareo Clinical
Starting priceFree$89/month
Pricing modelOpen source, no licence feesubscription
Free tierYesNo
PlatformsWeb, Android, Self-hosted, CloudWeb, Mobile
FoundedUnknown2010

Identical on both: 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 DHIS2

  • Aggregate data reporting
  • Tracker
  • Android capture app
  • Dashboards and analytics
  • Metadata packages
  • Data quality tools
  • GIS mapping
  • Interoperability

Only in Kareo Clinical

  • Electronic Health Records
  • Scheduling
  • Patient Portal
  • Medical Billing
  • ePrescribing
  • Analytics
  • Labs
  • Pharmacies

What people use each for

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

DHIS2

  • A ministry of health replacing paper monthly reporting from thousands of facilities with a national routine systemnot Kareo Clinical
  • A donor-funded HIV or tuberculosis programme that must report standard indicators across several districtsnot Kareo Clinical
  • A disease surveillance unit needing weekly case reporting with outbreak alerting and mappingnot Kareo Clinical
  • An NGO running individual patient follow-up in a programme where facilities are frequently offlinenot Kareo Clinical

Kareo Clinical

  • Practice management, scheduling and billing for independent medical practicesnot DHIS2
  • Electronic health records and e-prescribing for small clinicsnot DHIS2
  • Insurance claim submission and patient payment collectionnot DHIS2

Where each one falls short

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

DHIS2

  • The licence is free and the implementation is not; national rollouts routinely cost hundreds of thousands of dollars in configuration, hosting, training and support, and budgets built on the word free fail immediately.
  • HISP UiO introduced a Shared Services Fee in 2025, so organisations that depend on DHIS2 are now being asked for an annual contribution that did not previously exist in their plans.
  • Development funding comes from a small set of donors including Norad, the Global Fund and the Gates Foundation, which concentrates the platform's long-term direction in the priorities of those funders.
  • Implementation capability is concentrated in regional HISP groups, so a country whose local HISP group is overstretched has few alternative suppliers with equivalent expertise.
  • Analytics performance depends heavily on how metadata was designed at the outset, and a poorly structured initial configuration produces slow dashboards and bad indicator definitions that are painful to correct years later.

Kareo Clinical

  • Kareo is now part of Tebra and sold under the Tebra brand rather than as a standalone product
  • Tebra publishes no rate: pricing varies with provider count, features and implementation requirements and is quoted during a demo
  • Billing counts clinical providers such as MDs, DOs, NPs and PAs, so adding a prescriber raises the bill even though non clinical staff are free
  • Electronic prescribing of controlled substances setup costs about $75 per provider as a one time fee
  • PDMP integration costs $500 one time per facility plus about $50 per user per year

Pricing, plan by plan

DHIS2

Free
  • DHIS2 softwareFree
    • BSD licence
    • All modules including Tracker
    • No user or facility limits
  • Shared Services Fee$undefined/year
    • Voluntary annual contribution introduced by HISP UiO
    • Funds shared global infrastructure and platform sustainability
    • Amount agreed with the HISP Centre
  • Implementation and support$undefined/year
    • Delivered by regional HISP groups or private implementers
    • Configuration, metadata design, hosting, training and support
    • Quoted per programme, commonly the dominant cost

Kareo Clinical

$89/month
  • Clinical Starter$89/month
    • EHR
    • Scheduling
    • Patient Portal
  • Clinical Plus$189/month
    • Everything in Starter
    • Billing
    • Analytics

Which should you pick?

Choose DHIS2 if

  • You need aggregate data reporting.
  • You want to start without paying.
  • You work on Web, Android, Self-hosted, Cloud.
  • You also want tracker.
DHIS2 review

Choose Kareo Clinical if

  • You need electronic health records.
  • You work on Web, Mobile.
  • You also want scheduling.
Kareo Clinical review

Questions people ask

Is DHIS2 or Kareo Clinical better?
Neither clearly leads. DHIS2 starts at Free and Kareo Clinical at $89/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, DHIS2 or Kareo Clinical?
DHIS2 has a free tier; the other does not. Paid plans start at Free for DHIS2 and $89/month for Kareo Clinical.
Does DHIS2 or Kareo Clinical run on more platforms?
DHIS2 runs on Web, Android, Self-hosted, Cloud. Kareo Clinical runs on Web, Mobile.
Can I use DHIS2 for free?
Yes. DHIS2 has a free tier, so you can try it without paying. Kareo Clinical starts at $89/month.
What is DHIS2 best used for?
DHIS2 is most often used for a ministry of health replacing paper monthly reporting from thousands of facilities with a national routine system, a donor-funded hiv or tuberculosis programme that must report standard indicators across several districts, a disease surveillance unit needing weekly case reporting with outbreak alerting and mapping, an ngo running individual patient follow-up in a programme where facilities are frequently offline. Of those, a ministry of health replacing paper monthly reporting from thousands of facilities with a national routine system and a donor-funded hiv or tuberculosis programme that must report standard indicators across several districts are not what Kareo Clinical is typically brought in for.
What can DHIS2 do that Kareo Clinical cannot?
DHIS2 covers Aggregate data reporting, Tracker, Android capture app, Dashboards and analytics. Kareo Clinical covers Electronic Health Records, Scheduling, Patient Portal, Medical Billing.

Answered from the vendors’ own pages

DHIS2: Who owns and develops DHIS2?

The HISP Centre at the University of Oslo, funded by donors including Norad, the Global Fund, the Gates Foundation and Wellcome.

Kareo Clinical: How much does Kareo Clinical (now Tebra) cost?

Kareo Clinical pricing is not published publicly. Pricing is based on the number of clinical providers in your practice, not seat licenses. Setup includes optional EPCS at $75/provider and PDMP Integration at $500 one-time per facility plus $50/user/year.

Source
DHIS2: Is DHIS2 free?

The software is free under a BSD licence. Implementation, hosting, training and support are not, and are the dominant cost.

Kareo Clinical: Does Tebra charge for front desk staff and medical assistants?

No. Tebra provides unlimited non-clinical staff access at no extra cost. Front desk staff, medical assistants, billers, and office admins can all access scheduling, charting, and claims modules without increasing billing.

Source
DHIS2: What is the Shared Services Fee?

A voluntary annual contribution introduced by HISP UiO in 2025 to fund shared global infrastructure and long-term platform sustainability.

Kareo Clinical: Are there reduced rates for low-volume practices on Tebra?

Yes. Practices with providers billing under 100 claims monthly receive lower-tier pricing for those low-volume providers.

Source
DHIS2: Can I buy commercial support?

Yes, from regional HISP groups or private implementers such as Devotta, which is contracted by HISP UiO for core platform development and also works independently.

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