Charlene Mharakurwa

Pharmacist | Digital Health Product Builder

I build tools that fix broken healthcare workflows. Not because I'm a developer β€” but because I've spent enough time inside these systems to know exactly where they fail.

What I focus on

Medication safety systems
Clinical workflow optimisation
Regulatory technology

Where I'm based

Auckland, NZ
Open to remote

My Starting Point

Medication safety failures are rarely caused by lack of clinical knowledge.

They're caused by fragmented systems.

After working in high-volume community pharmacy in South Africa and hospital pharmacy in New Zealand, I kept seeing the same pattern:

The information exists β€” but not where it's needed.

I started building because I got tired of watching smart people work around broken infrastructure.

πŸ’Š RxFlow

Stock intelligence at the point of dispensing

The problem I kept seeing

At Middlemore Hospital, medication shortages get communicated through emails, Teams messages, static PHARMAC notices, and verbal handovers between shifts.

The information exists. But it's never available where it matters most β€” at the moment you're dispensing.

What happens instead

You discover the shortage mid-transaction. You stop, check emails, call procurement. You contact the prescriber. You explain the situation to the patient. You find an alternative. You start again.

The risk isn't that people don't know. The risk is that the information arrives too late.

What RxFlow does

Instead of sending disruption emails that get buried, the system:

Example based on a real current PHARMAC notice:

⚠️ SUPPLY ISSUE
Imipramine 25mg (Tofranil) β€” OUT OF STOCK
Status: Section 29 shipment arrived, awaiting release for distribution
Alternatives:
β†’ Imipramine Crescent 25mg (Sec 29)
β†’ 2x Imipramine 10mg tablets
Prescriber note: If using 2x 10mg, counsel patient on temporary change. 10mg stock confirmed with AFT.

No email checking. No phone calls. No surprises mid-transaction.

How it works

Layer 1 β€” Procurement Intelligence

Ingests PHARMAC notices, recall data, supplier ETAs. Categorises by type: recall, delay, allocation limit, brand transition.

Layer 2 β€” Alert Logic

Maps disruptions to specific medications. Matches alternatives. Prioritises to avoid alert fatigue.

Layer 3 β€” Dispensing Interface

Flags issues when you select a medication. Shows context, alternatives, and prescriber notes.

Why this is feasible in New Zealand

Single-brand funding per molecule. Centralised Hospital Medicines List. PHARMAC coordinates nationally. Low brand variability means disruption signals are predictable and systematisable.

Future vision

Move alerts upstream. At the point of prescribing, the doctor sees supply status before they write the order. Problem prevented, not managed.

Current status

In Development

Proof-of-concept dispensing portal. Built with Django/Python. Designed from direct observation of Middlemore Hospital workflows.

πŸš€ ReflectRX

CPD that actually develops professionals

πŸ”— reflectrx.onrender.com

The problem

Every pharmacist in South Africa must complete continuing professional development to keep their license. The system is supposed to ensure competence. In practice, it measures compliance.

What's broken

No meaningful assessment β€” just logging hours. No structured reflection β€” just text boxes. No cross-sector exposure β€” community pharmacists never see hospital practice. Annual submission bottleneck β€” the portal crashes every December 31st.

The deeper issue: professional competency gaps accumulate silently, and nobody knows until something goes wrong.

What ReflectRX does

Instead of tracking hours, it tracks capability.

The result

For pharmacists: Real learning, cross-sector exposure, no December panic.

For regulators: Verifiable competence, not just logged activities.

For the profession: A bridge for unemployed pharmacists to stay sharp. A pathway for career transitions.

How it works

1

PLAN

Personalised learning paths

2

LEARN

Realistic scenarios

3

REFLECT

Guided RIPE framework

4

SUBMIT

Auto-sync ready

Longer-term vision

Competency dashboards showing strengths and gaps. Predictive pathways for remediation. Institutional licensing for hospital departments. Direct regulatory integration.

I'm not there yet. But the foundation is designed with this in mind.

Current status

βœ“ Live Prototype

Scenario engine + structured reflections. Built with Django/Python, deployed on Render. Iterating based on pharmacist feedback.

How I Work

I start with observation, not assumptions.

My process:

I care more about whether something works in a real workflow than whether it looks impressive in a demo.

Experience

πŸ₯ Inventory Assistant

Middlemore Hospital (Te Whatu Ora) β€” Auckland, NZ | June 2024 – Present

  • Monitor 3,000+ medication products monthly
  • Identify discrepancies, expiry risks, and safety gaps
  • Support formulary transitions and flag LASA risks
  • Apply FEFO/FIFO governance in high-volume systems
What I learned: Inventory systems are risk systems. What you can see determines what you can prevent.

πŸ’Š Community Service Pharmacist

Medipost Pharmacy β€” Cape Town, SA | Feb 2022 – Sep 2023

  • Validated 100+ prescriptions daily
  • Conducted Drug Utilisation Reviews
  • Investigated and documented dispensing errors
  • Operated within provincial prescribing frameworks
What I learned: Compliance-driven systems often obscure real learning. People optimise for the metric, not the outcome.

πŸͺ Pharmacist Intern

Dis-Chem Pharmacies β€” Johannesburg, SA | Jan 2021 – Dec 2021

  • Multi-channel dispensing (retail, phone, app)
  • Pharmacist-Initiated Therapy for acute conditions
  • Insurance claims for chronic, HIV, and oncology medications
πŸ† Employee of the Month Γ— 2
What I learned: Workflow complexity scales fast in multi-channel environments. Small frictions compound.

Education

Postgraduate Certificate in Digital Health (In Progress)
University of Auckland

Bachelor of Pharmacy (BPharm)
University of the Witwatersrand β€” 2020
πŸ… Dean's Merit List

Certifications

Skills

Product & Technical

AI-assisted development Claude Cursor Python Django Git Problem definition User research

Healthcare

Prescription validation Drug utilisation review Medication safety Quality assurance Clinical interventions

Tools

Microsoft Excel (advanced) Pharmacy dispensing systems Hospital inventory systems

What I'm Exploring

Clinical decision support systems
Medication safety technology
Health systems product roles
Regulatory technology (RegTech)
Supply chain intelligence in healthcare

Currently Exploring

Through my Postgraduate Certificate in Digital Health (University of Auckland), I'm deepening my understanding of: