A thorough assessment of the system should be undertaken in terms of allowing the system to function in different languages especially in one instance. The same instance currently can offer for eg. interface in two languages that might be used in different geographical locations, but for eg. Medical services and Items list can be configured only in one language which leads to duplication of these lists which are then allocated to different products given to the different locations (eg. in Cameroon HIV Free care scheme). There needs to be a more detailed look at other similar aspects that might be existing in openIMIS that do not allow a complete bilingual/multilingual language use in the same instance.