Sustainability is an important consideration in projects implemented in developing countries. Often projects in developing countries will be initiated after initial funding from a donor funder, however it is important that a project continues even after the initial donor funding ends. Sustainability also relates to technological aspects of a project, they too should ensure that a project persists beyond the initial implementation. The phenomenon of "pilotitis" relates to information systems projects implemented in developing countries that are piloted using initial donor funding which however do not ga beyond the piloting phase, and thus lack sustainability. In respect of the OpenMRS project discess factors that have been important in its sustainability since its piloting in the early 2000 s. Consider technological as well as organizational factors