The ownership and use of mobile phones in Africa has grown continuously over recent years. For example, ‘As much as 88% of Kenya’s population access the inter‑ net through their phones, thanks to cheaper data plans and the ubiquitous use of mobile money platforms like Mpesa.’1 Ironically, Kenya’s mobile internet speeds are faster than Austria, Sweden, Ireland and USA. Because of dropping prices, smartphone ownership in Africa nearly doubled between 2014 and 2016.2 The founders of the data company mSurvey observe that mobile phones are one of the few connections Africans have with the formal economy and public services.3 AfroBarometer reports that across Africa 93% of people have access to cell phone service (with or without internet), but less than two-thirds have access to clean water and electricity.4 Only 30% have a sanitary sewage system. With mobile phones becoming nearly ubiquitous it is not surprising that their use in various aspects of health service delivery has also increased. Using the search term ‘mHealth’ many recent articles were found. These identify health interventions in several key categories: • Communication of targeted health education to clients and patients; • Continuing education for health workers; • Collecting and sharing health information/data….more