India suffers from a high maternal andinfant mortality rate, especially in rural areas, where poorwomen do not receive effective care and one in every 22infants die within one year of life. In 2010, Dimagi, inpartnership with Catholic Relief Services (CRS), IntraHealthInternational, Real Medicine Foundation, and Save theChildren, deployed CommCare mobile technology to helpAccredited Social Health Activists (ASHAs) improve theircare for pregnant women and their newborns at the last milein rural India. CommCare uses audio, video, imagery, shortmessage service (SMS) texting, data and tracking forms,multiple languages, and other features to standardize ASHAs’service delivery, improve counseling techniques and patientcoordination, and collect real-time data for performancemonitoring. The multimedia aids enhance client engagementand assist low-literate ASHAs and their clients. Through apartnership with the Government of India and the Bill andMelinda Gates Foundation, a CommCare-based application isbeing scaled across eight Indian states to strengthen themonitoring of the service delivery of anganwadi center’s inthe country. The CommCare mobile application is intended toreplace the extensive paper registers anganwadi workers arerequired to maintain. The app is designed to improve thecare anganwadi workers provide their communities, trackingdistribution of immunizations and supplementary food,attendance of children at preschool, and the nutritionstatus of children up to age five.