The combination of a highly committed team and an unrelenting attitude to getting the rollout done were contributors to this success story. Owing to a joint effort between the MoHSW, the University of Dar es Salaam and UiO, students and researchers have played an essential role in identifying and implementing open-source tools and technology; introducing that data collection standards; proactively engaging with communities for good usability input, and conducting “action-led research”.