Enablers, Challenges, and Lessons Learned From a Digital Health Intervention (Sehatmandi App) in Afghanistan: Qualitative Study

The Sehatmandi mHealth intervention demonstrated enhanced performance monitoring and accountability across health care facilities in Afghanistan's conflict-affected settings. However, for digital health interventions to be sustainable and scalable in low- and middle-income countries, foundational investments in digital infrastructure, continuous training and monitoring, system-level integration, and long-term funding are essential. These findings provide actionable insights for governments, implementers, and donors aiming to strengthen health systems through digital innovation in fragile settings.