Afya-Tek is a digital health program designed to strengthen the continuity of care between three key primary healthcare actors in Tanzania: Community Health Workers (CHWs), health facilities, and private Accredited Drug Dispensing Outlets (ADDOs). Built as a mobile-application–based digital referral and decision-support system, Afya-Tek focuses on improving maternal, child, and adolescent health. Co-created with users and aligned with national systems, the open-source platform guides providers with individualized decision support and recommends the appropriate next steps—education, treatment, or referral. Program impact include: - Over 500 CHWs, FHWs and drug shops supported - Over 300,000 people served - Nearly 900,000 health visits conducted - Up to 95% referral completion rate, 3 times higher than traditional programs - Improved medication dispensing by 2-3 times for child diarrhea and pneumonia Afya-Tek is on a pathway to scale and has been successfully integrated into the Government of Tanzania’s national digital health system, the Unified Community System. The innovation is now expanding to support additional adolescent health services, mental health, and NCDs. Afya-Tek, as part of Unified Community System (UCS), is successfully integrated with the health facility solution, GoTHOMIS, via the Health Information Mediator (HIM) and Muungano gateways. This work was done in collaboration with government technical teams. Now the team is preparing for go-live with the government.