This technical brief synthesizes Pathfinder’s experience using mHealth to strengthen linkages between health systems and communities globally, focusing particularly on integrated systems strengthening in reproductive health programs in four countries: Mozambique, Tanzania, Nigeria, and Haiti. As more organizations move to use mHealth within the community, their experience provides valuable insight for global learning – in addition to a summary of experiences in different settings, the report provides recommendations for using mHealth as a tool to support solutions to complex community and health system interventions (2015).