The project aims to address key system-level barriers such as inadequate infrastructure, poor digital literacy, technical and usability challenges, and behavioural resistance to digitization by developing and implementing a scalable digital health system model. Interventions will focus on building provider capacity, strengthening infrastructure, redesigning clinical workflows, enhancing data quality and use, and promoting motivation among primary users. The study is being conducted over three years across six diverse sites: Barmer (Rajasthan), Kamrup (Assam), Surguja (Chhattisgarh), Puducherry, Solan (Himachal Pradesh), and Ernakulam (Kerala). The Centre for Chronic Disease Control (CCDC) is leading the implementation in Solan. The project is currently in its formative phase, which spans the first nine months and involves setting up a centralised technical and research support team, finalising study tools, and understanding barriers to digital adoption. The collaborating organizations are George Institute for Global Health, Hyderabad, Centre for Chronic Disease Control, New Delhi, Amrita Institute of Medical Sciences, Kochi, JIPMER, Pondicherry, AIIMS, Guwahati, ICMR-NIIRNCD, Jodhpur, INCLEN, New Delhi and IIT, Jodhpur.