01417nas a2200181   4500000000100000008004100001260002200042653001200064653002900076653002600105100001700131700002300148245010700171300001200278490000700290520091300297022002501210       2020                            d  bSAGE Publications10aMhealth10aTechnological innovation10aAccess to health care1 aGrobbelaar S1 aUriona-Maldonado M00aUsing technology to improve access to healthcare: The case of the MomConnect programme in South Africa  a838-8520 v343 aA major area of inequality may be seen in the healthcare sector where systematic exclusion from access to services exists due to poverty, lack of employment, and poor infrastructure, transport systems and other social factors. In this article, we draw on two complementary frameworks: (i) Technological Innovation Systems (TIS) and (ii) Platform-based Innovation Ecosystems (PIE) to explore the need for the orchestration between macro-level policies and micro-level connections among platform actors as crucial for large-scale e-health/m-health programmes to succeed. We explore this empirically by using the MomConnect programme as a successful case of orchestration between the macro- and micro-level. Here the utilisation of systemic policy instruments are uncovered through which the design of large scale mHealth programmes may be supported with the aim of developing more inclusive innovation systems.  a0269-0942, 1470-9325