The mobile phone-based system was being used only by 20 to 60% of the reporting units. Since the start of the system, there was an increase of 10 to 25% in completeness of IDSP reports. There were significant gains (12Á30%) in timeliness of reports. The system was saving time and money on logistics when compared to paper-based reporting. Public health workers in the field were enthusiastic about the system but were not using it as widely or extensively as was possible, because of lack of clear directives for implementation; lack of guidelines for usage and lack of systematic training of workforce for using the system.