OpenSRP has a modular design that allows it to be easily adapted to other country settings, topics and cadres of frontline health workers. The adaptation process, depicted below, is comprised of four phases. This process was validated during the first phase of the Thrive multi-site research study and is now being replicated in other country settings. OpenSRP is geared towards government frontline health workers, which means that the long-term support and adoption of the system by the Ministry of Health is essential. In order to achieve this goal, the THRIVE study group identified three country sites where government engagement and readiness allowed for this process to be defined and validated with their frontline health workers.