Singh, Neha SScott, KerryLeFevre, Amnesty Elizabeth2021-09-022021-09-022021Singh, N. S. et al. (2021). A tale of ‘politics and stars aligning’: Analysing the sustainability of scaled up digital tools for front-line health workers in India. BMJ Global Health, 6, e005041. 10.1136/ bmjgh-2021-0050412059-790810.1136/bmjgh-2021-005041http://hdl.handle.net/10566/6605India has become a lighthouse for largescale digital innovation in the health sector, particularly for front-line health workers (FLHWs). However, among scaled digital health solutions, ensuring sustainability remains elusive. This study explores the factors underpinning scale-up of digital health solutions for FLHWs in India, and the potential implications of these factors for sustainability.We assessed five FLHW digital tools scaled at the national and/or state level in India. We conducted in-depth interviews with implementers, technology and technical partners (n=11); senior government stakeholders (n=5); funders (n=1) and evaluators/academics (n=3). Emergent themes were grouped according to a broader framework that considered the (1) digital solution; (2) actors; (3) processes and (4) context.enPoliticsStars aligningSustainabilityHealth workersIndiaArticle