Health programmes that are using mobile phones to improve maternal health in rural India are examined. Presented by its promoters as a universal, accessible and “smart” empowering technology, how mobile devices transform gender inequalities on the ground is analysed. By using empirical data collected on a global mHealth programme deployed in Bihar, how mHealth devices negate the multifactorial dimension of gender and health inequalities is explained, and also how these devices can reinforce inequalities on the ground is examined.