Communities affected by armed conflict are striving to provide access to effective healthcare services in countries like Nigeria, where there exists a fragile healthcare system with an acute deficit of manpower and resources. This fragility has a negative impact on child health service delivery. mHealth is considered an excellent platform for enhancing/transforming the activities of community health workers (CHWs) in the delivery of effective health services. This paper aims to explore how mHealth implementation mediates and transforms the activities of CHWs in an armed conflict setting using activity theory as a lens. An interpretive research methodology was used, and the method of data collection was done mainly by participatory observations and interviews. The findings show that the introduction of an mHealth tool can transform the activities of CHWs in various ways. The study contributes to information systems research by broadening our understanding of the implementation of mHealth in armed conflict settings.