The “mobiles in support of Sentinel Site Surveillance (mS-cube)” project, following the success of the Real-Time Biosurveillance Program (RTBP), investigated the scalability and institutionalization issues. The mS-cube project was carried out in the Wayamba Province of Sri Lanka. The Infectious Disease Control (IDC) nurses, in the province, were given training on the “mHealthSurvey” mobile application and provided with mobile phones for submitting digitized all outpatient and inpatient health records. The findings are that the relatively older IDC nurses find it difficult to enter data with the mobile keypad and do not have an incentive to submit all patient records (i.e.