This project started in Ghana in early 2019. The purpose is to make people pro-active in their health seeking behaviour and to make the health facilities more responsive to patient’s needs. Empowered community care programme could become a set of best practices that are rather context independent. The roll out is planned for an urban and a rural site.  The project involved management sessions to build ownership, training of staff, preparing the software and establishing the desired connectivity. In parallel the community empowerment component started. This worked well, with the support group of both the church and the mosque involved. A remarkable finding was the stigma attached to people living with diabetes and how the community sessions were helpful to overcome this situation among community members. Through these sessions members of the community realized the importance of living healthy lifestyles which results into better health care. Community health workers assisted in the community programme and provided additional health education. This interaction was the stepping stone to come to define practical improvements in the workflow for education and treatment of diabetes and hypertension patients.