The purpose of this paper is to explore how technology mediated interventions can enable refugee youth to contribute to health care delivery, from a health systems approach. Using the WHO’s health system building blocks this chapter will present the findings of the implementation of a blended programme for capacity building on Dadaab refugee camp in Kenya. It will use four of the six building blocks of the WHO’s health system architecture to examine the interaction of human resources, technology, governance and service. The findings include a qualitative account of the views of refugee youth and health services’ managers. The conclusion will reflect on how people-centred health systems need to understand the social and macro-structural constraints faced by refugees, as well as the human agency of people in this context, as these dynamics are shaping the profile of important aspects of the health workforce and consequently health service delivery in the region.