The pervasiveness of digital platforms has resulted in the emergence of digital health platforms addressing various health care needs globally. Digital platforms, typically, bring about an international division of labor between platform owners in developed countries where they are usually developed and platform consumers in developing countries leveraging them. In this relationship, boundary resources, such as documentation and application programming interfaces, are critical elements in the efforts to leverage digital health platforms in developing countries. This paper uses the case of the digital health platform DHIS2 in Malawi to elucidate and discuss the enabling and restricting roles played by boundary resources towards efforts leveraging digital health platforms in developing countries.