Context contributes to how a repertoire of Information Systems are used. In mHealth, some studies have explored use in light of contextual realities, and fewer considered unintended use of the interventions. This paper presents an analysis of maternal health clients' technology sense‐making against the backdrop of the implementers' goals, and how these perceptions may result in unintended use. The study adopted a cross‐sectional case study method using a purposive sample of 38 participants. Data was collected using interviews, focus group discussions, observations, informal discussions, and document reviews. The findings show that maternal health clients interacted with the mHealth intervention based on their perceptions of its value as constructed within their healthcare‐seeking context. Their divergent perceptions on the role of the intervention as intended by the mHealth implementers resulted in incongruence. The subsequent unintended use that ensued based on these perceptions include (1) using technology as a substitute for visiting the healthcare provider (2) humanizing technology (anthropomorphism). Subsequently, in the empirical context considered in this study, the unintended use led to undesired outcomes: (3) dissonance in use, and (4) technology coping strategies. Our findings offer insights to mHealth designers and implementers to consider how context may affect use; and how these interactions may influence the usage experience.