The objective of this study is to explore different facet (dark and bright sides) of technology-enabled knowledge management (KM) for rural lay healthcare workers who belong to the bottom of pyramid (BoP) population in India. Data were collected through multiple rounds of engagements and semi-structured interviews with 37 Accredited Social Health Activists (ASHAs). Findings indicate the existence of spirals of value that are shaped by KM practices in such settings. Technology-enabled KM through knowledge-sharing is supporting an upward spiral of value creation at three different levels, i.e., the micro-level in the form of empowerment of ASHAs, the meso-level in the form of better healthcare for the rural Indian population, and the macro-level in the form of an effective public health policy outcome as envisioned by the government. Contrary to the technology-enabled KM through knowledge-sharing, technology-enabled KM through knowledge-hiding is eroding value resulting in failed attempts to use technology and reduced self-efficacy of ASHAs at the micro level. Technology-enabled KM through knowledge-hiding at the macro level is promoting stratification and marginalization within rural communities in India. Study leaves key implications for healthcare researchers, policymakers and businesses.