Electronic payment of health personnel: supplementary immunization activity against measles and rubella, Côte d'Ivoire, 2019
Keywords:
Mobile phone usage, Healthcare personnel, Income, Vaccination campaign, Côte d'IvoireAbstract
Motivating healthcare workers through timely and complete payment is one of the key elements to achieve high vaccination coverage. Our objective was to describe the use of electronic payment during the measles-rubella campaign and assess the satisfaction of healthcare personnel. We conducted a cross-sectional analytical study in Côte d'Ivoire from January 15 to February 18, 2019. The study population consisted of individuals involved in both the measles-rubella vaccination campaign in 2018 and electronic payment. Data collection was done through documentary research and structured interviews. The data were analyzed using R Studio software version 2021. The electronic payment system involved health authorities, a private mobile network operator, a technical and financial partner, and the beneficiary healthcare workers. Criteria for identifying lists, validation, and multi-level verification within the healthcare pyramid was established. Just under three-quarters of primary-level actors were satisfied with this payment method. Electronic payment presents an opportunity to improve healthcare worker payment during vaccination campaigns. Lessons from such a payment system should be drawn for large-scale deployment.
References
Bangura, J. A. (2016). Saving money, saving lives: A case study on the benefits of digitizing payments to ebola response workers in sierra leone. Better Than Cash Alliance, New York.
Bester, J. C. (2016). Measles and measles vaccination: A review. JAMA Pediatrics, 170(12), 1209–1215.
Gaudelus, J. (2010). Rougeole: Son élimination passe par une amélioration de la couverture vaccinale. Antibiotiques, 12(1), 67–74.
Mangone, E. R., Lebrun, V., & Muessig, K. E. (2016). Mobile Phone Apps for the Prevention of Unintended Pregnancy: A Systematic Review and Content Analysis. JMIR MHealth and UHealth, 4(1), e6. https://doi.org/10.2196/mhealth.4846
Mavridis, D., & De Walque, D. (2022). Cash Transfers after Ebola in Guinea: Lessons Learned on Human Capital. The World Bank. https://doi.org/10.1596/1813-9450-9989
McConnell, M., Mahajan, M., Bauhoff, S., Croke, K., Verguet, S., Castro, M. C., Furtado, K. M., Mehndiratta, A., Farzana, M., Rashid, S. F., & Cash, R. (2022). How are health workers paid and does it matter? Conceptualising the potential implications of digitising health worker payments. BMJ Global Health, 7(1), e007344. https://doi.org/10.1136/bmjgh-2021-007344
Nimpagaritse, M., Korachais, C., & Meessen, B. (2020). Effects in spite of tough constraints—A theory of change based investigation of contextual and implementation factors affecting the results of a performance based financing scheme extended to malnutrition in Burundi. PloS One, 15(1), e0226376. https://doi.org/10.1371/journal.pone.0226376
O’Brien, K., Lindstrand, A., & Nandy, R. (2021). The Immunization Agenda 2030: A vision of global impact, reaching all, grounded in the realities of a changing world. Available at SSRN 3830709.
Odutolu, O., Ihebuzor, N., Tilley-Gyado, R., Martufi, V., Ajuluchukwu, M., Olubajo, O., Banigbe, B., Fadeyibi, O., Abdullhai, R., & Muhammad, A. J. G. (2016). Putting Institutions at the Center of Primary Health Care Reforms: Experience from Implementation in Three States in Nigeria. Health Systems & Reform, 2(4), 290–301. https://doi.org/10.1080/23288604.2016.1234863
Prausnitz, M. R., Goodson, J. L., Rota, P. A., & Orenstein, W. A. (2020). A microneedle patch for measles and rubella vaccination: A game changer for achieving elimination. Current Opinion in Virology, 41, 68–76.
Russo, G., Xu, L., McIsaac, M., Matsika-Claquin, M. D., Dhillon, I., McPake, B., & Campbell, J. (2019). Health workers’ strikes in low-income countries: The available evidence. Bulletin of the World Health Organization, 97(7), 460-467H. https://doi.org/10.2471/BLT.18.225755
Singh, D., Negin, J., Otim, M., Orach, C. G., & Cumming, R. (2015). The effect of payment and incentives on motivation and focus of community health workers: Five case studies from low-and middle-income countries. Human Resources for Health, 13(1), 1–12.
UNDP. (2015). Payments Programme for Ebola Response Workers | United Nations Development Programme (p. 8). UNDP. https://www.undp.org/publications/payments-programme-ebola-response-workers
WHO. (2019a, December 5). Immunization. https://www.who.int/news-room/facts-in-pictures/detail/immunization
WHO. (2019b, December 5). Measles. https://www.who.int/news-room/fact-sheets/detail/measles
WHO. (2021, October 28). Mobile cash in polio response: Three things to know. WHO | Regional Office for Africa. https://www.afro.who.int/news/mobile-cash-polio-response-three-things-know
Yehualashet, Y. G., Wadda, A., Agblewonu, K. B., Zhema, T., Ibrahim, A. A., Corr, A., Linkins, J., Mkanda, P., Vaz, R. G., Nsubuga, P., & Ashogbon, D. (2016). World Health Organization’s Innovative Direct Disbursement Mechanism for Payment of Grassroots Immunization Personnel and Operations in Nigeria: 2004–2015. The Journal of Infectious Diseases, 213(Suppl 3), S108–S115. https://doi.org/10.1093/infdis/jiv485
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Bangaman Christian AKANI, Lepri Bernadin Nicaise AKA, Marie Noelle Kounandji ANO, Awa Madaho SOKODOGO, Pétronille ACRAY-ZENGBE

This work is licensed under a Creative Commons Attribution 4.0 International License.
https://creativecommons.org/licenses/by/4.0/
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms