ArticleGlobal health action2024
Do cash or digital payment modalities affect community health worker performance? - a case study of a remote refugee settlement in Western Uganda.
Article in Global health action, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Digital payments of health workers within vaccination campaigns: a mixed-methods study in Chad.BMJ global health · 2026Article
- Assessing the feasibility of partner-implemented digital payment systems for health workers: stakeholder perspectives from Uganda's yellow fever mass vaccination campaign - a qualitative study.BMJ global health · 2025Article
- A qualitative study on gender relations and digital payments: healthcare workers' experiences during polio vaccination campaigns in Uganda and Malawi.BMJ global health · 2025Article
- Enhancing Efficiency and User Experience of Digital Community Health Worker Payments in Zanzibar: Implementation Report.JMIR medical informatics · 2025Article
- Refined carbohydrates and the overfat pandemic: implications for brain health and public health policy.Frontiers in public health · 2025Review
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Authors and funding
10 authors.
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Abstract
backgroundThere is inadequate evidence about the influence of digital and cash payment modalities on the performance of Community Health Workers (CHWs) in underserved communities, such as refugee settlements.
objectiveTo compare the performance of CHWs when paid in cash or digitally in Kyaka II refugee settlement, Uganda.
methodsA comparative cross-sectional mixed methods design was used. Secondary data comprising 247 CHW reports during a six-month period of cash and digital payments were analyzed using Stata v14. Eleven focus group discussions, four in-depth interviews, and ten key informant interviews were conducted among the settlement stakeholders to explore perceptions of the payment methods. Qualitative data were analyzed thematically using Atlas.ti v9.
resultsCHWs performed better when paid cash than digital payments (
conclusionCHWs preferred and performed better with cash payments because digital payments were associated with delays and payment shortfalls that demotivated them. Implementers should invest towards averting digital payment shortfalls in remote settings to enhance CHW motivation and performance.
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