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Assessment of digital payment for agents in mass chemoprevention campaigns: The Karangué Fay project in Senegal

Author

Listed:
  • Jean Augustin Diegane Tine
  • Amadou Yeri Camara
  • Aminata Diaw
  • Meissa Seck
  • Saliou Séne
  • Fatoumata Zahra Mohamed Mboup
  • Amadou Ibra Diallo
  • Fatoumata Bintou Diongue
  • Mouhamadou Faly Ba
  • Ibrahima Ndiaye
  • Souleymane Ndiaye
  • Adama Faye

Abstract

The payment of healthcare agents is a critical component of organizing mass health campaigns. This study examined the effects of digital payments during seasonal malaria chemoprevention (SMC) campaigns in Senegal. A quasi-experimental three-arm before–after/here–elsewhere design was implemented between March and June 2023: mandatory digital payment in Kounkané, voluntary in Koussanar, and cash-based control in Bantaco. Mixed methods were employed, and ethical approval was granted by Senegal’s National Ethics Committee (CNERS). A total of 299 agents participated, with 181 surveyed before and 118 after the intervention. Participants were distributed across Kounkané (48.8%), Koussanar (35.8%), and Bantaco (15.4%). Community health workers comprised the majority (90.9%). Median age was 32 years, with a median tenure of three years; 50.8% were male and 65.2% married. All agents owned at least one mobile money account, with Wave (96%) and Orange Money (90%) being the most common. Reliability criteria included security (95%), ease of use (90.3%), and cash availability (79.2%). Karangué Fay digital payments were perceived as secure (82.4%), reliable (83.1%), faster (78.2%), transparent (91.3%), and confidential (95.2%). Compared to cash, digital payments were significantly preferred for transaction security, speed, and usability (p

Suggested Citation

  • Jean Augustin Diegane Tine & Amadou Yeri Camara & Aminata Diaw & Meissa Seck & Saliou Séne & Fatoumata Zahra Mohamed Mboup & Amadou Ibra Diallo & Fatoumata Bintou Diongue & Mouhamadou Faly Ba & Ibrahi, 2025. "Assessment of digital payment for agents in mass chemoprevention campaigns: The Karangué Fay project in Senegal," PLOS Digital Health, Public Library of Science, vol. 4(10), pages 1-15, October.
    • Handle: RePEc:plo:pdig00:0000799
    DOI: 10.1371/journal.pdig.0000799
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