Do cash or digital payment modalities affect community health worker performance? – a case study of a remote refugee settlement in Western Uganda

Autor: Michael T Wagaba, David Musoke, Charles Opio, Arthur Bagonza, Juliet Aweko, Hajarah Nakitende, Alex Mulyowa, Michael Ediau, Peter Waiswa, Elizabeth Ekirapa-Kiracho
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Global Health Action, Vol 17, Iss 1 (2024)
Druh dokumentu: article
ISSN: 1654-9880
16549716
DOI: 10.1080/16549716.2024.2375867
Popis: Background There 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. Objective To compare the performance of CHWs when paid in cash or digitally in Kyaka II refugee settlement, Uganda. Methods A 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. Results CHWs performed better when paid cash than digital payments (t = 5.28; df = 246; p
Databáze: Directory of Open Access Journals