@article{fdi:010095791,
  title = {{F}actors associated with {S}enegalese health workers' willingness to receive mobile digital payments : cross-sectional study},
  author = {{D}iallo, {A}. {I}. and {B}a, {M}. {F}. and {L}ouart, {S}. and {D}iongue, {F}. {B}. and {G}aye, {I}. and {B}onnet, {E}mmanuel and {D}iedhiou, {A}. and {N}diaye, {S}. and {M}boup, {Z}. and {R}idde, {V}al{\'e}ry and {F}aye, {A}.},
  editor = {},
  language = {{ENG}},
  abstract = {{I}ntroduction {A}lthough {S}enegal began digitising servants' salaries in 2004, payments to community health workers have not yet followed suit. {T}his study explored factors associated with health professionals' and community health workers' willingness to receive payments via mobile digital systems.{M}ethodology {W}e carried out a cross-sectional study, from {O}ctober to {D}ecember 2023 among healthcare staff and community health workers using telephone surveys. {A}t national level, one district per medical region was selected by random draw for the study. {I}n each district, data were collected from all health workers agreeing to participate, using a questionnaire instrument derived from pre-existing conceptual frameworks for the acceptability of technological innovations in healthcare. {W}e conducted a descriptive analysis, followed by a bivariate analysis with a 5% alpha risk and a multivariate analysis.{R}esults {W}e recruited 2965 healthcare workers (of whom 70.1% were women), including community health workers (70.8%) and health professionals (29.2%). {T}he arithmetic mean age was 42.7 years ({SD} 11.2 years). 98.6% of the sample had access to a smartphone and 80% had internet access. {H}ealthcare workers reported a high willingness (88.2%) to be paid by mobile digital systems. {F}actors negatively associated with this willingness included contractual professional status (adjusted {OR} ({AOR}) 0.46, 95% {CI} 0.23 to 0.93), having been in practice for more than 10 years ({AOR} 0.45, 95% {CI} 0.28 to 0.72), perceived difficulties in using technology ({AOR} 0.43, 95% {CI} 0.23 to 0.81) and carrying out additional administrative procedures. {O}n the other hand, the simplification of payment processes ({AOR} 3.45, 95% {CI} 1.86 to 6.32) and positive opinion from health authorities ({AOR} 1.85, 95% {CI} 1.17 to 2.94) were positively associated with willingness.{R}esults {W}e recruited 2965 healthcare workers (of whom 70.1% were women), including community health workers (70.8%) and health professionals (29.2%). {T}he arithmetic mean age was 42.7 years ({SD} 11.2 years). 98.6% of the sample had access to a smartphone and 80% had internet access. {H}ealthcare workers reported a high willingness (88.2%) to be paid by mobile digital systems. {F}actors negatively associated with this willingness included contractual professional status (adjusted {OR} ({AOR}) 0.46, 95% {CI} 0.23 to 0.93), having been in practice for more than 10 years ({AOR} 0.45, 95% {CI} 0.28 to 0.72), perceived difficulties in using technology ({AOR} 0.43, 95% {CI} 0.23 to 0.81) and carrying out additional administrative procedures. {O}n the other hand, the simplification of payment processes ({AOR} 3.45, 95% {CI} 1.86 to 6.32) and positive opinion from health authorities ({AOR} 1.85, 95% {CI} 1.17 to 2.94) were positively associated with willingness.{C}onclusion {W}e found that individual, socioprofessional and contextual factors are associated with health workers' willingness to receive full digitisation of payments. {S}eamless integration of these systems into existing organisational structures could strengthen worker buy-in.},
  keywords = {{H}ealth services research ; {P}ublic {H}ealth ; {H}ealth {P}ersonnel ; {SENEGAL}},
  booktitle = {},
  journal = {{BMJ} {G}lobal {H}ealth},
  volume = {10},
  numero = {{S}uppl. 4},
  pages = {e017468 [11 p.]},
  ISSN = {2059-7908},
  year = {2025},
  DOI = {10.1136/bmjgh-2024-017468},
  URL = {https://www.documentation.ird.fr/hor/fdi:010095791},
}