A mixed-method study was conducted in November 2024 to assess the impact of integrating mobile money payment mechanisms into the financial management system of the Expanded Program on Immunization in Liberia. In the case of Liberia, the integration of mobile money into the immunization program’s financial management modalities, introduced in 2021, has helped address the challenges of timely payments and better assurance that payments reach persons for which they are intended, thereby improving health worker motivation and the overall effectiveness of the program.
Out of 252 fit-for-purpose vaccinators interviewed from 252 health facilities across nine counties from northwest, north-central, south-central, and south-eastern Liberia, 98% were either satisfied or very satisfied with the use of the mobile money for immunization transaction. Vaccinators indicated that accessing mobile money is easier compared to the traditional system, as they no longer need to travel long distances to collect their wages, though network challenges are a key issue in rural and underserved areas. No statistically significant association was found between outreach payment and increased DTP3/Penta3 immunization coverage.
Thumbnail image credit: WHO / Alison Brunier
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