Diop El Hadji Cheikh Abdoulaye, Diallo Amadou Ibra, Dog Adélaïde Ndew, Ndiaye Ibrahima, Cissé Bayal, Ndiaye Souleymane, Ba Mouhamadou Faly, Faye Adama
District Sanitaire de Tambacounda, Ministère de la Santé et de l'Action Sociale, Dakar, Sénégal.
Institut de la Santé et du Développement, Université Cheikh Anta DIOP de Dakar, Dakar, Sénégal.
Pan Afr Med J. 2024 Oct 11;49:32. doi: 10.11604/pamj.2024.49.32.44475. eCollection 2024.
digitising health worker payments could improve their well-being, that of users of health service points and the performance of the health system. The purpose of this study was to identify factors associated with the acceptability of mobile payments among health workers in the Koumpentoum health district.
we conducted a cross-sectional, descriptive and analytical study in the Koumpentoum health district, in eastern Senegal, in January 2023. Recruitment was exhaustive, involving all health staff and community stakeholders. A questionnaire was developed and administered remotely via phone calls. It was used to gather information on socio-professional characteristics, knowledge, attitudes, practices and the acceptability of mobile payments by healthcare workers. Binomial logistic regression was used to identify factors associated with the acceptability of mobile payments by health workers.
a total of 418 health workers were surveyed, 87.3% of whom were community actors. All respondents said that digital payments in their context were represented by transfers via mobile applications, and 86.6% were in favor of its use in the healthcare sector. The majority of them (91.5%) would accept being paid through this method. Reasons for adoption included positive perceptions of convenience, speed and security, while reasons for non-adoption were lack of network access, errors and transfer fees. Factors favoring the acceptability of mobile healthcare payments included less than 5 years of professional experience (ORa= 7.91 [2.65-34.38]; p= 0.001), a satisfactory experience with mobile digital payments (ORa= 4.18 [1.3-18.92]; p= 0.031), acceptability of mobile payments in daily life (ORa= 5.81 [1.37-23.29]; p= 0.013) and performance expectations (ORa= 7.3 [3.42-16.05]; p < 0.001).
this study conducted in the Koumpentoum health district indicated a high level of acceptance of mobile payments among health workers. Despite this, potential challenges such as lack of network access and transfer fees were noted. While the integration of mobile payments in the health sector in Koumpentoum appears promising, measures are needed to overcome these identified obstacles.
将卫生工作者的薪酬数字化可以改善他们的福祉、卫生服务点用户的福祉以及卫生系统的绩效。本研究的目的是确定与库姆彭图姆卫生区卫生工作者对移动支付的接受度相关的因素。
2023年1月，我们在塞内加尔东部的库姆彭图姆卫生区进行了一项横断面、描述性和分析性研究。招募工作全面展开，涉及所有卫生工作人员和社区利益相关者。我们编制了一份问卷，并通过电话远程发放。该问卷用于收集有关社会职业特征、知识、态度、做法以及医护人员对移动支付的接受度的信息。采用二项逻辑回归来确定与卫生工作者对移动支付的接受度相关的因素。
共对418名卫生工作者进行了调查，其中87.3%为社区工作人员。所有受访者表示，他们所在环境中的数字支付是指通过移动应用程序进行转账，86.6%的人赞成在医疗保健领域使用这种支付方式。他们中的大多数人（91.5%）愿意接受通过这种方式支付工资。采用的原因包括对便利性、速度和安全性的积极看法，而不采用的原因是网络接入不足、错误和转账费用。有利于移动医疗支付接受度的因素包括专业经验少于5年（优势比=7.91[2.65-34.38]；p=0.001）、对移动数字支付有满意的体验（优势比=4.18[1.3-18.92]；p=0.031）、日常生活中对移动支付的接受度（优势比=5.81[1.37-23.29]；p=0.013）和绩效期望（优势比=7.3[3.42-16.05]；p<0.001）。
在库姆彭图姆卫生区进行的这项研究表明，卫生工作者对移动支付的接受程度很高。尽管如此，仍注意到一些潜在挑战，如网络接入不足和转账费用。虽然在库姆彭图姆将移动支付整合到卫生部门似乎前景广阔，但需要采取措施克服这些已确定的障碍。
