Adeniji Folashayo Peter, Adewole David, Bello Segun, Aweko Juliet, Ekirapa Kiracho Elizabeth, Waiswa Peter, Makumbi Fredrick, Fawole Olufunmilayo
Department of Health Policy and Behavioral Sciences, Georgia State University-Atlanta Campus, Atlanta, Georgia, USA
Health Policy and Management, University of Ibadan College of Medicine, Ibadan, Nigeria.
BMJ Glob Health. 2025 Sep 22;10(Suppl 4):e018384. doi: 10.1136/bmjgh-2024-018384.
Understanding the association between digital payment services and health worker outcomes is critical to improving public health outcomes and optimising health workforce efficiency. This study examined the link between digital payment systems and health campaign workers' perceived satisfaction, motivation and performance in Nigeria.
A national survey was conducted among 821 polio immunisation workers who participated in campaigns. A structured electronic questionnaire which had sections on sociodemographic characteristics and digital payments was used to elicit information from participants. Campaign workers' self-reported satisfaction, motivation and performance were assessed using standardised tools for examining these outcomes. Linear mixed model regression analysis was used to examine the factors associated with health worker's motivation, satisfaction and performance. Predictors of these outcomes during periods of cash and digital payment methods were assessed, with statistical significance set at the 5% level.
This cross-sectional study included 821 health campaign workers in Nigeria, with a mean age of 37.13 years (SD=11.06). Regarding digitised payments, mean scores across all constructs were generally high: general motivation (16.34±2.58; maximum=20), job satisfaction (20.33±3.16; max=25), intrinsic job satisfaction (12.87±1.62; max=15), organisational commitment (16.99±1.96; max=20), conscientiousness (15.68±1.71; max=20), timeliness and attendance (13.35±1.55; max=15) and perceived performance (20.54±2.97; max=25). Overall, the combined motivation, satisfaction and performance score was higher among workers paid via digital methods compared with those paid in cash (104.14±9.34 vs 68.43±50.75). In multivariable linear regression, being female (β=1.83; 95% CI=0.28 to 3.38) and the ability to use the internet (β=1.87; 95% CI=0.02 to 3.72) were significant independent predictors of higher overall scores.
Digital payment methods were associated with higher health workers' perceived job satisfaction, motivation and performance. Public health stakeholders need to promote the use of digital payments to maximise their positive influence on health workers.
了解数字支付服务与卫生工作者工作成果之间的关联对于改善公共卫生成果和优化卫生人力效率至关重要。本研究调查了尼日利亚数字支付系统与卫生运动工作者的感知满意度、积极性和绩效之间的联系。
对821名参与运动的脊髓灰质炎免疫工作者进行了全国性调查。使用一份结构化电子问卷，其中包含社会人口学特征和数字支付部分，以获取参与者的信息。使用标准化工具评估运动工作者自我报告的满意度、积极性和绩效，以检查这些成果。采用线性混合模型回归分析来检查与卫生工作者的积极性、满意度和绩效相关的因素。评估了现金支付和数字支付方式期间这些成果的预测因素，设定统计学显著性水平为5%。
这项横断面研究纳入了尼日利亚的821名卫生运动工作者，平均年龄为37.13岁（标准差=11.06）。关于数字化支付，所有构念的平均得分普遍较高：总体积极性（16.34±2.58；最大值=20）、工作满意度（20.33±3.16；最大值=25）、内在工作满意度（12.87±1.62；最大值=15）、组织承诺（16.99±1.96；最大值=20）、尽责性（15.68±1.71；最大值=20）、及时性和出勤率（13.35±1.55；最大值=15）以及感知绩效（20.54±2.97；最大值=25）。总体而言，与现金支付的工作者相比，通过数字方式支付的工作者的积极性、满意度和绩效综合得分更高（104.14±9.34对68.43±50.75）。在多变量线性回归中，女性（β=1.83；95%置信区间=0.28至3.38）和使用互联网的能力（β=1.87；95%置信区间=0.02至3.72）是总体得分较高的显著独立预测因素。
数字支付方式与卫生工作者更高的工作满意度、积极性和绩效相关。公共卫生利益相关者需要推广数字支付的使用，以最大限度地发挥其对卫生工作者的积极影响。
