The Niger National Polio Immunization Days held in April 2026 marked a significant shift in how health workers and community vaccinators were compensated. In Niamey, with technical support from the World Health Organization (WHO) in Niger, a digital payment system replaced traditional cash disbursements for over 1,200 frontline workers.

This transition ensured that 99% of payments were processed within 48 hours of campaign completion, directly into beneficiaries’ mobile wallets. The digital approach enhanced transaction traceability, reduced payment delays, and minimized logistical hurdles tied to cash handling. Initial challenges—such as data quality and digital tool adoption—were effectively addressed through targeted mentorship, facilitated by WHO Niger.

Preparation and training for a digital transformation

The success of this initiative stemmed from meticulous groundwork. Between September 29 and October 3, 2025, WHO Niger conducted a capacity-building workshop on digital payments for national and local vaccination stakeholders. Led by experts from the WHO Regional Office for Africa, the training guided the Ministry of Public Health and Hygiene in designing and planning a national digital payment ecosystem for future health campaigns.

Why digital payments matter in public health

Digital payments for health workers serve as a powerful tool to boost the efficiency, transparency, and accountability of public health initiatives. By enabling faster, safer, and fully traceable transactions, this system strengthens field agent motivation and overall intervention performance. With proven results in Niamey, the model is poised for nationwide expansion and integration into other health programs—showcasing WHO Niger’s commitment to delivering tangible, measurable outcomes.