Digitising payments for campaign health workers in Africa: the promise and the path to sustainable scale

Large-scale vaccination and disease-control campaigns remain a cornerstone of public health, critical to combating infectious threats from polio and yellow fever to measles and cholera. 1 Yet these campaigns now unfold in a sharply constrained funding environment, with global health resources under pressure even as outbreaks rise in frequency and scale. In this new era, Africa must do more with less: prevent diseases proactively, use domestic and donor resources more efficiently, and ensure every dollar spent produces maximum public health impact.2