MSC undertook desk-based research to assess the maturity levels of four African countriesBurkina Faso, Ethiopia, Ivory Coast, and South Sudan, to make biometric-enabled digital payments to polio campaign workers during outbreaks. For this, MSC used its in-house Digital Readiness Assessment (DRA) framework. Critical pillars in the framework include government and policy readiness, infrastructure, and program readiness.


MSC used a subset of the DRA—infrastructure readiness, including digital database and ID, payments system, cash-in/cash-out (CICO) agent network, and digital ecosystem. Program readiness implies the degree to which beneficiaries’ digital database and program design and delivery are ready.


Based on the assessment, MSC made recommendations for three of the five phases of the program life-cycle—enrolment, proof of work, and making payments. A robust digital payment system will enable the governments and key stakeholders to adopt quick, convenient, reliable, and effective methods to pay frontline health workers who spread out to immunize children and families during outbreaks.