November 2016 — This study describes the experiences and attitudes of health care workers in Liberia regarding mobile phone use and salary disbursement. Findings will inform implementation of an electronic payment system for government health care workers. Given the complexity of the Liberian payment system, a sound understanding of current attitudes and norms about mobile phone use, financial habits and the current payment system is critical to the development and successful implementation of a new payment system. This report describes findings from an ethnographic study conducted to contribute to that understanding and includes recommendations for next steps.