Funding: the pilot is currently being implemented under the Microsoft for Startups Azure credits rather than dedicated pilot capital, which limits the pace and scale at which infrastructure, staffing and field rollout can be expanded; securing dedicated pilot financing, donor or investor funding, is a near-term priority to move beyond a credits-constrained build phase.

We have an early engagement with the Central Bank of Congo, the telecom regulator ARPTC, and the Ministry of Public Health before scale-up, which is easing compliance approvals and buy-in and framing the voucher as a reserve-backed "Guaranteed Health Voucher" rather than a crypto-asset, avoiding regulatory friction with financial-services and app-store policies while keeping the ledger auditable. A dual-channel design (mobile app plus USSD) supports financial and digital inclusion, since many in the target population lack smartphones. The immutable revenue split makes the government a direct financial beneficiary of every transaction, aligning incentives with long-term sustainability rather than donor funding alone. A modular cloud-native architecture (Expo/React Native, Azure Functions, an immutable ledger) lets the system scale from pilot to national coverage without re-architecture. An academic evaluation (a Master of Public Health dissertation comparing DRC rural and urban areas' access) will generate independent evidence on impact and scalability. Recommended practice: secure regulator and ministry alignment early, design for the lowest common device, and build state revenue-sharing into the model early.