An integrated digital payments system in Nigeria could lead to greater synergy between mobile health and mobile financial services. Stronger integration would create greater efficiencies, increase the social and economic impact of various development programs, and better serve program beneficiaries. Vital Wave was engaged by a global foundation to perform a comprehensive landscape assessment of mobile-based payments for health and financial services in Nigeria. The company analyzed the value chain to discover potential cost efficiencies, opportunities for gains in health outcomes, and areas of risk. This project led to a better understanding of use cases, and provided direction for future solutions-based interventions.