Document Type

Report

Publication Date

2005

Abstract

Prior to the Ghana Ministry of Health scaling up the country’s Safe Motherhood program, they requested support from the Population Council’s USAID-funded Frontiers in Reproductive Health program to undertake an operations research study to evaluate and compare the cost-effectiveness of two training approaches and other performance improvement interventions. The study measured and compared changes in provider knowledge and skills and the costs of implementing a three-week residential vs. self-paced learning (SPL) approach. The SPL approach costs more per trainer than the traditional residential approach, both in financial costs alone and when opportunity costs are added, however, a cost-effectiveness analysis showed that for improving provider knowledge, the SPL approach was clearly more cost-effective. At a dissemination meeting, stakeholders agreed that the SPL and residential approaches are not mutually exclusive—both approaches have their strengths and weaknesses. Training for safe motherhood should be developed based on the strengths of the two approaches.

DOI

10.31899/rh4.1146

Language

English

Project

Frontiers in Reproductive Health

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