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Table 5 Modeled Essential LDHF Program cost per trainee (nurses and midwives) of LDHF rollout in 40 sites over 4 Waves and BEmONC classroom based workshops as implemented by Ghana College of Nurses and Midwives (GCNM)

From: Incremental cost and cost-effectiveness of low-dose, high-frequency training in basic emergency obstetric and newborn care as compared to status quo: part of a cluster-randomized training intervention evaluation in Ghana

Cost Category LDHF

Cost per trainee (USD)

Cost Category Workshop GCNM

Cost per Trainee (USD)

Number of Providers Trained

428

 

64

Development LDHF Training

$2

Development BEmONC Workshop

$75

Start Up

$8

Start Up

$101

Implementation

$497

Implementation

$724

Total program

$506

TOTAL PROGRAM

$901

  1. Assumptions for Modeled Essential LDHF Activities Cost
  2. 1. Master mentor training conducted by external consultants Master mentoring training would be conducted solely by resource personnel paid standard honorariums rather than by NGO personnel.
  3. 2. Resource personnel / consultants would continue to lead and assist in trainings to help Master Mentors assume role of lead trainers; however, their involvement would taper and MMs would continue to lead trainings independently.
  4. 3. Health information officer trainings to discuss data collection and health registers were not included in the government led scenario developed under the assumption that this was a research task with focus on providing accurate data back to NGO. Similarly, Regional health officials’ meetings to discuss the LDHF program were not included.
  5. 4. Duration of onsite LDHF trainings were reduced to three days under the assumption that full OSCE assessments may not be conducted in programs at scale and for government led continuing medical education initiatives.
  6. 5. Peer practice coordinators would not receive an additional day of training and would integrate explanation of the role during the existing days of LDHF training.
  7. 6. Personnel costs would decrease as temporary consultants are contracted as clinical trainers and are not salaried program staff. Clinical team time spent on program management was reduced except for 10% of technical expert time, one full time program officer, and a portion of admin and finance time devoted to the LDHF program.
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Globalization and Health

ISSN: 1744-8603