Comparing the effectiveness and costeffectiveness of on-line versus in-person training for strengthening the Zika response in Ecuador

In the face of a health emergency such as the Zika epidemic, large numbers of front-line health workers require comprehensive training on a short timeline. Compared to traditional face-to-face (FTF) training, online health training (OHT) can be a more cost-effective and scalable approach for rapidly building capacity in prevention, early diagnosis, and referral as it can potentially reach large numbers of trainees from diverse geographic areas in resource-limited settings, reduce or eliminate the necessity of traveling to receive training, and enable clinicians to continue to provide services while building their capacity. However, research on the effectiveness and comparative costs of these two modalities is limited.

In Ecuador, ASSIST provided training to clinicians using both OHT and FTF formats, presenting an opportunity for comparison. This study was conducted to:

  1. Compare clinical Zika-related knowledge between providers trained online versus providers trained face-to-face.
  2. Compare satisfaction with the trainings between providers trained with each modality, and
  3. Calculate and compare the total costs and incremental costeffectiveness of the two training approaches.
USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project/URC
ASSIST publication: 
ASSIST publication
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