An economic analysis of midwifery training programmes in South Kalimantan, Indonesia


Walker, D; McDermott, JM; Fox-Rushby, J; Tanjung, M; Nadjib, M; Widiatmoko, D; Achadi, E; (2002) An economic analysis of midwifery training programmes in South Kalimantan, Indonesia. Bulletin of the World Health Organization, 80 (1). pp. 47-55. ISSN 0042-9686

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Abstract

In order to improve the knowledge and skills of midwives at health facilities and those based in villages in South Kalimantan, Indonesia, three in-service training programmes were carried out during 1995-98. A scheme used for both facility and village midwives included training at training centres, peer review and continuing education. One restricted to village midwives involved an internship programme in district hospitals. The incremental cost-effectiveness of these programmes was assessed from the standpoint of the health care provider. It was estimated that the first scheme could be expanded to increase the number of competent midwives based in facilities and villages in South Kalimantan by 1% at incremental costs of US$ 764.6 and US$ 1175.7 respectively, and that replication beyond South Kalimantan could increase the number of competent midwives based in facilities and villages by 1% at incremental costs of US$ 1225.5 and US$ 1786.4 per midwife respectively. It was also estimated that the number of competent village midwives could be increased by 1% at an incremental cost of US$ 898.1 per intern if replicated elsewhere, and at a cost of US$ 146.2 per intern for expanding the scheme in South Kalimantan. It was not clear whether the training programmes were more or less cost-effective than other safe motherhood interventions because the nature of the outcome measures hindered comparison.

Item Type: Article
Keywords: Clinical Competence, Competency-Based Education, Cost-Benefit Analysis, Education, Nursing, Continuing/*economics/organization & administration, Human, Indonesia, Inservice Training/*economics/organization & administration, Maternal Health Services/manpower/*standards, Midwifery/*education/manpower, Peer Review, Health Care, Program Development, Program Evaluation, Public Health Administration, Rural Health Services/manpower/*standards, Support, Non-U.S. Gov't, Support, U.S. Gov't, Non-P.H.S., Clinical Competence, Competency-Based Education, Cost-Benefit Analysis, Education, Nursing, Continuing, economics, organization & administration, Human, Indonesia, Inservice Training, economics, organization & administration, Maternal Health Services, manpower, standards, Midwifery, education, manpower, Peer Review, Health Care, Program Development, Program Evaluation, Public Health Administration, Rural Health Services, manpower, standards, Support, Non-U.S. Gov't, Support, U.S. Gov't, Non-P.H.S.
Faculty and Department: Faculty of Public Health and Policy > Dept of Global Health and Development
PubMed ID: 11884973
Web of Science ID: 173611800009
URI: http://researchonline.lshtm.ac.uk/id/eprint/16804

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