cascade training
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Evaluation of a capacity building intervention on malaria treatment for children
The study by Ayodele Jegede and colleagues “Evaluation of a capacity building intervention on malaria treatment for under-fives in rural health facilities in Niger State, Nigeria” provides a rigorous evaluation of a standard “cascade training” intervention. The intervention followed the classic global health model where national experts trained state trainers who then trained local government…
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How can we reliably spread evidence-based practices at the speed and scale modern health challenges demand?
At a symposium of the American Society for Tropical Medicine and Hygiene (ASTMH) Annual Meeting, I explored how peer learning could help us tackle five critical challenges that limit effectiveness in global health. For epidemiologists working on implementation science, peer learning provides a new path for solving one of global health’s most persistent challenges: how…
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Calculating the relative effectiveness of expert coaching, peer learning, and cascade training
A formula for calculating learning efficacy, (E), considering the importance of each criterion and the specific ratings for peer learning, is: This abstract formula provides a way to quantify learning efficacy, considering various educational criteria and their relative importance (weights) for effective learning. Variable Definition Description S Scalability Ability to accommodate a large number of…
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Why does cascade training fail?
Cascade training remains widely used in global health. Cascade training can look great on paper: an expert trains a small group who, in turn, train others, thereby theoretically scaling the knowledge across an organization. It attempts to combine the advantages of expert coaching and peer learning by passing knowledge down a hierarchy. However, despite its…
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