(HRH_PRE) Number of new health workers who graduated from a pre-service training institution or program as a result of PEPFAR-supported strengthening efforts, within the reporting period, by select cadre
It is widely acknowledged that the lack of trained health workers is a major barrier to scaling up health services. The lack of a sufficient workforce in countries presents a serious challenge to every area of health. The data will tell us the number of new health workers who are available to enter the health workforce each year as a result of PEPFAR support.
Number of new health workers who graduated from a pre-service training institution or program as a result of PEPFAR-supported strengthening efforts, within the reporting period, by select cadre
How to calculate annual total:
N/A. Data is reported only once annually at Q4.
Training under this indicator is defined as “pre-service” training – the training of “new” health workers (see definition below).
Training generally occurs prior to the individual entering the health workforce in his or her new position (with the exception of certain training that may occur on-the job but that prepares health workers to function as a new cadre or with an expanded scope of practice in the health system). A health worker who advances to a higher cadre (e.g., a clinical assistant who completes training to become a clinical officer) shall be counted as a “new” health worker for the purposes of this indicator. The HRH goal is to expand the number of workers in the workforce and increase access to care through the advancement of current workers to higher level cadres through additional training and education.
Pre-service training institutions are university-based or affiliated schools of medicine, nursing, public health, social work, laboratory science, pharmacy, and other health-related fields. Non-professional or paraprofessional training would be any accredited and nationally recognized pre-service program that is a requirement for this cadre’s entry into the workforce.
“In-service” and “continuing education” training should not be included in the count for this indicator but continue to be encouraged. These types of training may be captured by other indicators within program areas (e.g., supply chain).
In order to count, the duration of training must meet or exceed a minimum of 6 months. For example, community health workers who receive a 3-month training course cannot be counted here. The training duration may be a combination of classroom and practical field time to arrive at six months.
A pre-service training program must be nationally accredited, or at the minimum meet national and international standards. The program must also have specific learning objectives, a course curriculum, expected knowledge, skills, and competencies to be gained by participants, as well as documented minimum requirements for course completion. The duration and intensity of training will vary by cadre; however, all training programs should have at a minimum the criteria listed above.
Individuals may be in training over many reporting periods; however, only participants who have successfully completed their training should be counted.
Successful completion of training may be documented by diploma, certificate or other evidence of completion of the program and subsequent eligibility to enter service.
Individuals not meeting these documented requirements should not be counted in this indicator.
How to review for data quality:
Disaggregate descriptions & definitions:
As a service delivery area indicator, the PEPFAR support categories of DSD and TA-SDI do not apply. To report results for this indicator, it is expected that PEPFAR provides support for this activity as defined below.
The numerator is the sum of new health workers from the host country who graduated from a pre-service training institution within the reporting period with full or partial PEPFAR support. Individuals may be in pre-service training over a number of years but can be counted as graduated when they have completed their program. Graduates do not need to attend a formal ceremony – completing the program and receiving documentation is sufficient.
Indicator changes (MER 2.0 v2.2 to v2.3):
PEPFAR Support definition:
No additional requirements needed outside of the standard definition.
Guiding narrative questions: