Cost Comparison Model: Blended eLearning versus traditional training of community health workers


  • Mysha Sissine Futures Group
  • Robert Segan Futures Group
  • Mathew Taylor Intel
  • Bobby Jefferson Futures Group
  • Alice Borrelli Intel
  • Mohandas Koehler Intel
  • Meena Chelvayohan Futures Group



Objectives: Another one million community healthcare workers are needed to address the growing global population and increasing demand of health care services. This paper describes a cost comparison between two training approaches to better understand costs implications of training community health workers (CHWs) in Sub-Saharan Africa.

Methods: Our team created a prospective model to forecast and compare the costs of two training methods as described in the Dalburge Report - (1) a traditional didactic training approach (“baseline”) and (2) a blended eLearning training approach (“blended”). After running the model for training 100,000 CHWs, we compared the results and scaled up those results to one million CHWs.

Results: A substantial difference exists in total costs between the baseline and blended training programs. Results indicate that using a blended eLearning approach for training community health care workers will provide a total cost savings of 42%. Scaling the model to one million CHWs, the blended eLearning training approach reduces total costs by 25%.

Discussion: The blended eLearning savings are a result of decreased classroom time, thereby reducing the costs associated with travel, trainers and classroom costs.  Additional savings can be achieved if the blended eLearning program elects to use a tablet or feature phone with Wi-Fi rather than a smartphone with data plan.

Conclusion: The results of this cost analysis indicate significant savings through using a blended eLearning approach in comparison to a traditional didactic method for CHW training by as much as 67%. These results correspond to the Dalberg publication which indicates that using a blended eLearning approach is an opportunity for closing the gap in training community health care workers. 




How to Cite

Sissine, M., Segan, R., Taylor, M., Jefferson, B., Borrelli, A., Koehler, M., & Chelvayohan, M. (2014). Cost Comparison Model: Blended eLearning versus traditional training of community health workers. Online Journal of Public Health Informatics, 6(3).



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