Low Dose, High Frequency: A Learning Approach to Improve Health Workforce Competence, Confidence, and Performance

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Traditional training approaches that focus on extended, off-site, group-based workshops have had limited effectiveness in improving and maintaining provider performance after training. New evidence identifies better ways to optimize sustained improvements in service delivery. These ways include the use of interactive techniques that engage the learner, provide opportunities for simulated practice, constructive feedback, and learning opportunities planned and delivered at an appropriate dose and frequency. This brief defines Low Dose, High Frequency (LDHF) learning and explains the benefits of this approach to building the capacity of providers. This brief also provides an example of Jhpiego’s experience and results with LDHF by highlighting the Helping Mothers Survive (HMS) program.


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