Incremental Cost Analysis of Training of Trainers and Helpers in Problem Management Plus (PM+) Using an Ensuring Quality in Psychological Support (EQUIP) Competency-based Approach in Nepal
We estimated incremental costs of a competency-based Problem Management Plus (PM+) training of trainers (ToT) and training of helpers (TOH), guided by the World Health Organization (WHO)/United Nations International Children’s Emergency Fund (UNICEF) Ensuring Quality in Psychological Support (EQUIP)...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-10-01
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| Series: | Intervention Journal of Mental Health and Psychosocial Support in Conflict Affected Areas |
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| Online Access: | https://journals.lww.com/10.4103/intv.intv_14_23 |
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| author | Gloria A. Pedersen Niko C. Gautam Kriti Pudasaini Nagendra P. Luitel Michael W. Long Alison Schafer Brandon A. Kohrt |
| author_facet | Gloria A. Pedersen Niko C. Gautam Kriti Pudasaini Nagendra P. Luitel Michael W. Long Alison Schafer Brandon A. Kohrt |
| author_sort | Gloria A. Pedersen |
| collection | DOAJ |
| description | We estimated incremental costs of a competency-based Problem Management Plus (PM+) training of trainers (ToT) and training of helpers (TOH), guided by the World Health Organization (WHO)/United Nations International Children’s Emergency Fund (UNICEF) Ensuring Quality in Psychological Support (EQUIP) platform compared to a standard PM+ training. Activity-based cost analysis was conducted in Kathmandu, Nepal from July to October 2021. Organisational perspectives were assessed on resources required to implement one PM+ ToT, one EQUIP training for trainers and six PM+ ToH. For PM+ trainers, a standard PM+ ToT costs NPR 63,800.06 (US$510.40), with additional training on EQUIP competency-based approaches and digital platform costing an incremental NPR 45,111.15 (US$360.89). A standard PM+ helper training costs an average of NPR 207,906.35 (US$1,663.25) compared to an EQUIP-based PM+ ToH costing NPR 211,122.71 (US$1,688.98), for an incremental NPR 3,216 (US$25.73) per ToH. An EQUIP competency-based approach requires initial investment through training of PM+ trainers; thenceforth, differences in time and costs are negligible for training PM+ helpers when using an EQUIP approach compared to a standard approach. Given minimal cost differences and potential benefits for improving provider competency and client safety and outcomes, we recommend greater use of EQUIP. Stakeholders may use this study as a guide for costing competency-based approaches. |
| format | Article |
| id | doaj-art-d0f9b44a92364e06a6c32c3ebc49fb87 |
| institution | Kabale University |
| issn | 1571-8883 |
| language | English |
| publishDate | 2023-10-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Intervention Journal of Mental Health and Psychosocial Support in Conflict Affected Areas |
| spelling | doaj-art-d0f9b44a92364e06a6c32c3ebc49fb872025-01-20T04:10:06ZengWolters Kluwer Medknow PublicationsIntervention Journal of Mental Health and Psychosocial Support in Conflict Affected Areas1571-88832023-10-0121211612610.4103/intv.intv_14_23Incremental Cost Analysis of Training of Trainers and Helpers in Problem Management Plus (PM+) Using an Ensuring Quality in Psychological Support (EQUIP) Competency-based Approach in NepalGloria A. PedersenNiko C. GautamKriti PudasainiNagendra P. LuitelMichael W. LongAlison SchaferBrandon A. KohrtWe estimated incremental costs of a competency-based Problem Management Plus (PM+) training of trainers (ToT) and training of helpers (TOH), guided by the World Health Organization (WHO)/United Nations International Children’s Emergency Fund (UNICEF) Ensuring Quality in Psychological Support (EQUIP) platform compared to a standard PM+ training. Activity-based cost analysis was conducted in Kathmandu, Nepal from July to October 2021. Organisational perspectives were assessed on resources required to implement one PM+ ToT, one EQUIP training for trainers and six PM+ ToH. For PM+ trainers, a standard PM+ ToT costs NPR 63,800.06 (US$510.40), with additional training on EQUIP competency-based approaches and digital platform costing an incremental NPR 45,111.15 (US$360.89). A standard PM+ helper training costs an average of NPR 207,906.35 (US$1,663.25) compared to an EQUIP-based PM+ ToH costing NPR 211,122.71 (US$1,688.98), for an incremental NPR 3,216 (US$25.73) per ToH. An EQUIP competency-based approach requires initial investment through training of PM+ trainers; thenceforth, differences in time and costs are negligible for training PM+ helpers when using an EQUIP approach compared to a standard approach. Given minimal cost differences and potential benefits for improving provider competency and client safety and outcomes, we recommend greater use of EQUIP. Stakeholders may use this study as a guide for costing competency-based approaches.https://journals.lww.com/10.4103/intv.intv_14_23activity-based costingcompetencycompetency assessmentscost analysismhpss trainingnonspecialist |
| spellingShingle | Gloria A. Pedersen Niko C. Gautam Kriti Pudasaini Nagendra P. Luitel Michael W. Long Alison Schafer Brandon A. Kohrt Incremental Cost Analysis of Training of Trainers and Helpers in Problem Management Plus (PM+) Using an Ensuring Quality in Psychological Support (EQUIP) Competency-based Approach in Nepal Intervention Journal of Mental Health and Psychosocial Support in Conflict Affected Areas activity-based costing competency competency assessments cost analysis mhpss training nonspecialist |
| title | Incremental Cost Analysis of Training of Trainers and Helpers in Problem Management Plus (PM+) Using an Ensuring Quality in Psychological Support (EQUIP) Competency-based Approach in Nepal |
| title_full | Incremental Cost Analysis of Training of Trainers and Helpers in Problem Management Plus (PM+) Using an Ensuring Quality in Psychological Support (EQUIP) Competency-based Approach in Nepal |
| title_fullStr | Incremental Cost Analysis of Training of Trainers and Helpers in Problem Management Plus (PM+) Using an Ensuring Quality in Psychological Support (EQUIP) Competency-based Approach in Nepal |
| title_full_unstemmed | Incremental Cost Analysis of Training of Trainers and Helpers in Problem Management Plus (PM+) Using an Ensuring Quality in Psychological Support (EQUIP) Competency-based Approach in Nepal |
| title_short | Incremental Cost Analysis of Training of Trainers and Helpers in Problem Management Plus (PM+) Using an Ensuring Quality in Psychological Support (EQUIP) Competency-based Approach in Nepal |
| title_sort | incremental cost analysis of training of trainers and helpers in problem management plus pm using an ensuring quality in psychological support equip competency based approach in nepal |
| topic | activity-based costing competency competency assessments cost analysis mhpss training nonspecialist |
| url | https://journals.lww.com/10.4103/intv.intv_14_23 |
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