TY - JOUR T1 - It’s Time to Move Beyond Traditional Health Care Worker Training Approaches JF - Global Health: Science and Practice JO - GLOB HEALTH SCI PRACT SP - 431 LP - 432 DO - 10.9745/GHSP-D-21-00553 VL - 9 IS - 3 AU - Julia Bluestone AU - Jim Ricca AU - Denise Traicoff AU - Dieula Delissaint Tchoualeu Y1 - 2021/09/30 UR - http://www.ghspjournal.org/content/9/3/431.abstract N2 - See related article by Traicoff et al. and Tchoualeu et al.Increasingly, donors and ministry of health officials are recognizing that historical approaches to training and supervision have not resulted in desired changes in provider performance, quality of care, and improved health outcomes. The traditional, classroom-based trainer of trainer (TOT) and cascade approach evolved in an era when access to knowledge was limited to a small set of individuals, or master trainers, and the process of bringing individuals into an off-site, hotel-based location catered to the logistical convenience of international or regional trainers. Evidence has accumulated that such approaches yield disappointing results. A 2016 review of national surveys in sub-Saharan Africa found that these traditional interventions were associated with only modest improvements—1equivalent to 2 additional provider actions out of the 18–40 actions expected per visit.At the same time, evidence has shown that there are approaches that deliver training more effectively and efficiently than the classic group-based training, which removes health care workers from the workplace, and that instead develop their skills in the workplace itself.2 Consequently, emphasis has increased on workplace-based training combined with mentorship and follow-up. Such approaches have been facilitated through expanded access to digital technology and real-time data to support just-in-time mobile learning.This issue of Global Health: Science and Practice has 2 articles from Traicoff et al.3 and Tchoualeu et al.4 on an intervention for improving knowledge and practices of … ER -