Evaluations of training and education interventions for improved infectious disease management in low-income and middle-income countries: a systematic literature review

Abstract

Objectives: To identify most vital input and outcome parameters required for evaluations of training and education interventions aimed at addressing infectious diseases in low-income and middle-income countries.

Design: Systematic review.

Data sources: PubMed/Medline, Web of Science and Scopus were searched for eligible studies between January 2000 and November 2021.

Study selection: Health economic and health-outcome studies on infectious diseases covering an education or training intervention in low-income and middle-income countries were included.

Results: A total of 59 eligible studies covering training or education interventions for infectious diseases were found; infectious diseases were categorised as acute febrile infections (AFI), non-AFI and other non-acute infections. With regard to input parameters, the costs (direct and indirect) were most often reported. As outcome parameters, five categories were most often reported including final health outcomes, intermediate health outcomes, cost outcomes, prescription outcomes and health economic outcomes. Studies showed a wide range of per category variables included and a general lack of uniformity across studies.

Conclusions: Further standardisation is needed on the relevant input and outcome parameters in this field. A more standardised approach would improve generalisability and comparability of results and allow policy-makers to make better informed decisions on the most effective and cost-effective interventions.

Keywords: health economics; health policy; infectious diseases; medical education & training.

Figure 1

Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow diagram.