COST - Africa

Clinical Officer Surgical Training in Africa

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Contract/Grant agreement number
: 266417
EC contribution
: € 2,997,027.00
: 60 months
Starting date
: 01/04/2011
: District Hospital; Africa; Training; Clinical Officer; Control Trial.
Project web-site

COST-Africa (Clinical Officer Surgical Training in Africa), 2011-15, is a randomised controlled trial that seeks to measure the health impact and cost effectiveness of training clinical officers to undertake major surgery at district hospitals in Malawi and Zambia. In its first two years it has provided additional surgical training to 30 clinical officers in Zambia who were completing a 3-year Medical Licentiate training programme. In Malawi, a BSc in surgery for clinical officers has been accredited by the University of Malawi and 17 candidates started training in 2013. In both countries, district hospitals have been randomly allocated to intervention and control arms and clinical officers have been selected for allocation to the intervention hospitals. Tools for measuring surgical outputs have been developed and tested and the evaluation has commenced in Zambia.

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