Datametrics led the Implementation Process and Comparative Analysis of Classroom and Facility-based Post Abortion Care Service Delivery On-the-job training for health workers in Six States in Nigeria.

The training implementation included stakeholder meetings at the national and sub-national levels to sensitize stakeholders, identify participants, and develop the training plan. In addition, training of trainers and refresher training were conducted at national and subnational levels to get the facilitations ready for the training. Pre- and post-training assessments were administered to participants on PAC knowledge and competency to measure the impact of the training. Furthermore, training monitoring and follow-up interviews were conducted with trainers and trainees to elicit information on their training experience, while client-provider interaction and client exit interviews were conducted to get feedback from clients on their opinions of the PAC service received.

A total of 119 participants from the classroom training cohort completed the PAC knowledge pretest and posttest assessment. The average pretest performance across all participants was 64.5%, while the post-test was 76.6%, resulting in an 18.8% improvement in PAC knowledge after exposure to training. A total of 112 participants from the facility-based training cohort completed the PAC knowledge pretest and posttest assessment. The average pretest performance across all participants was 62.3%, while the posttest was 83.2%, resulting in a 33.6% improvement in PAC knowledge after exposure to training. Comparing performance in PAC knowledge and competency assessments between classroom and facility-based training participants, average posttest performance on PAC knowledge assessment among facility-based participants (81.5%) was higher than classroom participants (73.2%).

Overall, the study showed that the facility-based training method is viable and outperforms the classroom training method for PAC service delivery training.