Field-epidemiology training: the business case

A discrete choice experiment and cost model supporting a World Bank business case for scaling field-epidemiology training.

Outbreak detection depends on trained field epidemiologists, and training them is expensive enough that scale-up decisions get made on intuition. This project built the evidence for one: a discrete choice experiment on what makes a training programme attractive to the people who would enrol, combined with a cost model for what different scale-up paths would take.

The two halves matter together. A programme that is cheap per graduate but that nobody wants to join does not produce graduates. The choice experiment prices the programme features that drive enrolment; the cost model prices delivering them.

The result is STEPS, which lets a planner change the scale-up assumptions and see the consequences, rather than reading a single recommended scenario.

Developed with the World Bank.

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