A collaborative learning approach to improving health worker performance in adolescent sexual and reproductive health service provision: a descriptive feasibility study in six health zones in the Democratic Republic of the Congo

Figures & data

Table 1. Collaborative learning session topics

Health zone	Topics
Diulu	Introduction to sexual and reproductive health issues faced by adolescents (contraception, HIV/AIDS, gender-based violence, use of psychoactive substances, and unwanted early pregnancy)
	Clandestine/unsafe abortion
	Sexually transmitted infections among adolescents
	Early marriage and underlying factors
Kalamu	High rates of sexually transmitted infections among adolescents and girls
	High rates of early pregnancy among adolescent girls and young women
	Poor reception of adolescents and young people in health facilities
	The practice of respectful care for adolescents and young people (two sessions)
	Counselling for adolescents and young people who use psychoactive substances
	Counselling for the prevention of HIV among adolescents and young people
Kansele	HIV/AIDS among adolescents and young people
	Case discussion: suicide of a young girl who did not want a marriage imposed by her father
	Early marriage and divorce among adolescents and young people
	Early sexual activity among adolescents and young people
Kintambo	Ensuring confidentiality and privacy in the provision of health care services to adolescents and young people
	Making health services welcoming and friendly for adolescents and young people
	Early pregnancy among adolescent girls and young women
	The consequences of early pregnancy for adolescents and young people
	The promotion of contraception and family planning among adolescents and young women
	The prevention of sexually transmitted infections including HIV among adolescents and young people
	The prevention of infections among adolescents and young people
	Early sexual activity among adolescents and young people
Makala	Control of sexually transmitted infections among adolescents and young people
	HIV/AIDS prevention, treatment and care
	Promotion of the correct use of condoms
	Early pregnancy and unsafe abortion among adolescent girls and young women
	Sexual violence
	The prevention of early pregnancy among adolescent girls and young women
	Sexual intercourse and its consequences for adolescents and young people
Nzaba	The consumption of traditional alcohol among adolescents and young people
	Adapting support to adolescents (case discussions)

Table 2. Training costs

Area of expenditure	Cost (USD)
Baseline training in ASRH for 50 health service providers, Kinshasa, 2017	20,241
Baseline training in ASRH for 50 health service providers, Kasaï Oriental and Mbuji-Mayi, 2018	27,358
Training on collaborative learning model for 24 collaborative learning session facilitators, 2018	29,786
Total	77,385

Table 3. Supervision and monitoring costs

Area of expenditure	Cost (USD)
Development of monitoring tools	961
Three supervision visits to identified health services per quarter, 2018	450
Technical supports and monitoring visits by WHO Country Office and Regional Office staff in 2018	13,440
Technical support and monitoring visits by WHO Country Office and Regional Office staff in 2019	13,740
Total	28,591

Table 4. Printing and dissemination costs

Area of expenditure	Cost (USD)
Production of the Collaborative Learning Guide, 2018	1200
Reprinting and dissemination of norms, standards and guidelines, 2019	9479
Total	10,679

Table 5. Cost per collaborative learning session by year (including transport, refreshments, and room hire fees)

Year	Number of sessions	Total cost (USD)	Cost per session (USD)
2018	18	8400	467
2019	14	10,140	724
Total	32	18,540	579