BACKGROUND Limited financial, human and material health resources coupled with increasing demand for new-born care services require efficiency in health systems to maximize the available sources for improved health outcomes. Making Every Baby Count Initiative (MEBCI) implemented by local and international partners in 2013 in Ghana aimed at attaining neonatal mortality of 21 per 1000 livebirths by 2018 in four administrative regions in Ghana. MEBCI interventions benefited 4027 health providers, out of which 3453 (86%) were clinical healthcare staff. OBJECTIVE Determine the per capita cost of the MEBCI interventions towards enhancing new-born care best practices through capacity trainings for frontline clinical and non-clinical staff. METHODS Parameters for determining per capita cost of the new-born care interventions were estimated using expenditure on trainings, supervisions, monitoring and evaluation, advocacy, administrative/services and medical logistics. Data collection started in October 2017 and ended in September 2018. Data sources for the per capita cost estimations were invoices, expense reports and ledger books at the national, regional and district levels of the health system. RESULTS Total of 4027 healthcare providers benefited from the MEBCI training activities comprising of 3453 clinical staff and 574 non-clinical personnel. Cumulative cost of implementing the MEBCI interventions did not necessarily match the cost per capita in staff capacity building; average cost per capita for all staff (clinical and non-clinical staff) was approximately US$ 982 compared to a per capita cost of US$ 799 for training only core clinical staff. Average cost per capita for all regions was approximately US$ 965 for all staff compared to US$ 777 per capita cost for only clinical staff. Per capita cost of training was relatively lower in regions with more staff than regions with lower numbers, perhaps due to economies of scale. CONCLUSION The MEBCI intervention had a wide coverage in terms of training for frontline healthcare providers albeit the associated cost may be potentially unsustainable for Ghana's health system. Emerging digital training platforms could be leveraged to reduce per capita cost of training. Large-scale on-site batch-training approach could also be replaced with facility-based workshops using training of trainers (TOTs) approach to promote efficiency.

中文翻译：

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加纳四个地区的新生儿护理干预措施的人均成本的“自上而下，自下而上”的估算：从实施到可扩展性和可持续性。

背景技术有限的财力，人力和物力健康资源以及对新生儿护理服务的日益增长的需求要求卫生系统中的效率以最大化可获得的来源以改善健康结果。由当地和国际合作伙伴于2013年在加纳实施的“每一个婴儿计数计划”（MEBCI）旨在到2018年在加纳的四个行政区域使新生儿死亡率达到每1000个活产中21个。MEBCI干预使4027名医疗服务提供者受益，其中3453名（86％）是临床医疗人员。目的通过对一线临床和非临床人员进行能力培训，确定MEBCI干预措施的人均费用，以提高新生儿护理的最佳实践。方法使用培训，监督，监测和评估，宣传，行政/服务和医疗后勤方面的支出，估算用于确定新生儿护理干预措施人均费用的参数。数据收集于2017年10月开始，至2018年9月结束。人均成本估算的数据源为卫生系统国家，地区和地区各级的发票，费用报告和分类帐。结果共有4027名医疗保健提供者从MEBCI培训活动中受益，其中包括3453名临床人员和574名非临床人员。实施MEBCI干预措施的累计成本不一定与员工能力建设中的人均成本相符；所有人员（临床和非临床人员）的人均费用约为982美元，而仅培训核心临床人员的人均费用为799美元。所有区域的人均人均费用约为965美元，而仅临床人员的人均费用为777美元。员工人数多的地区的人均培训费用相对于人数较少的地区而言相对较低，这可能是由于规模经济所致。结论MEBCI干预措施对一线医疗服务提供者进行了广泛的培训，尽管相关费用对于加纳的卫生系统可能是无法承受的。可以利用新兴的数字培训平台来降低人均培训成本。