What question did this study set out to answer?

The aim is to assess how workforce investments in EmONC facilities impact health outcomes and resource allocation in Burundi.

February 2, 2026Open Access

A decision-tree model to evaluate the impacts of workforce investments aimed at strengthening emergency obstetric and neonatal care (EmONC) facilities in Burundi

Key Points

The aim is to assess how workforce investments in EmONC facilities impact health outcomes and resource allocation in Burundi.
Developed a decision-tree model to evaluate the impact of workforce investments.
Considered scarcity of resources across 104 EmONC facilities in Burundi.
Analyzed efficiency of investing in midwives versus full workforce packages.
Found that adding two midwives is more efficient than a full workforce package.
Health benefits from workforce investments are contingent on the enabling environment.

Abstract

Efforts to invest across the EmONC network if simply based on assigned B/CEmONC status may poorly allocate scarce resources. If resources are limited, investing in two additional midwives across the 104 EmONC facilities would be more efficient than implementing a full workforce package. However, health benefits of any workforce investment significantly depend on an enabling environment.

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Cite This Study

Habonimana et al. (Thu,) studied this question.

synapsesocial.com/papers/6980fc17c1c9540dea80de8d https://doi.org/https://doi.org/10.1186/s12962-026-00720-5

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