Abstract
Background Ethiopia has implemented the Integrated Pharmaceutical Logistics System (IPLS) since 2009, under the Pharmaceutical Funds and Supplies Agency (PFSA). Although more than 5,000 healthcare workers have been trained on IPLS, staff attrition and expanding service delivery has required ongoing training. To address this, partners provide mainly in-service training (IST); although, recently, pre-service training (PST) has been offered to graduating pharmacy technicians. However, data was not available to compare the cost effectiveness of PST versus IST.
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