Amusaa, that is an excellent point. Have you done any work in cost effectiveness of health workers? I know through iHRIS Train, one of the goals is to ensure routine data collecting of in-service training of health workers so that program implementers and governments can ensure the health workers have the necessary skills to perform duties. Many times new guidance emerges and health workers need training or they did receive all of the training on certain skills during their formal pre-service training. A well-trained health worker is certainly more efficient and cost effective than those lacking skills. I very much like this theme of health worker contribution and cost effectiveness.