The impact and social return on investment (SROI) of health workforce training in fragile, conflict-affected settings—a study of the Maridi Health Sciences Institute (MHSI) in South Sudan

This study evaluated the long-term social impact of pre-service health workforce training at Maridi Health Sciences Institute (MHSI) in South Sudan, particularly in fragile and conflict-affected settings. Using Social Return on Investment (SROI) analysis, researchers gathered data from 596 respondents through literature reviews, focus group discussions, and key informant interviews. The study found that MHSI significantly benefited graduates, communities, and government stakeholders, with improved professionalism, healthcare access, and sustained outcomes lasting over five years. The SROI ratio of 1:11 indicates that every $1 invested generated $11 in social value. MHSI emerged as a model of excellence, offering valuable insights for scaling similar training programs in comparable contexts.

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