Low-dose high-frequency

LDHF practice starts during initial training and continues through regularly scheduled clinical simulations within the workplace

What is low-dose high-frequency practice?

Low-dose high-frequency (LDHF) practice is a capacity-building approach that supports healthcare providers to maximize retention of competency (skill, knowledge, and behaviour). It involves short, targeted simulation-based learning activities, which happen during initial training and continue overtime in spaced practice sessions on the job.

By combining training with ongoing practice and supportive supervision, LDHF helps healthcare providers improve their performance and outcomes.

Competencies retained over time

To retain competencies over time, it is important to enable practice in short, focused sessions at the facilities – after the training is completed.

During these sessions each healthcare provider practices a selected skill, ideally with a peer. Practice options encompass skills practice, scenario sessions, and team simulations. The training programs include practice sessions as part of the learning approach. When implementing the HMBS program you should ensure that low-dose high-frequency practice can be sustained in the facility also after the initial training.

LDHF capacity-building can complement and reinforce the traditional training structure by acting as the “booster shot” to the initial “immunization” of the workshop. Because LDHF learning is facility-based and includes the entire team of providers, it serves to extend the reach of learning to build competencies and teamwork for all providers.

Jhpiego’s LDHF Briefer