Transcript Tandaa Symposium August 18, 2010 Technology for Social Good

EAST AFRICA COMMUNITY
eHEALTH WORKSHOP
November 8-10, 2010
eLearning Nurse Upgrading
Programme: Kenya’s
Experience
Presented by:
Caroline Mbindyo - AMREF HQ
8 November 2010
Current HCW Density: Nursing
• Global distribution of the health workforce (per 10 000 population)
eLearning Programme Background
• Moratorium on hiring new nurses
• Inadequate facilities to up-skill nurses in Kenya
– Shortage of qualified nurses – As at 2004, over 80% of nurses
in Kenya were ENs
– Only 4 government nursing colleges offering upgrading from
enrolled to registered nurse as at 2004 (100 nurses / annum)
– Health facilities in rural areas run by EN who did not have the
requisite skills to offer quality services (clinical, managerial,
research)
• Cost of training
A health system under extra-ordinary pressure
requires extra-ordinary effort
Address the shortage of qualified nurses Increase access to affordable,
in Kenya rapidly and cost-effectively
higher education for
professional development of
Improve standards of nursing care and practicing nurses, majority of
who are women and located
the health of disadvantaged people in
in the rural area.
Kenya quickly
Provide skills to enable nurses perform
new tasks shifted to them
Work towards health-related
MDGs (4, 5 & 6)
The Programme at a Glance
• Regulations & Examinations
• Standards & Guidelines
definition
• Coordinating school activities
•
•
•
•
•
Content development
Programme management
Infrastructure deployment
Capacity building
Advocacy
Public Private
Partnership
• Student enrollment
• Programme
implementation
• Tutoring, assessments &
examinations
• Funding in
cash & kind
• Skills transfer
• Policy issues
• Release of nurses to learn
• Course approval
The Programme Design
•Setting up eCenters
•12-hour access for students
•Help Desk set-up at AMREF
•Tutors trained in schools
•Mentors in the clinical areas
•Face-to-face sessions
LEARNER •End of module examinations
SUPPORT
MODULAR
CURRICULUM
ACCESS
•General Nursing
•Reproductive Health
•Community Health
•Specialized Areas
COURSE
STRUCTURE
DEPLOYMENT
•eContent
development
•LMS & CD-ROMs
•Over 1,100 hours of learning
•52 weeks of clinical experience
The Story So Far
• Increased access to health education
– 34 schools with an enrollment of
over 7000 nurses
– 108 eCenters across the country
• Over 400 tutors & mentors trained to
support eLearners
• Improved nursing care - immediate
application into practice.
• Reduced cost of learning
• Increased demand for eLearning from
countries and organisations
• eLiteracy
The Story So Far
• Established of AVS to test innovative
teaching methods
• Rolled out Diploma in Community
Health accredited by Moi University.
Registered 53 students from 10 African
countries since 2009(Moi/AMREF)
• Management training for NACC staff
and sub-grantees. Goal is train 7,000
within 3 years. (UCLA/NACC/AMREF)
• Rolled Infection Prevention &
Control course for all provincial
hospitals in Kenya (CDC/MoHs/AMREF)
• Replicating the programme with the
Ministry of Health in Uganda which
targets to upgrade 11,000 EMs to RMs
to tackle maternal mortality
mLearning @ AMREF
Programme Challenges
• Large scale maintenance
of IT Infrastructure
• Limited IT support at
decentralized centres
• Resistance to change
• Techno-phobic
students & teachers
• Inadequate approved
clinical placement
facilities
• Limited access to
Internet connectivity
in rural locations
Programme Evaluation
Level 4: Results
Eg –Improvements in health outcomes,
improved institutionalisation
health service efficiency (mortality,
morbidity, healthcare utilisation)
As
Level 3: Behaviour
Eg – Improvements in health worker
performance (peer review, observation,
patient exit surveys)
Performance
Practice
BEHAVIOUR CHANGE
Level 2: Learning
Eg – Improvements COMPETENCE
in competence (pre-test
vs post-test, self-assessment)
Competence
Level 1: Reaction
ENGAGEMENT
Eg – Positive response
to training
Engagement
ENABLING
FACTORS
Feedback
Self-directed learning
Problem based learning
Simulations and case
based learning
Distributed learning
Interactive
Competency based
Clear learning objectives
Relevant assessments
eLearning Capability Maturity Model
Conclusion & Looking Forward
1950’s -1960’s
AMREF is founded
core activities –
Flying Doctors
Services delivering
health care to
remote areas
1960s -1970s
1980s -1990s
2000 & beyond
Introduction of
Radio
programmes on
national Radio
for health
workers
Introduction of
print-based
distance
education
Introduction of
technology
supported learning
including
telemedicine,
eLearning and
mLearning
Africa may have complex challenges but we are finding
simple way to resolve these challenges.
Thank You!
[email protected]
www.amref.org
@shakwei