elearning nurse upgrading programme amref kenya’s experience

8/8/2019 eLearning Nurse Upgrading Programme AMREF Kenyas Experience

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EAST AFRICA COMMUNITY

eHEALTH WORKSHOPNovember 8-10, 2010

eLearning Nurse Upgrading

Programme: KenyasExperience

Presented by:

Caroline Mbindyo - AMREF HQ

8 November 2010


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Current HCW Density: Nursing

Global distribution of the health workforce (per 10 000 population)


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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 fromenrolled 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


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A health system under extra-ordinary pressure

requires extra-ordinary effort

Address the shortage of qualified nurses

in Kenya rapidly and cost-effectively

Improve standards of nursing care and

the health of disadvantaged people in

Kenya quickly

Increase access to affordable,

higher education for

professional development of

practicing nurses, majority of

who are women and locatedin the rural area.

Provide skills to enable nurses perform

new tasks shifted to them

Work towards health-related

MDGs (4, 5 & 6)


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The Programme at a Glance

Regulations & Examinations

Standards & Guidelinesdefinition

Coordinating school activities

Policy issues

Release of nurses to learn

Course approval

Student enrollment

Programme

implementation

Tutoring, assessments &

examinations

Content development

Programme management

Infrastructure deployment

Capacity building Advocacy

Public PrivatePartnership

Funding in

cash & kind

Skills transfer


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The Programme Design

LEARNER

SUPPORT

Tutors trained in schools

Mentors in the clinical areasFace-to-face sessions

End of module examinations

DEPLOYMENT

COURSE

STRUCTURE

Over 1,100 hours of learning

52 weeks of clinical experience

eContent

development

LMS & CD-ROMs

ACCESS

Setting up eCenters

12-hour access for students

Help Desk set-up at AMREFMODULAR

CURRICULUM

General Nursing

Reproductive Health

Community Health

Specialized Areas


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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 tosupport eLearners

Improved nursing care - immediate

application into practice.

Reduced cost of learning Increased demand for eLearning from

countries and organisations

eLiteracy


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The Story So Far

Established ofAVS to test innovativeteaching methods

Rolled out Diploma in CommunityHealth accredited by Moi University.Registered 53 students from 10 African

countries since 2009(Moi/AMREF) Management training for NACC staffand sub-grantees. Goal is train 7,000within 3 years. (UCLA/NACC/AMREF)

Rolled Infection Prevention &Control course for all provincialhospitals in Kenya (CDC/MoHs/AMREF)

Replicating the programme with theMinistry of Health in Uganda whichtargets to upgrade 11,000 EMs to RMsto tackle maternal mortality

mLearning @ AMREF


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Programme Challenges

Resistance to change

Techno-phobic

students & teachers

Large scale maintenanceof IT Infrastructure

Limited IT support at

decentralized centres

Limited access to

Internet connectivity

in rural locations

Inadequate approved

clinical placement

facilities


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Programme Evaluation

BEHAVIOUR CHANGE

Practice

As P

erformance

institutionalisation

Level 4:R

esultsEg Improvements in health outcomes,

improved health service efficiency (mortality,

morbidity, healthcare utilisation)

Level 3: Behaviour

Eg Improvements in health worker

performance (peer review, observation,patient exit surveys)

Competence

COMPETENCE

Level 2: Learning

Eg Improvements in competence (pre-testvs post-test, self-assessment)

y

FeedbackySelf-directed learning

yProblem based learning

ySimulations and case

based learning

yDistributed learningEngagementENGAGEMENT

Level 1: Reaction

Eg Positive response to trainingyInteractive

yCompetency based

yClear learning objectivesyRelevant assessments

ENABLING

FACTORS


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eLearning Capability Maturity Model


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Conclusion & Looking Forward

1950s -1960s

AMREF is founded

core activities

Flying Doctors

Services delivering

health care toremote areas

1960s -1970s

Introduction of

Radio

programmes on

national Radio

for health

workers

1980s -1990s

Introduction of

print-based

distance

education

2000 & beyond

Introduction of

technology

supported learning

including

telemedicine,

eLearning and

mLearning

Africa may have complex challenges but we are finding

simple way to resolve th

ese ch

allenges.


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Thank You!

[email protected]

www.amref.org

@shakwei

elearning nurse upgrading programme amref kenya’s experience

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