HEALTH[e]FOUNDATIONBlended Learning to Strengthen Health Care Systems

Fransje van der Waals, MD PhDOctober 16, 2010

Health[e]Foundation is all about people

Philosophy of Health[e]Foundation: building long-term professional relationships

Our unique value proposition is

• To offer blended training programs (on-site workshops and distance-based learning)

• To offer a wide range of training programs on poverty-related diseases (not only HIV)

• To offer e-learning system that users can access on line and off-line (through a memory stick)

HEALTH[e]FOUNDATION

[e]Education

Blended Learning

• Personal contact is key to effective distance learning

• The software for the training program should be easy and accecsable also to first time computer users

• The learning modules should be state-of-the-art and updated yearly

HEALTH[e]FOUNDATION

Blended Learning: a new way of training

Participants receive

• A launch of the training in their own environment• A program written by the best authors of the world• Ten to twenty modules to finish themselves in three months• Local technical support from a local representative• Distant theoretical support direct on their computer within 24

hours

HEALTH[e]FOUNDATION

Blended Learning: a new way of learning

Participants learn

• in their own environment in their own time and pace

• to implement acquired knowledge direct into practice

• to discuss complicated cases with fellow participants

HEALTH[e]FOUNDATION

Blended Learning: improving the work environment

Participants learn

• to collaborate within their hospital as a team• to work together with other hospitals• to mentor and educate others

HEALTH[e]FOUNDATION

Training Programs of Health[e]Foundation

HIV[e]Education 2004Pediatric HIV[e]Education 2007

Mental Health and HIV[e]Education 2008 TB[e]Education 2009 Community[e]Education 2009

Tele Microbiology[e]Education 2010 Neglected Tropical Diseases and Diarrhea 2010 Cardiovascular Disease and Diabetes[e]Education 2010

HEALTH[e]FOUNDATION

Current and Future Languages of Training Programs

HIV[e]Education Current: English, Portuguese, French, Russian, Thai, Indonesian and Spanish Future: Vietnamese Pediatric HIV[e]Education Current: English, Portuguese, French, Thai, Spanish Future: Indonesian, RussianMental Health and HIV[e]Education Current: English, Russian Future: Portuguese, French, SpanishTB[e]Education Current: English, French, Portuguese Future: Spanish, Indonesian, ThaiCommunity[e]Education Current: Dutch, English, Thai

HEALTH[e]FOUNDATION

Expansion countries Active countries

Mozambique

Poland 08

Senegal

Mali

Cameroon

El Salvador 08

Russia

China

Tanzania

Uganda

Caribbean

Kenya

Rwanda

India 05

Indonesia

Malawi 8

South Africa 07

Where are we active

Thailand04Vietnam

Cambodia

Gambia

Argentina

Curacao Suriname

Bangladesh09

HEALTH[e]FOUNDATION

UgandaMozambiqueIndiaNetherlands

UgandaMozambiqueNetherlandsIndonesiaCuracaoKenyaSouth Africa

UgandaMozambiqueNetherlandsIndonesiaCuracaoKenyaEl SalvadorPolandRussiaMalawiCameroonThailandSenegal

UgandaNetherlandsCuracaoKenyaMalawiCameroonBangladeshThailandSenegalMozambiqueIndonesiaPolandRussiaArgentina

Increase in program coverage over time

Shortage of HCW’s segregates with HIV/AIDS

Develop treatment plan Initial cART prescription in patients

with complications Supervise clinical team(s) at first level Toxicity management Evaluate for treatment failure Manage severe illness and malnutrition Clinical monitoring HIV clinical staging Check TB status Check pregnancy Assessment of cART eligibility Treat opportunistic infections Therapy adherence preparation and

support Respond to new signs and symptoms Referral to specialist in case of

complications, toxicity or treatment failure

cART prescription refills Arrange follow-up Start chronic care including education,

support and prophylaxis Prevention interventions: basic

prevention and positive prevention Suspect HIV, test and counsel

Traditional Task-shifting

Specialist

Specialists

Nurses/ other HCWs

General Practitioners

General Practitioners

Task shifting for early treatment initiation WHO 2007

Good division of labor between health care workers

Promotion of Collaborations Physicians

Clinical Medical OfficersNurses

MidwivesCounselors

Laboratory Staff

Key is training of each group of professionalsHEALTH[e]FOUNDATION

Kickoff Distant

learning 3-day

Workshop Mentoring

Networking

Certifi-cation

Continuous medical education

HIV[e]Education Training Program

Training Programs of Health[e]Foundation

Three-day Workshop: Key to motivate people to benefit from e-learning

Certificate: an end point as well as a start to continue new programs

How do we sustain the learning environment?

Continuous Medical Education

Future training and support is offered online, within the participant portal on the website:

• FAQ• Bulletin boards• e-Forums• Conferences • Program updates

HEALTH[e]FOUNDATION

How do we maintain the social network of experts ?

How does the day look like?MorningKeynotesTestimonials

Lunch: networking, booths, update you stick AfternoonBreakout sessionsKeynote on the future of HIVTBCertificate and gift

HEALTH[e]FOUNDATION

The People who make Health[e]Foundations programs possible

Amsterdam EditingFransje van der Waals Uganda Wendy SmithLieke van Kerkhoven Nadine Pakker Esther Erwteman Hanipha KakoozaDebby Heuft Dorothy NdoleriireAnnemarie van den Heuvel KenyaMargo Caslavka Mozambique

Jeannet BosIT SenegalGijs Ruitenbeek Thailand Maaike CotteringPatricia Kalil Annemijn Blok

Reshmie Ramartausingh Curacao/ Carribean Gonneke Hermanides

Vietnam CameroonRogier van Doorn Roselyne TobyNguyen Van Dung

The people who make ‘the big Five in HIVTB Care’ possible

Amsterdam EditingFransje van der Waals Uganda Wendy Smith

Lieke van Kerkhoven Nadine Pakker Esther Erwteman Hanipha KakoozaDebby Heuft Dorothy NdoleriireAnnemarie van den HeuvelKenyaMargo Caslavka Mozambique Jeannet

BosIT SenegalGijs Ruitenbeek Thailand Maaike CotteringPatricia Kalil Annemijn Blok

Reshmie Ramartausingh Curacao/ Carribean Gonneke Hermanides

Vietnam CameroonRogier van Doorn Roselyne TobyNguyen Van Dung

The people who make ‘the big Five in HIVTB Care’ possible Uganda Amsterdam Nadine Pakker Fransje van der Waals Hanipha Adrian Kakooza Annemarie van den HeuvelDorothy Ndoleriire -OsunaRita Namusoke Prossy NamulemeRose Janet NakaliriAlice NakanjakoCarol Olive Namujju

SpeakersNelson Sewankambo Annet SoobiElly Katabira Jaap GoudsmitAlex Coutinho Yared Kebede Haile Andrew KambuguCissy KityoPhilippa MusokeCeppie Merry

De Hoge Dennen Holding BVStichting Het Groene Woudt

ICS

TIBOTEC

The Sponsors of the Symposium