Post on 10-Apr-2018
8/8/2019 eLearning Nurse Upgrading Programme AMREF Kenyas Experience
1/13
EAST AFRICA COMMUNITY
eHEALTH WORKSHOPNovember 8-10, 2010
eLearning Nurse Upgrading
Programme: KenyasExperience
Presented by:
Caroline Mbindyo - AMREF HQ
8 November 2010
8/8/2019 eLearning Nurse Upgrading Programme AMREF Kenyas Experience
2/13
Current HCW Density: Nursing
Global distribution of the health workforce (per 10 000 population)
8/8/2019 eLearning Nurse Upgrading Programme AMREF Kenyas Experience
3/13
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
8/8/2019 eLearning Nurse Upgrading Programme AMREF Kenyas Experience
4/13
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)
8/8/2019 eLearning Nurse Upgrading Programme AMREF Kenyas Experience
5/13
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
8/8/2019 eLearning Nurse Upgrading Programme AMREF Kenyas Experience
6/13
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
8/8/2019 eLearning Nurse Upgrading Programme AMREF Kenyas Experience
7/13
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
8/8/2019 eLearning Nurse Upgrading Programme AMREF Kenyas Experience
8/13
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
8/8/2019 eLearning Nurse Upgrading Programme AMREF Kenyas Experience
9/13
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
8/8/2019 eLearning Nurse Upgrading Programme AMREF Kenyas Experience
10/13
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
8/8/2019 eLearning Nurse Upgrading Programme AMREF Kenyas Experience
11/13
eLearning Capability Maturity Model
8/8/2019 eLearning Nurse Upgrading Programme AMREF Kenyas Experience
12/13
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.
8/8/2019 eLearning Nurse Upgrading Programme AMREF Kenyas Experience
13/13
Thank You!
caroline.mbindyo@amref.org
www.amref.org
@shakwei