Distance Learning for Health Workshop: AMREF Kenya's e-Learning Nursing Programme


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Distance Learning for Health Workshop: AMREF Kenya's e-Learning Nursing Programme

  1. 1. DL4H INTERNAITONAL WORKSHOP eLearning Nurse Upgrading Programme: Kenya’s Experience Presented by: Caroline Mbindyo - AMREF HQ 26-27 October 2010
  2. 2. Global HRH Crisis
  3. 3. 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 do not have the requisite skills to offer quality services (clinical, managerial, research) • Cost of training – Relatively high cost of education - Nurses earn £160/month on average
  4. 4. A health system under extra-ordinary pressure requires extra-ordinary effort
  5. 5. The Programme at a Glance • Regulations & Examinations • Standards & Guidelines definition • 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 Private Partnership • Funding in cash & kind • Skills transfer
  6. 6. The Programme Design LEARNER SUPPORT LEARNER SUPPORT •Tutors trained in schools •Mentors in the clinical areas •Face-to-face sessions •End of module examinations DEPLOYMENTDEPLOYMENT COURSE STRUCTURE COURSE STRUCTURE •Over 1,100 hours of learning •48 weeks of clinical experience •eContent development •LMS & CD-ROMs ACCESSACCESS •Setting up eCenters •12-hour access for students •Help Desk set-up at AMREF MODULAR CURRICULUM MODULAR CURRICULUM •General Nursing •Reproductive Health •Community Health • Edu, Management & Mental Health
  7. 7. 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 faculty members & mentors trained to support eLearners • Improved nursing care - immediate application into practice. • Reduced cost of learning • Replicating eLearning across other cadre and other countries • Programme mainstreamed and to be handed over in December 2010
  8. 8. Programme Challenges • Resistance to change • Techno-phobic students & teachers • Large scale maintenance of IT Infrastructure • Limited IT support at decentralized centres • Limited access to Internet connectivity in rural locations • Inadequate approved clinical placement facilities
  9. 9. Lessons Learnt / Good Practice • Partnership, partnership, partnership – Shared infrastructure, shared governance, shared responsibility – Programme sustainability • Continuous assessment & improvement of the programme in line with changing environment • eLearning should be customized to meet the infrastructure - hardware, software, bandwidth availability, electricity supply etc of the country in which it is being implemented. • Accessibility – IT infrastructure in rural & urban locations – Tutor and student eLiteracy • Policy support at national and institutional level
  10. 10. Programme Replication Framework
  11. 11. Conclusion & Future Direction • eLearning is not only feasible but also effective in scaling up Human Resources for Health (HRH) in resource constrained situations. • There is no one-size-fit all solution to eLearning. It must be customized to meet the needs. • AMREF has developed Replication Assessment Toolkit© and Implementation Guide© to assist resource poor countries implement eLearning. • Exploit opportunities offered by mobile phones to increase access to health information for health workers. AMREFs Mobile Learning (mLearning) platform
  12. 12. Thank You! www.amref.org caroline.mbindyo@amref.org @shakwei