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Bridging the Divide: High Technology in Low-resource Settings -- an update (SALT August 2008)
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Bridging the Divide: High Technology in Low-resource Settings -- an update (SALT August 2008)

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  • 1. Bridging the Divide: High Technology in Low-resource Settings James BonTempo, Peter Johnson, Chandrakant Ruparelia, Girmay Abirham SALT Interactive Technologies Conference August 2008
  • 2. Presentation organization
    • About Jhpiego
    • About the project
    • Assessment methodology
    • Assessment findings
    • Project plan
    • Immediate solutions
    • Recommendations
    • Next steps
  • 3. About Jhpiego
    • International health organization affiliated w/Johns Hopkins University
    • Build sustainable, local capacity in limited-resource settings
      • Advocacy & policy development
      • Preservice education & inservice training
      • Performance & quality improvement approaches
    • Founded in 1973
    • HQ in Baltimore, 30 country offices & representations
  • 4. About Jhpiego
  • 5. About Jhpiego 68 68 52
  • 6. About the project
    • Production of HIV Care, Treatment and Prevention-related Electronic Materials
    • U.S. Government funding (CDC/PEPFAR)
    • Strengthen & expand HIV/AIDS-related services: PICT, PMTCT & IP
    • Three cadres (medical, nursing & midwifery students) @ 3 universities (Addis Ababa, Gondar & Jimma)
    • Modify MoH-approved training materials for electronic delivery
    • Implement LMS
  • 7. About the project
  • 8. Assessment methodology x x IT Director, Server Administrator Server x x Desktop Support, Network Administrator Client(s) x x IT Director, Network Administrator, Users Network Technology x x Desktop Support, IT Director, Users Technology Training x IT Director, Server Administrator Server Management x Desktop Support, IT Director, Users Help Desk x IT Director, Network Administrator Network Management Process x IT Director, Server Administrator LMS Administrator x Desktop Support, Users Desktop Support x Network Administrator, Users Network Support x Faculty Facilitators w/ICT experience x x Users Inservice Providers x Executive Stakeholders, Faculty LMS Leadership & Champion(s) People Observation Interview Focus Group Data Collection Methods Key Informants Criteria
  • 9. Assessment findings
  • 10. Assessment findings
    • Large variation in site readiness
    • Specific challenges
      • Poor network infrastructure, maintenance & support
      • Low confidence using & limited access to computers
      • Slow & unreliable Internet connectivity
  • 11. Assessment findings
    • Common opportunities
      • Interest in & need for learning technologies
      • Ample up-to-date servers & workstations
      • Competency using mobile devices
    • “ e-Learning may be seen as a luxury but it is not, it is a necessity.”
    • “ Don’t give up on us.”
    • “ [We] get tired of reading all of the time.”
  • 12. Project plan
    • Strengthen IT staff competencies
    • Develop sample e-Learning materials
    • Build faculty e-Learning capacity
    • Maximize use of m-Learning
    • Package e-Learning toolkits for instructors
    • Integrate skills labs & e-Learning
  • 13. Immediate solutions
    • Partnered w/technology firm to develop distributed, disconnected LMS
      • VMware-based
      • Hosted & offline instances
      • Custom synchronization tool
      • Strong mobile integration
  • 14. Immediate solutions
  • 15. Immediate solutions
    • Set up e-Learning lab and mentored ICT staff
      • Networked, updated and outfitted 30 PCs
      • Installed Windows Server 2003 on server (IIS, DHCP)
      • Installed VMware-based LMS
        • Created test accounts
        • Loaded draft LOs
    • Demo-ed for faculty stakeholders
  • 16. Immediate solutions
  • 17. Immediate solutions
    • Worked w/local vendor to train 11 ICT staff – 3 10-day courses
      • Managing & Maintaining a Windows Server 2003 Environment
      • Implementing, Managing & Maintaining a Microsoft Windows Server 2003 Network Infrastructure
      • A+ Hardware & Operating System Support Skills
    • Enabled networking/experience sharing
    • Secured buy-in & resources
    • Made use of idle equipment
  • 18. Immediate solutions
    • Developed LOs (PICT, PMTCT, IP) in collaboration w/faculty members
      • Mapped content (ID)
      • Incorporated governement-approved material
      • Recorded narrations & video role-plays
      • Developed assessments
      • Packaged materials using Articulate Studio
  • 19. Recommendations
    • Understand limitations & manage expectations – but don’t underestimate potential
    • Identify & leverage local expertise while also developing capacity where necessary
    • Have a standard goal but don’t expect to be able to take a standard approach
    • Obtain & maintain buy-in @ all levels
      • Engage stakeholders early & keep them involved
      • Communicate often and effectively
      • Provide incentives
  • 20. Recommendations
    • Localize content (“Ethiopian English”)
    • Don’t underestimate time requirements
      • Stakeholders had expectation of simplicity
      • Building capacity and ensuring long-term sustainability
      • Learning vs. training
    • Allow mistakes, learn from them & move on
    • Develop a solid “traditional” e-Learning foundation before implementing m-Learning
    • Competency + Tools + Desire = Performance
  • 21. Next steps
    • Create integrated educational experience
      • classroom, skills labs, clinical & e-Learning
    • Integrate m-Learning (PDAs & MP3 players)
    • Strengthen existing implementations & expand into teaching hospitals
    • Expand to additional universities & hospitals
    • Evaluate impact on student performance
  • 22.  
  • 23. Contact information
    • James BonTempo
    • [email_address]
    • jbontempo.jhpiego.net (Skype)
    • 410.537.1849
    • Peter Johnson
    • [email_address]
    • peterjohnsonmidwife (Skype)
    • 410.537.1800
    • Chandrakant Ruparelia
    • [email_address]
    • rupa_rupa_99 (Skype)
    • 410.537.1921
    • Girmay Abirham
    • [email_address]
    • gabirham (Skype)
    • 251.11.618.7821
    http://www.jhpiego.org