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Assessing the impact of the
Global Blindness MOOC
Improving health worldwide
www.lshtm.ac.uk
LSHTM Education Day, 18th Sept 2017
Sally Parsley Sally.Parsley@LSHTM.ac.uk / @sallyeparsley
Daksha Patel Daksha.Patel@LSHTM.ac.uk
Astrid Leck Astrid.Leck@LSHTM.ac.uk
ICEH Open Education for Eye Health programme
Image © Shabana Shahzad/LRBT. CC BY-NC SA https://flic.kr/p/xPem1Y
285 million visually impaired people
• 80% avoidable
• 90% in LMICs
Br J Ophthalmol (2012). doi:10.1136/bjophthalmol-2011-301378
HR challenges
• < 1 ophthalmologist / million population in 23
countries in LMIC
• Barriers to surgical outputs and low efficiency of
workforce
• Allied eye health providers are essential in remote
settings (team)
Training challenges
• Ophthalmic curriculum uses apprentice model and is
focused on medical and surgical skills to treat
individual patients
• Lack of funding, faculty & resources lead to few
training or professional development opportunities in
settings with greatest need – especially for allied
personnel
Human resources development in eye health
Open education?
© Alec Couros CC BY NC SA https://creativecommons.org/licenses/by-nc-sa/2.0/ https://flic.kr/p/61Wi9g
..is about increasing participation in education and learning. Knowledge is a common good
and should be available to all who need it
© Opte Project CC BY 2.5 http://creativecommons.org/licenses/by/2.5© Opte Project CC BY 2.5 http://creativecommons.org/licenses/by/2.5
Digital divides
http://akamai.me/2o17l77
Connection speeds
http://www.internetworldstats.com/stats.htm
Internet availability: penetration rates
77%
68%
60%
56%
50%
45%
28%
North America
Europe
Oceania/Australia
LA/Caribbean
Middle East
WORLD
Asia
Africa
88%
Content relevance: e.g. Africa on Wikipedia
http://geography.oii.ox.ac.uk/?page=information-imbalance-africa-on-wikipediahttps://www.strategyand.pwc.com/reports/connecting-the-world
Data affordability
MOOCs ‘Traditional’ e-learning
Alwaysorusually
Free to access
Open registration
Larger cohorts of learners
Non-formal accreditation – lower price
3-6 weeks course sizes
External platform provider
Self-directed study + limited facilitation
Automated assessment & feedback
‘Light touch’ admin & updates
Funded by HE institutions + limited cost recovery thru certificates
Pay to access
Restricted registration (pre-qualification)
Small cohorts of learners
Formal accreditation at higher price
Variable course sizes (1 session – 1 year)
HE institutional platform
Teacher facilitation (~1/25)
Teacher-led assessment & feedback
Detailed admin & update processes
Funded by learners through up-front fees
Sometimes
Use Open Educational Resources
Extra teaching support & formal accreditation (for charge)
Peer learning and assessment
Funded by donors
Use Open Educational Resources
Additional automated feedback & assessment
Self directed
Funded by donors
Massive Open Online Courses (MOOCs)
ICEH Open Education: 3 key features
Relevant for the problem – real world context
Affordable and accessible learning design and
tools
Global reach – diverse learners
3. Flexible, low cost, non-formal,
relevant training opportunity
+ Further sharing, re-use & adaptation
of curriculum & materials
4. Contribute to HRD &
capacity building?
+ Attract students to formal
LSHTM training?
+ Recover costs?
1. High quality face to
face formal training in
public health eye care
Images derived from illustrations
© Nadia Mireles CC BY-3.0 sharingoer.com
ICEH Open education for eye health
2. Open online courses/MOOCs with
OER materials
Participation
69% Living in LMICs
81%
Working in health
& social care
Active learners2,166
Participation
Completed ≥50%
731
Completed ≥90%
444
Active learners2,166
Participation
217 Certificates sold
96%Satisfied or very
satisfied
Completed ≥50%
731
Completed ≥90%
444
Active learners2,166
“I have gained a significant experience in this course
and will never be the same in eye work again. I will
try to implement what I have learnt as I do my
work…”
“Thank you for a very informative course which has
made me think differently about planning and
organising projects”
“I gained so much participating in this course and
promise to trickle down the training.”
Image: © Adriane Ohanesian/Sightsavers CC BY-NC. Eye care, South Sudan https://flic.kr/p/yFQKTr
So what?
16 of 20Image: © Marc Wathieu CC BY-NC https://flic.kr/p/5xi8KT
Did eye health workers (especially in LMICS)
report personal or work-related benefits 1 year
after participating in the course?
A. Personal benefits - educational and career?
B. Application of learning? Challenges?
C. Re-use of course materials for further teaching and learning?
Method: Online survey. 12 questions. Invitation link emailed to 3,541 course joiners 1 year
after course ended.
Key limitations: No access to FutureLearn’s learner database,
self-selecting sample, indirect data
Research question
139 respondents from 45 countries
Clinical or surgical
67%
Educational
9%
Management
17%
Other
7%
Main role
82%in LMICs94%Eye health workers
69%
68%
61%
55%
47%
37%
26%
11%
7%
0% 20% 40% 60% 80% 100%
Supplemented existing skills & knowledge
Gained new knowledge/insights in planning services
Gained new knowledge/insights in eye care
Gained a new way to learn
Stimulated me to apply knowledge & change practice
Motivated me to seek further education & complete an…
Gained a network to share experiences with
Helped me prepare for an exam
Gained credit/prerequisite for academic course/prog.
88% reported educational benefit
72% reported career benefit
94%
73%
72%
15%
11%
6%
4%
4%
0% 20% 40% 60% 80% 100%
Enhanced my knowledge and skills for current work
Added a fresh perspective to my current work
Increased motivation at my current work
Received recognition for improvement
Found a new job or role in eye care
Received funding for a project
Received a promotion
Received a pay increase
Tangible benefits
Intangible benefits
85% had applied their learning
72%
63%
59%
53% 52%
27%
18% 18%
9%
0%
20%
40%
60%
80%
100%
6
5
%
Teach
others
about
eye care
...
Management activities Clinical/surgical activities Education
53% 50%
46%
42%
36%
70% reported re-use of materials
6%
17%
19%
21%
45%
47%
50%
0% 20% 40% 60% 80% 100%
Used them to help develop a new course
Adapted to create new teaching resources
Shared with students, colleagues or eye care team
Asked colleagues who teach to use the materials
Referred back to materials to refresh memory
Used materials to guide proposal writing
Used in addition to own teaching materials
“When I assessed my needs and presented my requirements for funding, eye
equipment was found to be too expensive to buy and I was told to scale down.
Funding is a big problem and eye comes low on the priority list for public hospitals”
“Lack of Ot time.lack of resources - consumables [i]n HR. […] Cyclone leads to inability
to progress.”
“Most people involved in eye don't have information on the eye care management, so
it's a challenge to work with them, first I had to teach them and it's
a slow process.”
Course use/access challenges also remembered: “No certificate yet”
70% reported challenges in applying learning
$$
“To me it was,a.real refresher course, being one of the first graduates of the MSc course in
1994 and not having an opportunity or time to go for a refresher program. Useful. Need
more of this”
“I loved the forum and the discussions. The quizzes in the middle were a big help. Because
of the course I am able to properly plan and structure an ideal eye unit …”
“We deal mostly with low income group and their issues are almost same as I studied in
course. The course motivated me for community eye health care awareness and we started
working with schools to give them bases awareness, early eye screening.”
Course use/access and certificate challenges mentioned again by some
61% gave final comment
Educational, career, service delivery and training benefits of Global Blindness MOOC
participation were reported by this group of eye care workers living in LMICs.
© Heiko Phillipin CC BY-NC https://flic.kr/p/dRWSWX
Lessons learnt
Limitations: Method + also scope e.g. considered individual views only, did not
consider place of learning design, time?
students
3/13
Since the survey
Global Blindness x2 runs
LSHTM MSc PHEC (2016)
Active learners
4,603
Completed ≥90%
944
Partners have adapted &
accredited course for local
training in south, east & west
Africa
$$ Externally funded for 6
more Open courses
Use of OER within LSHTM
teaching
MOOCs & Open courses
are viable training option
Questions
Graph: © Martin Grandjean CC BY-SA 3.0 https://creativecommons.org/licenses/by-sa/3.0/deed.en
Where should we ‘draw the line’ when assessing
impact of LSHTM MOOCs like Global Blindness?
Are MOOCs a realistic method for capacity
building in health care?
Develop wider evaluation framework - consider impact as cycles of value creation* for
all stakeholders in LSHTM eye health MOOCs.
Next steps
* Wenger & Trayner, 2011
Micro level stakeholders
(individuals)
Meso level
(LSHTM + other institutions)
Macro level
(Educational systems)
Immediate
value creation
Potential value
creation
Applied value
creation
Realised value
creation
Reframing
value creation
LSHTM eye health
MOOCs
Outcomes / indicators
Methods?
Time
Time
Time
Time
Time
Thanks for listening
Find out more about the ICEH Open Education programme: http://iceh.lshtm.ac.uk/oer
Download this PPT: https://www.slideshare.net/SallyParsley
Many thanks to LSHTM elearning, Finola Lang & FutureLearn, the course contributors and
participants, our survey participants and to our funders:
References
• Miniwatts Marketing Group (2017) Internet World Stats
• Information geographics at the Oxford Internet Institute [Website]
• Laurillard, D. (2014). Five myths about Moocs. Time Higher Education
• Pascolini, D., & Mariotti, S. P. (2012). Global estimates of visual impairment: 2010. British Journal of Ophthalmology, 96(5),
614–618.
• WHO (2013) Universal eye health: a global action plan 2014–2019.
• Resnikoff et al (2012). The number of ophthalmologists in practice and training worldwide: a growing gap despite more
than 200 000 practitioners. Br J Ophthalmol
• Wewer Albrechtsen, N. Jet al. (2017). Health care professionals from developing countries report educational benefits
after an online diabetes course. BMC Medical Education, 17, 1–8.
• Wenger, E., Trayner, B., and de Laat, M. (2011). Promoting and assessing value creation in communities and networks: a
conceptual framework.
• Zhengao, C. et al (2015) Who’s Benefiting from MOOCs, and Why. Harvard Business Review
© LSHTM Unless otherwise stated. Please see image captions for individual image copyright statements

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Assessing the impact of the Global Blindness MOOC

  • 1. Assessing the impact of the Global Blindness MOOC Improving health worldwide www.lshtm.ac.uk LSHTM Education Day, 18th Sept 2017 Sally Parsley Sally.Parsley@LSHTM.ac.uk / @sallyeparsley Daksha Patel Daksha.Patel@LSHTM.ac.uk Astrid Leck Astrid.Leck@LSHTM.ac.uk ICEH Open Education for Eye Health programme
  • 2. Image © Shabana Shahzad/LRBT. CC BY-NC SA https://flic.kr/p/xPem1Y 285 million visually impaired people • 80% avoidable • 90% in LMICs
  • 3. Br J Ophthalmol (2012). doi:10.1136/bjophthalmol-2011-301378 HR challenges • < 1 ophthalmologist / million population in 23 countries in LMIC • Barriers to surgical outputs and low efficiency of workforce • Allied eye health providers are essential in remote settings (team) Training challenges • Ophthalmic curriculum uses apprentice model and is focused on medical and surgical skills to treat individual patients • Lack of funding, faculty & resources lead to few training or professional development opportunities in settings with greatest need – especially for allied personnel Human resources development in eye health
  • 4. Open education? © Alec Couros CC BY NC SA https://creativecommons.org/licenses/by-nc-sa/2.0/ https://flic.kr/p/61Wi9g ..is about increasing participation in education and learning. Knowledge is a common good and should be available to all who need it © Opte Project CC BY 2.5 http://creativecommons.org/licenses/by/2.5© Opte Project CC BY 2.5 http://creativecommons.org/licenses/by/2.5
  • 5. Digital divides http://akamai.me/2o17l77 Connection speeds http://www.internetworldstats.com/stats.htm Internet availability: penetration rates 77% 68% 60% 56% 50% 45% 28% North America Europe Oceania/Australia LA/Caribbean Middle East WORLD Asia Africa 88% Content relevance: e.g. Africa on Wikipedia http://geography.oii.ox.ac.uk/?page=information-imbalance-africa-on-wikipediahttps://www.strategyand.pwc.com/reports/connecting-the-world Data affordability
  • 6. MOOCs ‘Traditional’ e-learning Alwaysorusually Free to access Open registration Larger cohorts of learners Non-formal accreditation – lower price 3-6 weeks course sizes External platform provider Self-directed study + limited facilitation Automated assessment & feedback ‘Light touch’ admin & updates Funded by HE institutions + limited cost recovery thru certificates Pay to access Restricted registration (pre-qualification) Small cohorts of learners Formal accreditation at higher price Variable course sizes (1 session – 1 year) HE institutional platform Teacher facilitation (~1/25) Teacher-led assessment & feedback Detailed admin & update processes Funded by learners through up-front fees Sometimes Use Open Educational Resources Extra teaching support & formal accreditation (for charge) Peer learning and assessment Funded by donors Use Open Educational Resources Additional automated feedback & assessment Self directed Funded by donors Massive Open Online Courses (MOOCs)
  • 7. ICEH Open Education: 3 key features Relevant for the problem – real world context Affordable and accessible learning design and tools Global reach – diverse learners
  • 8. 3. Flexible, low cost, non-formal, relevant training opportunity + Further sharing, re-use & adaptation of curriculum & materials 4. Contribute to HRD & capacity building? + Attract students to formal LSHTM training? + Recover costs? 1. High quality face to face formal training in public health eye care Images derived from illustrations © Nadia Mireles CC BY-3.0 sharingoer.com ICEH Open education for eye health 2. Open online courses/MOOCs with OER materials
  • 9.
  • 10.
  • 11.
  • 12. Participation 69% Living in LMICs 81% Working in health & social care Active learners2,166
  • 14. Participation 217 Certificates sold 96%Satisfied or very satisfied Completed ≥50% 731 Completed ≥90% 444 Active learners2,166 “I have gained a significant experience in this course and will never be the same in eye work again. I will try to implement what I have learnt as I do my work…” “Thank you for a very informative course which has made me think differently about planning and organising projects” “I gained so much participating in this course and promise to trickle down the training.”
  • 15. Image: © Adriane Ohanesian/Sightsavers CC BY-NC. Eye care, South Sudan https://flic.kr/p/yFQKTr So what?
  • 16. 16 of 20Image: © Marc Wathieu CC BY-NC https://flic.kr/p/5xi8KT Did eye health workers (especially in LMICS) report personal or work-related benefits 1 year after participating in the course? A. Personal benefits - educational and career? B. Application of learning? Challenges? C. Re-use of course materials for further teaching and learning? Method: Online survey. 12 questions. Invitation link emailed to 3,541 course joiners 1 year after course ended. Key limitations: No access to FutureLearn’s learner database, self-selecting sample, indirect data Research question
  • 17. 139 respondents from 45 countries Clinical or surgical 67% Educational 9% Management 17% Other 7% Main role 82%in LMICs94%Eye health workers
  • 18. 69% 68% 61% 55% 47% 37% 26% 11% 7% 0% 20% 40% 60% 80% 100% Supplemented existing skills & knowledge Gained new knowledge/insights in planning services Gained new knowledge/insights in eye care Gained a new way to learn Stimulated me to apply knowledge & change practice Motivated me to seek further education & complete an… Gained a network to share experiences with Helped me prepare for an exam Gained credit/prerequisite for academic course/prog. 88% reported educational benefit
  • 19. 72% reported career benefit 94% 73% 72% 15% 11% 6% 4% 4% 0% 20% 40% 60% 80% 100% Enhanced my knowledge and skills for current work Added a fresh perspective to my current work Increased motivation at my current work Received recognition for improvement Found a new job or role in eye care Received funding for a project Received a promotion Received a pay increase Tangible benefits Intangible benefits
  • 20. 85% had applied their learning 72% 63% 59% 53% 52% 27% 18% 18% 9% 0% 20% 40% 60% 80% 100% 6 5 % Teach others about eye care ... Management activities Clinical/surgical activities Education 53% 50% 46% 42% 36%
  • 21. 70% reported re-use of materials 6% 17% 19% 21% 45% 47% 50% 0% 20% 40% 60% 80% 100% Used them to help develop a new course Adapted to create new teaching resources Shared with students, colleagues or eye care team Asked colleagues who teach to use the materials Referred back to materials to refresh memory Used materials to guide proposal writing Used in addition to own teaching materials
  • 22. “When I assessed my needs and presented my requirements for funding, eye equipment was found to be too expensive to buy and I was told to scale down. Funding is a big problem and eye comes low on the priority list for public hospitals” “Lack of Ot time.lack of resources - consumables [i]n HR. […] Cyclone leads to inability to progress.” “Most people involved in eye don't have information on the eye care management, so it's a challenge to work with them, first I had to teach them and it's a slow process.” Course use/access challenges also remembered: “No certificate yet” 70% reported challenges in applying learning $$
  • 23. “To me it was,a.real refresher course, being one of the first graduates of the MSc course in 1994 and not having an opportunity or time to go for a refresher program. Useful. Need more of this” “I loved the forum and the discussions. The quizzes in the middle were a big help. Because of the course I am able to properly plan and structure an ideal eye unit …” “We deal mostly with low income group and their issues are almost same as I studied in course. The course motivated me for community eye health care awareness and we started working with schools to give them bases awareness, early eye screening.” Course use/access and certificate challenges mentioned again by some 61% gave final comment
  • 24. Educational, career, service delivery and training benefits of Global Blindness MOOC participation were reported by this group of eye care workers living in LMICs. © Heiko Phillipin CC BY-NC https://flic.kr/p/dRWSWX Lessons learnt Limitations: Method + also scope e.g. considered individual views only, did not consider place of learning design, time?
  • 25. students 3/13 Since the survey Global Blindness x2 runs LSHTM MSc PHEC (2016) Active learners 4,603 Completed ≥90% 944 Partners have adapted & accredited course for local training in south, east & west Africa $$ Externally funded for 6 more Open courses Use of OER within LSHTM teaching MOOCs & Open courses are viable training option
  • 26. Questions Graph: © Martin Grandjean CC BY-SA 3.0 https://creativecommons.org/licenses/by-sa/3.0/deed.en Where should we ‘draw the line’ when assessing impact of LSHTM MOOCs like Global Blindness? Are MOOCs a realistic method for capacity building in health care?
  • 27. Develop wider evaluation framework - consider impact as cycles of value creation* for all stakeholders in LSHTM eye health MOOCs. Next steps * Wenger & Trayner, 2011 Micro level stakeholders (individuals) Meso level (LSHTM + other institutions) Macro level (Educational systems) Immediate value creation Potential value creation Applied value creation Realised value creation Reframing value creation LSHTM eye health MOOCs Outcomes / indicators Methods? Time Time Time Time Time
  • 28. Thanks for listening Find out more about the ICEH Open Education programme: http://iceh.lshtm.ac.uk/oer Download this PPT: https://www.slideshare.net/SallyParsley Many thanks to LSHTM elearning, Finola Lang & FutureLearn, the course contributors and participants, our survey participants and to our funders:
  • 29. References • Miniwatts Marketing Group (2017) Internet World Stats • Information geographics at the Oxford Internet Institute [Website] • Laurillard, D. (2014). Five myths about Moocs. Time Higher Education • Pascolini, D., & Mariotti, S. P. (2012). Global estimates of visual impairment: 2010. British Journal of Ophthalmology, 96(5), 614–618. • WHO (2013) Universal eye health: a global action plan 2014–2019. • Resnikoff et al (2012). The number of ophthalmologists in practice and training worldwide: a growing gap despite more than 200 000 practitioners. Br J Ophthalmol • Wewer Albrechtsen, N. Jet al. (2017). Health care professionals from developing countries report educational benefits after an online diabetes course. BMC Medical Education, 17, 1–8. • Wenger, E., Trayner, B., and de Laat, M. (2011). Promoting and assessing value creation in communities and networks: a conceptual framework. • Zhengao, C. et al (2015) Who’s Benefiting from MOOCs, and Why. Harvard Business Review © LSHTM Unless otherwise stated. Please see image captions for individual image copyright statements

Editor's Notes

  1. Hi, thank you so much for this opportunity to present. My name’s Sally Parsley, I’m based with the International Centre for Eye Health , a group based in the faculty of Infectious Tropical Diseases and I’m the technical lead on the Open Education for Eye Health programme which delivered the Global blindness MOOC I’m talking about today. Context: What is Openness in Education? What is a MOOC? Introduction to the ICEH Open Education for Eye Health programme The Global Blindness: Planning and Managing Eye Care Services MOOC: Aim of course and target learners, participation, success measures The So what question. Online survey of learners 1 year later Next steps Questions to consider, evaluation framework
  2. The issue: 285 million people are visually impaired 90% in LMICs 80% can be avoided – prevented or treated An international WHO programme “Universal Eye health: A Global Action Plan” (WHO, 2013) aims to address reduce visual impairment by 25% by 2019 in 3 ways: Delivering targeted action on specific disease such as cataract, diabetes etc. Strengthening eye health systems including increasing no. of trained health workers Advocating for investment in eye care Image © Shabana Shahzad/LRBT. Rural Pakistan-old lady after cataract surgery. CC BY-NC SA https://creativecommons.org/licenses/by-nc-sa/2.0/ https://flic.kr/p/xPem1Y
  3. Developing human resources is crucial to strengthen eye health systems and reducing global visual impairment. However, in eye heath, HRD faces some serious challenges < 1 ophthalmologist / million population in 23 countries in LMIC Training curriculum is focused on medical and surgical skills - apprentice model – individual patient focused. A team training approach is essential - as allied eye health providers are essential in remote settings Barriers to surgical outputs and low efficiency of workforce
  4. 5. Open education – what is it ? At it’s simplest, Open Education is about reducing barriers and increasing participation in education and learning. Classic barriers to education include: distance, cost and restrictions on eligibility. Open education has been known by a number of different terms such as open learning, education 3.0, open schooling and participatory learning, among others. About half the world’s population now has internet access – 3.7 billion people and half of all web traffic is mobile (see http://www.internetworldstats.com/stats.htm and https://wearesocial.com/special-reports/digital-in-2017-global-overview ) Since the invention of the PC in the 80s, the web in the 90s and social web in the mid 2000s has vastly increased our ability to share resources and knowledge at much lower cost than previously possible , Open Educational activity has vastly expanded too . Under the broad definition of Open Education I gave a moment ago practically any use of the internet for communication in an education context might be defined as Open Education – webinars, Open Access journals, discussion forums etc etc Our programme focusses on - 3 kinds of Open Educational activity which are used by teaching institutions to deliver Open education online - Open Educational Resources and Open online courses and Massive Open Online Courses or MOOCs. Image (left): Alec Couros CC BY NC SA https://creativecommons.org/licenses/by-nc-sa/2.0/ https://flic.kr/p/61Wi9g
  5. Affordability and relevance (volume of content in primary language) identified by PWC in 2015 as main barriers in last few years as availability and literacy rates increase. Source: “State of Connectivity 2015: A Report on Global Internet Access,” Internet.org, 2015; Strategy & analysis Also ITU report from 2015 found that in developing countries, average monthly fixed broadband prices (in Purchasing power parity $) are 3 times higher than in developed countries; mobile broadband prices are twice as expensive as in developed countries https://www.itu.int/en/ITU-D/Statistics/Documents/facts/ICTFactsFigures2015.pdf Digital divides remain: Image created by researchers at the Oxford Institute of Internet studies shows African countries sized according to the number of Wikipedia articles about that country – the size of each country is depicted based on the number of Wikipedia articles (defined as about or from) in its territory. Each hexagon represents about 25 Wikipedia articles. Map reveals stark regional imbalances in the quantity of user-generated content in Wikipedia about different parts of the continent. The researchers note that all of Africa combined contains only 2.6% of all Wikipedia articles despite having 14% of the world’s population. http://geography.oii.ox.ac.uk/?page=information-imbalance-africa-on-Wikipedia
  6. MOOCs are provided through partnerships between universities and a number of for profit providers. ~58 million people enrolled on at least one MOOC last year. 25 million for the first time. There were 7000 courses from ~700 universities last year. Coursera is the biggest MOOC provider by far – with 23 million users and 1700+ courses. Trend is that the big providers (mainly USA) are slowing down no. of new courses and focussing instead on credentialing – this includes embedding MOOCs into formal HE courses. New MOOC providers – such as Swayam in India or  XueangX in China – tend to focus on specific regions or themes. --- Table comparing key features of MOOCs and ‘traditional’ elearning Blue = Openness – greater access
  7. The ICEH Open education approach has three key features to help ensure eye health workers and educators relate to the content and apply their learning to their own settings - It aims to address a clear problem- within the real world context Teaching and learning tools used are relevant, affordable and accessible Course is designed to reach global and diverse audience of eye health workers and educators across many settings
  8. ICEH Open Education programme approach is to: Contribute to increased HRD amongst eye care workers & capacity building in eye care services by providing high quality, low cost flexible non formal learning opportunities (as MOOCs) to eye health workers around the world in subjects they wouldn’t otherwise have access to. Support eye care training capacity building through provision of OER and partnerships with eye care faculty and institutions around the world Raise the profile of the eye health research and education work of the School and attract high quality students to take up our formal courses (MSc Public Health eye care) The Global Blindness MOOC has two clear purposes : individual career and growth (salary, promotion, expansion of responsibilities) And impact on practice and service provision to address blindness.  Images derived from illustrations © Nadia Mireles CC BY-3.0 sharingoer.com
  9. Global Blindness, which ran on FutureLearn for the 1st time in April 2015, is the world’s first MOOC in public health eye care. Goal : To enable eye care providers to develop an effective and efficient eye care service for the prevention of avoidable blindness Target Audiences: All eye care workers who are charged with the responsibility of leading the service provision of an eye unit or and eye care team. Allied eye care providers who work in isolated / remote settings Eye care providers who have an interest in Public health approaches within their health systems.
  10. Key elements: 6 weeks & 68 steps Each learning resource under a creative commons license – to support use / reuse … Content selection – relevant, to engage user to relate to own experiences
  11. Interactive case study – to demonstrate and apply learning Local experts contributed to content development and mentor participants each week. ICEH’s extensive network of alumni and partners are vital in helping to promote the course.
  12. 3,541 people joined the course, 2,166 were active learners 69% of learners were from LMICs and 81% identified as working in health and social care. 53% female, 47% male
  13. 731 (34%) completed ≥50% 444 (20%) completed ≥90%
  14. 96% satisfied or very satisfied 217 certificates sold Also 1,389 (64%) quiz learners 8,113 comments by 1,048 (48%) social learners
  15. The question remains: So what? Did any of this activity help to contribute to increasing HRD & capacity building for eye health in support of UEH? We had already had some encouraging feedback from a pilot version of the course which we had run on our local Moodle with 88 eye health workers from Kenya, Ghana and Botswana. And we wondered if we could obtain information on our MOOC participants experiences after the course ended Which participants are enabled by participation in the course? How are they personally benefitting? In which ways Is the wider eye care training context benefiting? Are eye care services benefiting? In which ways Image: © Adriane Ohanesian/Sightsavers CC BY-NC flic.kr/p/yFQKTr
  16. Partially inspired by a huge online survey of Coursera MOOC completors sent out in Autumn 2015.
  17. 139 respondents from 45 countries (3.9% response rate) – Coursera got 6.6% but they only sent survey to MOOC completors Respondents largely represent the core target audience we are trying to reach – 94% were eye care workers 82% lived in low and middle income countries (LMICs). More male than pre-course survey respondents (this survey 39% female / pre course survey – 53% female). More work in LMIC than reported in pre course survey (69%) Clearer data on whether they are eye care workers. Most popular countries of respondents Nigeria 16 Kenya 15 Ghana 13 India 11 Bangladesh 9
  18. 123 reported educational benefit from the course. 50% indicated that they are changing their practice
  19. 100 reported career benefit Bright yellow – tangible benefits Orange yellow – intangible benefits Q: Which of the following career benefits have you experienced as a result of studying on the Global Blindness course? Select all that apply
  20. 118 reported applying their learning. Options list linked to course learning outcomes Q: Please select the ways in which you been able to apply your learning. Select all that apply.
  21. Q: Please select any of the following ways you have used the Global Blindness course materials. Select all that apply
  22. Lack of funding/budget, resources, time, empowerment, safety, political instability & policy challenges: Implementation is hard not impossible – These challenges are also faced by our MSc graduates Course use/access challenges also remembered: “Traveled to the city twice a week due to net work challenges.” “It is expensive getting access to internet services. some videos could not be uploaded.” “No certificate yet”
  23. . Q: Please share any other comments on your experiences as result of studying on the Global Blindness course. Free text Largely positive comments - good learning experience / useful revision tool, increased motivation for work and more study, was applicable: Good experience / knowledge 56% Led to more study 4.70% Good revision tool 7.10% Want more study opportunities 7.50% Improved / started new activity 7.10% Good learning method 8.20% Better motivation or confidence 7.50% 0 Developed my teaching methods 1.10% 0 Lack of resources 0 1.10% Hard to engage community 0 1.10% Certificate challenges 4.70% Access challenges 7.10%
  24. Image shows: Asymmetrical visual field loss in glaucoma can lead to late presentation as with both eyes open the patient sees no defect Educational, career, service delivery and training benefits reported by this group of eye care workers living in LMICs Limitations Limited data - no access to Futurelearn’s learner database, self selecting sample, self-reported, indirect data Did not consider learning experience Perspectives of individuals not the wider group of stakeholders or influencing factors Image © Heiko Phillipin CC BY-NC. https://flic.kr/p/dRWSWX
  25. Global Blindness has run twice more since the survey was sent out 4,603 active learners 944 have completed 90% of the course 3/13 PHEC students applied to LSHTM after taking MOOC Partners: 3 locations have adapted course for local context: Accreditation for diploma (UCT) Accredited professional training (CPD) in East and West Africa (COECSA, NOS)
  26. Graph representing the metadata of thousands of archival documents, documenting the social network of hundreds of players in the League of Nations Re: Are MOOCs a realistic method for capacity building in health care? We recognise the limitations of MOOCs – lack of teaching support, limited ways of encouraging active learning, lack of formal assessment & accreditation, or even it’s place in HE institutional business plans. However, we are optimistic and encouraged so far by the evidence of impact It is the only opportunity in many eye care settings with greatest burden of VI and least training resources Where should we ‘draw the line’ when assessing impact of LSHTM MOOCs like Global Blindness? need to identify suitable methods to look at change beyond the institutional walls. Raising training standards at macro level – can we look here? What metrics can we use? How can we improve course design to improve learner experience in ways that affect impact (learning gain?)
  27. Consider impact at MESO (institutions), and MACRO (context specific capacity building) levels Value creation cycles - immediate, potential, applied, realized or reframing for all MOOC stakeholders For example: MESO - Place of course design (curriculum + learning design) in supporting learner experience & relative benefits/cost to LSHTM. Cost implications for LSHTM & educational funding MACRO Place of Open courses/MOOCs in educational landscape e.g. CPD, informal learning, something new in formal sector? MOOC based degrees