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Blended Learning to Strengthen Healthcare Systems by Dr. F. van ...

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HEALTH[e]FOUNDATION<br />

<strong>Blended</strong> <strong>Learning</strong> <strong>to</strong> <strong>Strengthen</strong> Health Care <strong>Systems</strong><br />

Fransje <strong>van</strong> der Waals, MD PhD<br />

Oc<strong>to</strong>ber 16, 2010


Health[e]Foundation is all about people


Philosophy of Health[e]Foundation:<br />

building long-term professional relationships<br />

Our unique value proposition is<br />

• To offer blended training programs (on-site workshops<br />

and distance-based learning)<br />

• To offer a wide range of training programs on povertyrelated<br />

diseases (not only HIV)<br />

• To offer e-learning system that users can access on line<br />

and off-line (through a memory stick)<br />

HEALTH[e]FOUNDATION


[e]Education<br />

<strong>Blended</strong> <strong>Learning</strong><br />

• Personal contact is key <strong>to</strong> effective distance learning<br />

• The software for the training program should be easy and<br />

accecsable also <strong>to</strong> first time computer users<br />

• The learning modules should be state-of-the-art and<br />

updated yearly<br />

HEALTH[e]FOUNDATION


<strong>Blended</strong> <strong>Learning</strong>: a new way of<br />

training<br />

Participants receive<br />

• A launch of the training in their own environment<br />

• A program written <strong>by</strong> the best authors of the world<br />

• Ten <strong>to</strong> twenty modules <strong>to</strong> finish themselves in three<br />

months<br />

• Local technical support from a local representative<br />

• Distant theoretical support direct on their computer<br />

within 24 hours<br />

HEALTH[e]FOUNDATION


<strong>Blended</strong> <strong>Learning</strong>: a new way of<br />

Participants learn<br />

learning<br />

• in their own environment in their own time and pace<br />

• <strong>to</strong> implement acquired knowledge direct in<strong>to</strong> practice<br />

• <strong>to</strong> discuss complicated cases with fellow participants<br />

HEALTH[e]FOUNDATION


<strong>Blended</strong> <strong>Learning</strong>: improving the<br />

Participants learn<br />

work environment<br />

• <strong>to</strong> collaborate within their hospital as a team<br />

• <strong>to</strong> work <strong>to</strong>gether with other hospitals<br />

• <strong>to</strong> men<strong>to</strong>r and educate others<br />

HEALTH[e]FOUNDATION


Training Programs of Health[e]Foundation<br />

HIV[e]Education 2004<br />

Pediatric HIV[e]Education 2007<br />

Mental Health and HIV[e]Education 2008<br />

TB[e]Education 2009<br />

Community[e]Education 2009<br />

Tele Microbiology[e]Education 2010<br />

Neglected Tropical Diseases and Diarrhea 2010<br />

Cardiovascular Disease and Diabetes[e]Education 2010<br />

HEALTH[e]FOUNDATION


Current and Future Languages of Training Programs<br />

HIV[e]Education<br />

Current: English, Portuguese, French, Russian, Thai, Indonesian<br />

and Spanish<br />

Future: Vietnamese<br />

Pediatric HIV[e]Education<br />

Current: English, Portuguese, French, Thai, Spanish<br />

Future: Indonesian, Russian<br />

Mental Health and HIV[e]Education<br />

Current: English, Russian<br />

Future: Portuguese, French, Spanish<br />

TB[e]Education<br />

Current: English, French, Portuguese<br />

Future: Spanish, Indonesian, Thai<br />

Community[e]Education<br />

Current: Dutch, English, Thai<br />

HEALTH[e]FOUNDATION


HEALTH[e]FOUNDATION<br />

Where are we active<br />

Poland 08<br />

Russia<br />

China<br />

Caribbean<br />

Senegal<br />

Bangladesh09<br />

El Salvador 08<br />

Curacao Suriname<br />

Gambi<br />

Mali a<br />

Cameroon<br />

India 05<br />

Uganda<br />

Kenya<br />

Rwanda<br />

Tanzania<br />

Cambodi<br />

Thailand04<br />

Vietnam a<br />

Indonesia<br />

Malawi 8<br />

Mozambique<br />

Argentina<br />

South Africa 07<br />

Active countries<br />

Expansion countries


Increase in program coverage over time<br />

Uganda<br />

Mozambique<br />

India<br />

Netherlands<br />

Uganda<br />

Mozambiqu<br />

e<br />

Netherlands<br />

Indonesia<br />

Curacao<br />

Kenya<br />

South Africa<br />

Uganda<br />

Mozambique<br />

Netherlands<br />

Indonesia<br />

Curacao<br />

Kenya<br />

El Salvador<br />

Poland<br />

Russia<br />

Malawi<br />

Cameroon<br />

Thailand<br />

Senegal<br />

Uganda<br />

Netherlands<br />

Curacao<br />

Kenya<br />

Malawi<br />

Cameroon<br />

Bangladesh<br />

Thailand<br />

Senegal<br />

Mozambiqu<br />

e<br />

Indonesia<br />

Poland<br />

Russia


Shortage of HCW’s segregates<br />

with HIV/AIDS


Task shifting for early treatment initiation WHO 2007<br />

Traditional<br />

Specialist<br />

General Practitioners<br />

• Develop treatment plan<br />

• Initial cART prescription in patients<br />

with complications<br />

• Supervise clinical team(s) at first level<br />

• Toxicity management<br />

• Evaluate for treatment failure<br />

• Manage severe illness and malnutrition<br />

• Clinical moni<strong>to</strong>ring<br />

• HIV clinical staging<br />

• Check TB status<br />

• Check pregnancy<br />

• Assessment of cART eligibility<br />

• Treat opportunistic infections<br />

• Therapy adherence preparation and<br />

support<br />

• Respond <strong>to</strong> new signs and symp<strong>to</strong>ms<br />

• Referral <strong>to</strong> specialist in case of<br />

complications, <strong>to</strong>xicity or treatment<br />

failure<br />

• cART prescription refills<br />

• Arrange follow‐up<br />

• Start chronic care including education,<br />

support and prophylaxis<br />

• Prevention interventions: basic<br />

prevention and positive prevention<br />

• Suspect HIV, test and counsel<br />

Task‐shifting<br />

Specialists<br />

General Practitioners<br />

Nurses/ other HCWs


Good division of labor between<br />

health care workers<br />

Promotion of Collaborations<br />

Physicians<br />

Clinical Medical Officers<br />

Nurses<br />

Midwives<br />

Counselors<br />

Labora<strong>to</strong>ry Staff<br />

Key is training of each group of professionals<br />

HEALTH[e]FOUNDATION


HIV[e]Education Training Program<br />

Kickoff<br />

Distant<br />

learning<br />

3-day<br />

Workshop<br />

Certification<br />

Continuous<br />

medical<br />

education<br />

Men<strong>to</strong>ring<br />

Networking


Training Programs of Health[e]Foundation


Three-day Workshop: Key <strong>to</strong> motivate<br />

people <strong>to</strong> benefit from e-learning


Certificate: an end point as well as a start<br />

<strong>to</strong> continue new programs


How do we sustain the learning<br />

environment?<br />

Continuous Medical Education<br />

Future training and support is offered online, within<br />

the participant portal on the website:<br />

• FAQ<br />

• Bulletin boards<br />

• e-Forums<br />

• Conferences<br />

• Program updates<br />

HEALTH[e]FOUNDATION


How do we maintain the social network<br />

of experts ?


Morning<br />

Keynotes<br />

Testimonials<br />

How does the day look like?<br />

Lunch: networking, booths, update you stick<br />

Afternoon<br />

Breakout sessions<br />

Keynote on the future of HIVTB<br />

Certificate and gift<br />

HEALTH[e]FOUNDATION


The People who make Health[e]Foundations programs possible<br />

Amsterdam<br />

Editing<br />

Fransje <strong>van</strong> der Waals Uganda Wendy Smith<br />

Lieke <strong>van</strong> Kerkhoven<br />

Nadine Pakker<br />

Esther Erwteman<br />

Hanipha Kakooza<br />

Deb<strong>by</strong> Heuft<br />

Dorothy Ndoleriire<br />

Annemarie <strong>van</strong> den Heuvel<br />

Kenya<br />

Margo Caslavka<br />

Mozambique<br />

Jeannet Bos<br />

IT<br />

Senegal<br />

Gijs Ruitenbeek Thailand Maaike Cottering<br />

Patricia Kalil<br />

Annemijn Blok<br />

Reshmie Ramartausingh Curacao/ Carribean<br />

Gonneke Hermanides<br />

Vietnam<br />

Cameroon<br />

Rogier <strong>van</strong> Doorn Roselyne To<strong>by</strong><br />

Nguyen Van Dung


The people who make ‘the big Five in HIVTB Care’ possible<br />

Amsterdam<br />

Editing<br />

Fransje <strong>van</strong> der Waals Uganda Wendy Smith<br />

Lieke <strong>van</strong> Kerkhoven<br />

Esther Erwteman<br />

Deb<strong>by</strong> Heuft<br />

Annemarie <strong>van</strong> den Heuvel<br />

Nadine Pakker<br />

Hanipha Kakooza<br />

Dorothy Ndoleriire<br />

Kenya<br />

Margo Caslavka Mozambique<br />

Jeannet Bos<br />

IT<br />

Senegal<br />

Gijs Ruitenbeek Thailand Maaike Cottering<br />

Patricia Kalil<br />

Annemijn Blok<br />

Reshmie Ramartausingh Curacao/ Carribean<br />

Gonneke Hermanides<br />

Vietnam<br />

Cameroon<br />

Rogier <strong>van</strong> Doorn Roselyne To<strong>by</strong><br />

Nguyen Van Dung


The people who make ‘the big Five in HIVTB Care’ possible<br />

Uganda<br />

Nadine Pakker<br />

Hanipha Adrian Kakooza<br />

Dorothy Ndoleriire -Osuna<br />

Rita Namusoke<br />

Prossy Namuleme<br />

Rose Janet Nakaliri<br />

Alice Nakanjako<br />

Carol Olive Namujju<br />

Amsterdam<br />

Fransje <strong>van</strong> der Waals<br />

Annemarie <strong>van</strong> den Heuvel<br />

Nelson Sewankambo<br />

Elly Katabira<br />

Alex Coutinho<br />

Andrew Kambugu<br />

Cissy Kityo<br />

Philippa Musoke<br />

Ceppie Merry<br />

Speakers<br />

Annet Soobi<br />

Jaap Goudsmit<br />

Yared Kebede Haile


The Sponsors of the Symposium<br />

TIBOTEC<br />

ICS<br />

De Hoge Dennen Holding BV<br />

Stichting Het Groene Woudt

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