Abstract THAE 1501 e Learning Platform Combats Traditional
Abstract #: THAE 1501 e. Learning Platform Combats Traditional Challenges to VMMC Provider Training in East and Southern Africa Zebedee Mwandi, MBCHB, MPH Jhpiego (AIDSFree), Kenya.
e. Learning Platform Combats Traditional Challenges to VMMC Provider Training in East and Southern Africa Participants in VMMC OTH training workshop in Pretoria Aug 2017
Overview of Presentation • Background to VMMC Training • What VMMC Online Training Hub is • VMMC Online Training Hub Modules • Advantages of OTH • Progress of Rollout • Results of VMMC trainings • Lessons Learned and Next Steps
Background & Challenges to VMMC Training Classroom Didactic Training Challenges Practicum Practice Simulation Patient Demonstration Country Theory Days Practicum Days # of Procedures for Competency Namibia (Private) 14 days 3 days 20 Namibia (Public) 5 days 20 Lesotho 4 days 4 -6 days 10 3 days Depends on client flow 20 6 days 5 3 days 7 days (observe, 20 • One-off activity with limited capacity for repeated Eswatini interaction • Content not standardized, difficulties updating staff on new content Tanzania • Different training periods Kenya • Different quality standards • Inability to collect and track trainee performance data • No database for trainees assists, then performs)
VMMC OTH • The VMMC Online Training Hub (OTH) is an e-learning platform that helps clinicians advance their skills and knowledge around performing voluntary medical male circumcision (VMMC). • Covers the didactic, theoretical VMMC information traditionally learned through in-person workshops. • Learners complete and pass the online course before proceeding to an in-person clinical practicum.
VMMC OTH Training modules Module # Module Topic Current Status 1 VMMC and HIV Infection Completed and live 2 VMMC Data for Decision-Making Completed. Awaiting reviews and approvals from stakeholders 3 VMMC In-Service Communication and Counseling Completed and live 4 Preparing for the MC Procedure Completed and live 5 MC Procedures for Adolescents and Adults Completed and live 6 Post-Procedure Care and Management of Complications Completed and live 7 Infection Prevention and Control for VMMC Completed and live 8 VMMC Quality Improvement Completed and live
Advantages of OTH • Decreases time spent on theoretical phase • Standardizes training materials across countries • Improves quality of training materials – videos and graphics • Generates savings – partners don’t have to create training materials by themselves Module Time to Complete Module 1 1 hour 15 minutes Module 3 2 hour 30 minutes Module 4 2 hours 15 minutes Module 5 3 hours 30 minutes Module 6 4 hours 45 minutes Module 7 2 hours 15 minutes Module 8 2 hours 20 minutes Total 19 hours
Progress of OTH Rollout • Started with the training of 37 Master Trainers from four countries: South Africa, Lesotho, Mozambique, and Malawi ― 95% completion rate. • 2 nd workshop: Mbabane, Eswatini. Trained 38 participants from Eswatini, Lesotho, and Namibia • 3 rd workshop: Kampala, Uganda. 61 participants registered from Uganda, Kenya, and Tanzania • 4 th workshop: Pretoria, South Africa in March 2019. Trained 33 e-moderators most belonging to National Department of Health and few from implementing partners in South Africa • So far enrolled over 15 cohorts of existing VMMC providers for refresher trainings and 20 cohorts of new clinicians training as fresh VMMC providers
Results of VMMC Trainings As of October 2019, 2286 participants are enrolled in OTH and 1193 (52%) have completed the 7 VMMC modules. Refresher Trainings New VMMC provider trainings • As of October 2019, there are over 1797 participants enrolled in OTH for VMMC refresher trainings. • These are existing VMMC providers and are drawn mainly from 6 countries – South Africa, Malawi, Lesotho, Eswatini, Namibia, and Tanzania • As of October 2019, over 289 participants are enrolled in OTH for training as new VMMC providers. • They are drawn from South Africa, Lesotho, Eswatini, and Namibia • 777 have undergone practicums trainings in their countries and certified as providers
Enrollment by Countries
How Learners are Progressing Registered and Completed Registered and In Progress Registered and Not Progressing [PERCENTAGE] (342) [PERCENTAGE] (1, 193) [PERCENTAGE] (751) Challenges Experienced - Wifi or intermittent internet access - Low computer literacy of some learners - Competing interests – work,
Characteristics of Learners who completed Training Affiliation of Trainees Role of Trainees VMMC Provider/Surgeon 485 VMMC Other Nurses (focusin. . . 137 VMMC Mobilisers 1% 66 VMMC Counsellor / HTC. . . 126 Other 4% Implementing Partner (IP) 7% 80 Program. . . 1% Ministry of Health (MOH) Other 18% US Government (USG) 68% 101 WHO UNAIDS, BMGF, UNICEF Staffs (blank) Hygiene Officer/Infection. . . 9 Assistant Provider/Surgeon 189 0 100 200 300 400 500 600
Lessons Learnt and Next Steps • Since its launch, the Mo. H in five (5) Southern African countries has adopted the OTH for training of VMMC providers. • This accessible and high-quality training platform could expand to additional countries to advance the provider capacity building in adoption and provision of safe, high-quality VMMC. • The LMS is suitable repository for documenting all learners, and allows tracking of progress and correction of training needs • PEPFAR/USAID continues to support the scale-up of this innovation across East and Southern Africa countries • OTH can be adopted for capacity building in other program areas To register for the VMMC course, please click here: https: //bit. ly/2 l. Vw. Qnc and contact Zebedee Mwandi @ zebedee. mwandi@jhpiego. org
This presentation is made possible by the generous support of the American people with support from the United States President’s Emergency Plan for AIDS Relief (PEPFAR) with the United States Agency for International Development (USAID) under the Cooperative Agreement Strengthening High Impact Interventions for an AIDS-free Generation, number AID-OAA-A-14 -00046. The information provided in this publication is not official United States Government information and does not represent the views or positions of USAID, PEPFAR or the United States Government.
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