bridging the divide: high technology in low-resource settings -- an update (salt august 2008)
TRANSCRIPT
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Bridging the Divide: High Technology in Low-resource Settings
James BonTempo, Peter Johnson,Chandrakant Ruparelia, Girmay AbirhamSALT Interactive Technologies ConferenceAugust 2008
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Presentation organization
About Jhpiego About the project Assessment methodology Assessment findings Project plan Immediate solutions Recommendations Next steps
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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
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About Jhpiego
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About Jhpiego
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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
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About the project
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Assessment methodology
Criteria Key Informants Data Collection Methods
Focus Group Interview Observation
People
LMS Leadership & Champion(s) Executive Stakeholders, Faculty x
Inservice Providers Users x x
Facilitators w/ICT experience Faculty x
Network Support Network Administrator, Users x
Desktop Support Desktop Support, Users x
LMS Administrator IT Director, Server Administrator x
Process
Network Management IT Director, Network Administrator x
Help Desk Desktop Support, IT Director, Users x
Server Management IT Director, Server Administrator x
Technology Training Desktop Support, IT Director, Users x x
Technology
Network IT Director, Network Administrator, Users x x
Client(s) Desktop Support, Network Administrator x x
Server IT Director, Server Administrator x x
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Assessment findings
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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
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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.”
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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
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Immediate solutions
Partnered w/technology firm to develop distributed, disconnected LMS VMware-based Hosted & offline instances Custom synchronization tool Strong mobile integration
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Immediate solutions
Online, Internet-based, hosted LMS
Authoritative source of system configuration, user profiles &
learning content
http://learning.jhpiego.net
Jhpiego/US
Offline, intranet-, VM-based LMS
Offline, intranet-, VM-based LMS
Authoritative source of progress and assessment
Jhpiego/ET
Offline, intranet-, VM-based LMS
Authoritative source of progress and assessment
Offline, intranet-, VM-based LMS
Authoritative source of progress and assessment
Addis Ababa
Gondar
Jimma
Configuration, Profiles &Learning Content
Configuration, Profiles &Learning Content
Configuration, Profiles &Learning Content
Progress &Assessment Data
Progress &Assessment Data
Progress &Assessment Data
Configuration, Profiles &Learning Content
Progress &Assessment Data
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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
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Immediate solutions
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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
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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
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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
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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
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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
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Contact information
James BonTempo
jbontempo.jhpiego.net (Skype)
410.537.1849
Peter Johnson
peterjohnsonmidwife (Skype)
410.537.1800
Chandrakant Ruparelia
rupa_rupa_99 (Skype)
410.537.1921
Girmay Abirham
gabirham (Skype)
251.11.618.7821
http://www.jhpiego.org