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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
Presentation organization
About Jhpiego About the project Assessment methodology Assessment findings Project plan Immediate solutions Recommendations Next steps
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
About Jhpiego
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
About the project
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
Assessment findings
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
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.”
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
Immediate solutions
Partnered w/technology firm to develop distributed, disconnected LMS VMware-based Hosted & offline instances Custom synchronization tool Strong mobile integration
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
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
Immediate solutions
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
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
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
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
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
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
