Use of Information Technology in Newborn Health

Department of Pediatrics All India Institute of Medical Sciences

WHO-CC for Training & Research in Newborn Care

Vision of WHO CC at AIIMSCreate centers of excellence in the countries

called Model Units which should 1. Act as centers for education training for

health professionals & community health workers

2. Propagate evidence based Protocols3. Generate data for Quality Improvement of

hospitals

Capacity Building Focus on new Generation or Existing in service

staff

Way forward for in-service Tele education/ telemedicine Online learning with contact period for skill

learning : Continuing Professional Development

Outline of presentation

Use Tele education/medicine Online Learning

OFFLINE

State

Field

PHC(Primary Health Center)

Health-related officials at Village, Taluk, District,

and State levels

PerformanceDashboard

MultimediaContent

&Quizzes

Quiz Results&

Usage Data

ANMsLHV/ MO

Data Flow

DM fellows regular classesPGI-AIIMS Pilot Models at Port blair A& N , Cuttack , Workshops in states

Port Blair, And& NicobarWHO-CC & UNICEFISRO collaboration

Operationalised IGMH Maldives

Online Neonatal Training & Orientation programme

Enrolment by invitationInteractive learning platform

Administrator

Description page about course shows ten lessons, contents, users

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Self reading lessons adapted from original course

Contents Care at birth Basic Resuscitation Thermal protection KMC Breastfeeding Routine care Prevention of infection Common procedures Management of normal, at

risk, sick NB

Format for Essential Newborn Care Course

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Weekly break ups: Student need at least 90 minutes log in / week

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Skill learning at partner institutions : Using Log book demons. ,

SCROLL downTHIS IS NOT

ALL!!!

Feedback

Latest News – shows updates of videos , additional reading

Platform for easy learning

User friendly interface

Latest updates and news!

Case study for management

DISCUSSION FORUM

Discussion by students with online tutor

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Online chat of students with tutor once a week at specified time

Chat session lead by online Tutor , those who miss can see online

Additional resource for skill learning – Videos link created by AIIMS Team

Online Examination – 20 minutes with weight age scores

DROP window

Online examination ...

Pre and post MCQ’s assessment Centre Pre MCQ (25)

Mean (SD)Post MCQ(25 )

Mean (SD)P Value

A 17.8(3.0) 21.4(2.6) 0.006

B 15.4 (2.2) 20.3(2.5) 0.00002

C 15.75(1.7) 24.2(0.6) 0.00001

D 15.7(1.8) 20.2(1.5) 0.0001

E 10.7(2.9) 21.9(2.9) 0.00001

F 15.5(2.2) 21.7(2.7) 0.00001

G 14.1(3.1) 20.8 (2.7) 0.00002

Pre and post OSCE assessment

Centre Pre OSCE (100)Mean (SD)

Post OSCE (100)Mean (SD)

P value

A 65.6(2.7) 88.0 (4.3) 0.001

B 65.6 (12.6) 83.4(10.7) 0.001

C 65.6 (12.6) 93.1(2.7) 0.002

D 81.5 (8.4) 78.7 (3.4) 0.45

E 60.5 (10.1) 86.8 (8.5) 0.003

F 74.04 (6.8) 92.5 (2.7) 0.002

G 72.7(15.01) 87.4 (3.2) 0.001

Participants’ satisfaction on a five point likert’s scale

Parameter assessed Scoring [median (range)]Chat Session was useful for clearing doubts 5 (4-5)

Discussion Forum was useful 5 (5-5)

Would you like to continue if given an opportunity again on new modules

5 (5-5)

Who gave you the first information regarding this online learning? Online tutors

Did you know the use of computer before the enrolment? 22% did not know

Did you know the use of internet before the enrolment? 22% did not know

Name 2 sessions of sessions conducted which you felt were the most informative and helpful?

40% Hypothermia; 48% Resuscitation

Mention the two sessions which you felt needed more improvement? 30% Newborn Health; 36% Routine Care

Challenges- Solutions .. Lack of IT access Need local tutors / mentors Users need hand holding Time constraint for learning IT back up – Good 3,4 G ; Cloud servers

What next Course Target Online Onsite CPAP MOs/ Pediatricians 5 week 1 week

SCNU MOs/ Pediatricians 10 week 2 week

Newborn nursing Level II

Nurses 10 week 2 week

How to make a successful sustainable model ….

- creating brand name ? - issue certificate on completion - credit points from professional bodies - make it accreditation criteria for CPD

Acknowledgements

Team at WHO-CC-AIIMS Partner's from institutions in India WHO-SEARO, WHO India / DPR Korea

Country Office CMET, AIIMS Saving Newborn Lives , Save Children US UNICEF