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Vital Signs: How e-learning for Midwives and Sonographers in
Developing Countries Can Help to Save Lives
Neha BajProject Manager
About me
Director of Anu Technologies - Learning and Development Consultancy firm: www.anu-tech.com
Computer Engineer with Masters in Educational Technology
Projects for school leaders, nurses, radiologists, dentists, radiotherapists, business project managers
Project Manager at e-Learning for Healthcare, Health Education England: www.e-lfh.org.uk
Award-winning e-learning projects
background
World Federation for Ultrasound in Medicine and Biology
Educational Centres of Excellence in developing countries e.g. Uganda, Venezuela, Romania
Sponsorship of educational efforts and support for trainees to visit educational institutions
e-learning reaches remote communities with a consistent approach
JUSTIFICATION
Lack of sonographers in rural communities
High maternal mortality rate from sonographically detectable and potentially treatable conditions
Problem statements
Ultrasound in rural facilities is done by nurses and midwives; very few personnel
Radiologists are in large cities, in large hospitals
Training centers located only in the cities
Rural-based personnel move to the city to train for weeks/months, leaving a vacuum in rural health facilities
Pilot in Uganda
Move training to mainly in the rural centre
Theory part mainly in urban training centre
Some visiting lecturers to rural centre Practical part started in urban centre,
but portable Ultrasound machines for hands-on training in the community
e-Learning to support training both in urban and rural centre
The team
Dr Paul Dubbins – Head of WFUMB Education Committee
Radiologists and sonographers in Plymouth, England
Ultrasound equipment expert – Toshiba Patient images – mommies! e-learning software supplier – e-Learning for
Healthcare Graphics and animation designers Instructional designer – me! Content and instructional design reviewers
Cost Breakdown
We only spent money on: Graphics and animation developmentGraphics purchases: sourced for free or
provided by e-Learning for Healthcare wherever possible, occasional costs absorbed by Anu Tech
Travel expenses for two meetings
Project contents
Ten thirty-minute e-learning sessions:Normal early pregnancyAbnormal early pregnancyScanning in second and third
trimestersFetal measurement and age
calculationFetal abnormalityMultiple pregnancy
Authoring tool: eXact Packager by Exact Learning SolutionsTemplated page designs provided by e-Learning for Healthcare
Delivery
Computers in training centres and laptops provided for use in rural locations
Pilot in UgandaOffline using memory sticks Online, on my website via
www.tinyurl.com/wfumb
RESULTS
100% satisfied overall All reported problems with video and image
loading speed when accessed online Some felt more detail was needed in content Problems with accessing Flash-based content
e.g. animations Video too fast to see what’s happening
“Interactive and not boring!”
OUTCOMES
Provision of obstetrics ultrasound services in rural communities increases maternal (and paternal!) engagement
Maternal and fetal health problems identified early and referred early
Hopefully…better mortality rates for mum and baby
NEXT STEPS
Convert Flash to HTML5 and accessibility-friendly version
Development of Basic Physics module Delivery on LMS/other web server Partnership with manufacturers to enable
delivery alongside equipment Dissemination to other WFUMB Educational
Centres of Excellence e-learning on simple phones?