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E-Learning for Midwives and Sonographers: Transforming Maternal Healthcare in Developing Nations

This project highlights the impact of e-learning programs tailored for midwives and sonographers in developing countries. With a focus on rural healthcare, it addresses the critical shortage of ultrasound professionals and the high maternal mortality rates due to undetected conditions. Through innovative training methods facilitated by e-learning, practical skills can be gained in-community and in urban centers, ensuring better healthcare availability. The initiative showcases successful pilots in Uganda, emphasizing the importance of accessible education in saving lives and improving maternal and fetal health outcomes.

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E-Learning for Midwives and Sonographers: Transforming Maternal Healthcare in Developing Nations

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  1. Vital Signs: How e-learning for Midwives and Sonographers in Developing Countries Can Help to Save Lives Neha Baj Project Manager

  2. 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

  3. 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

  4. The world

  5. Physicians in the world

  6. JUSTIFICATION • Lack of sonographers in rural communities • High maternal mortality rate from sonographically detectable and potentially treatable conditions

  7. 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

  8. 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

  9. Ecurei training centre, kampala

  10. Training facilities

  11. Rural healthcare centre

  12. 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

  13. Cost Breakdown • We only spent money on: • Graphics and animation development • Graphics purchases: sourced for free or provided by e-Learning for Healthcare wherever possible, occasional costs absorbed by Anu Tech • Travel expenses for two meetings

  14. Project contents • Ten thirty-minute e-learning sessions: • Normal early pregnancy • Abnormal early pregnancy • Scanning in second and third trimesters • Fetal measurement and age calculation • Fetal abnormality • Multiple pregnancy

  15. Authoring tool: eXact Packager

  16. Authoring tool: eXact Packager by Exact Learning Solutions Templated page designs provided by e-Learning for Healthcare

  17. Delivery • Computers in training centres and laptops provided for use in rural locations • Pilot in Uganda • Offline using memory sticks • Online, on my website via www.tinyurl.com/wfumb

  18. INFORMAL PILOT IN SIERRA LEONE

  19. EVALUATION • Online survey with survey monkey • Word-based survey – printed out

  20. 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!”

  21. 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

  22. 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?

  23. QUESTIONS? neha.baj@anu-tech.com

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