HEALTH[e]FOUNDATION Blended Learning to Strengthen Health Care Systems Fransje van der Waals, MD PhD October 16, 2010 Health[e]Foundation is all about people Philosophy of Health[e]Foundation: building long-term professional relationships Our unique value proposition is • • • To offer blended training programs (on-site workshops and distance-based learning) To offer a wide range of training programs on povertyrelated diseases (not only HIV) To offer e-learning system that users can access on line and off-line (through a memory stick) HEALTH[e]FOUNDATION [e]Education Blended Learning • Personal contact is key to effective distance learning • The software for the training program should be easy and accecsable also to first time computer users • The learning modules should be state-of-the-art and updated yearly HEALTH[e]FOUNDATION Blended Learning: a new way of training Participants receive • • • • • A launch of the training in their own environment A program written by the best authors of the world Ten to twenty modules to finish themselves in three months Local technical support from a local representative Distant theoretical support direct on their computer within 24 hours HEALTH[e]FOUNDATION Blended Learning: a new way of learning Participants learn • • • in their own environment in their own time and pace to implement acquired knowledge direct into practice to discuss complicated cases with fellow participants HEALTH[e]FOUNDATION Blended Learning: improving the work environment Participants learn • • • to collaborate within their hospital as a team to work together with other hospitals to mentor and educate others HEALTH[e]FOUNDATION Training Programs of Health[e]Foundation HIV[e]Education 2004 Pediatric HIV[e]Education 2007 Mental Health and HIV[e]Education 2008 TB[e]Education 2009 Community[e]Education 2009 Tele Microbiology[e]Education 2010 Neglected Tropical Diseases and Diarrhea 2010 Cardiovascular Disease and Diabetes[e]Education 2010 HEALTH[e]FOUNDATION Current and Future Languages of Training Programs HIV[e]Education Current: English, Portuguese, French, Russian, Thai, Indonesian and Spanish Future: Vietnamese Pediatric HIV[e]Education Current: English, Portuguese, French, Thai, Spanish Future: Indonesian, Russian Mental Health and HIV[e]Education Current: English, Russian Future: Portuguese, French, Spanish TB[e]Education Current: English, French, Portuguese Future: Spanish, Indonesian, Thai Community[e]Education Current: Dutch, English, Thai HEALTH[e]FOUNDATION Where are we active Russia Poland 08 China Caribbean Senegal Curacao Suriname El Salvador 08 Bangladesh09 Gambi a Mali India 05 Uganda Kenya Rwanda Tanzania Cameroon Cambodi Thailand04 a Vietnam Indonesia Malawi 8 Mozambique Argentina South Africa 07 Active countries Expansion countries HEALTH[e]FOUNDATION Increase in program coverage over time Uganda Mozambique India Netherlands Uganda Mozambiqu e Netherlands Indonesia Curacao Kenya South Africa Uganda Mozambique Netherlands Indonesia Curacao Kenya El Salvador Poland Russia Malawi Cameroon Thailand Senegal Uganda Netherlands Curacao Kenya Malawi Cameroon Bangladesh Thailand Senegal Mozambiqu e Indonesia Poland Russia Shortage of HCW’s segregates with HIV/AIDS Task shifting for early treatment initiation Task-shifting Traditional Specialist General Practitioners WHO 2007 Develop treatment plan Initial cART prescription in patients with complications Supervise clinical team(s) at first level Toxicity management Evaluate for treatment failure Manage severe illness and malnutrition Clinical monitoring HIV clinical staging Check TB status Check pregnancy Assessment of cART eligibility Treat opportunistic infections Therapy adherence preparation and support Respond to new signs and symptoms Referral to specialist in case of complications, toxicity or treatment failure cART prescription refills Arrange follow-up Start chronic care including education, support and prophylaxis Prevention interventions: basic prevention and positive prevention Suspect HIV, test and counsel Specialists General Practitioners Nurses/ other HCWs Good division of labor between health care workers Promotion of Collaborations Physicians Clinical Medical Officers Nurses Midwives Counselors Laboratory Staff Key is training of each group of professionals HEALTH[e]FOUNDATION HIV[e]Education Training Program Kickoff Distant learning 3-day Workshop Certification Continuous Mentoring medical Networking education Training Programs of Health[e]Foundation Three-day Workshop: Key to motivate people to benefit from e-learning Certificate: an end point as well as a start to continue new programs How do we sustain the learning environment? Continuous Medical Education Future training and support is offered online, within the participant portal on the website: • FAQ • Bulletin boards • e-Forums • Conferences • Program updates HEALTH[e]FOUNDATION How do we maintain the social network of experts ? How does the day look like? Morning Keynotes Testimonials Lunch: networking, booths, update you stick Afternoon Breakout sessions Keynote on the future of HIVTB Certificate and gift HEALTH[e]FOUNDATION The People who make Health[e]Foundations programs possible Amsterdam Fransje van der Waals Lieke van Kerkhoven Esther Erwteman Debby Heuft Annemarie van den Heuvel Margo Caslavka IT Gijs Ruitenbeek Patricia Kalil Vietnam Rogier van Doorn Nguyen Van Dung Editing Wendy Smith Uganda Nadine Pakker Hanipha Kakooza Dorothy Ndoleriire Kenya Mozambique Jeannet Bos Senegal Thailand Maaike Cottering Annemijn Blok Reshmie Ramartausingh Curacao/ Carribean Gonneke Hermanides Cameroon Roselyne Toby The people who make ‘the big Five in HIVTB Care’ possible Amsterdam Fransje van der Waals Editing Wendy Smith Uganda Nadine Pakker Hanipha Kakooza Dorothy Ndoleriire Lieke van Kerkhoven Esther Erwteman Debby Heuft Annemarie van den Heuvel Margo Caslavka IT Gijs Ruitenbeek Patricia Kalil Vietnam Rogier van Doorn Nguyen Van Dung Kenya Mozambique Jeannet Bos Senegal Maaike Cottering Thailand Annemijn Blok Reshmie Ramartausingh Cameroon Roselyne Toby Curacao/ Carribean Gonneke Hermanides The people who make ‘the big Five in HIVTB Care’ possible Uganda Amsterdam Nadine Pakker Hanipha Adrian Kakooza Dorothy Ndoleriire -Osuna Rita Namusoke Prossy Namuleme Rose Janet Nakaliri Alice Nakanjako Carol Olive Namujju Fransje van der Waals Annemarie van den Heuvel Speakers Nelson Sewankambo Elly Katabira Alex Coutinho Andrew Kambugu Cissy Kityo Philippa Musoke Ceppie Merry Annet Soobi Jaap Goudsmit Yared Kebede Haile The Sponsors of the Symposium TIBOTEC ICS De Hoge Dennen Holding BV Stichting Het Groene Woudt