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ANNEXES 18 Distance Learning for Health: What works A global review of accredited postqualification training programmes for health workers in low and middle income countries Chris Joynes London International Development Centre 36 Gordon Square, London WC1H 0PD, UK Tel: +44 (0) 20 7958 8251 Fax: +44 (0) 20 3073 8303 www.lidc.org.uk Table of Contents Annex 1a: DL4H International Workshop Outline ................................................... 3 Annex 1b: DL4H International Workshop Programme .......................................... 4 Annex 1c: DL4H International Workshop Presentation Abstracts ..................... 8 Annex 1d: DL4H International Workshop Delegates............................................ 13 Annex 2: A brief history of distance learning application .................................. 15 Annex 3: DL4H Case study Matrices............................................................................ 22 Annex 4: Distance learning theories and pedagogies ........................................... 33 Annex 5: Considering learner needs in distance learning for health workers ................................................................................................................................ 41 Annex 6: Programme design and delivery models in distance learning ....... 46 Annex 7: A summary of consortia and interorganisational models for distance learning delivery ............................................................................................. 54 Annex 8: The use of media and technology in distance learning ...................... 58 Bibliography………………………………………………………………………………………...……67 List of Tables Annex Table i: Pedagogic frameworks and models ............................................................................. 39 Annex Table ii: Programme design and delivery components .............................................................. 49 Annex Table iii: Teaching and learning functions of media and technology ............................................ 62 Annex Table iv: Attributes of media and technology in distance learning ............................................... 63 List of Figures Annex Figure i: The Three‐Legged Stool ........................................................................................... 47 2 Annex 1a: DL4H International Workshop Outline Distance Learning For Health: an International Workshop Tuesday 26th and Wednesday 27th October, 2010 In the approach towards 2015 and the deadline for attainment of the Millennium Development Goals, international policy in Human Resources for Health is seeking mechanisms that will accelerate and ensure implementation of effective training for health. These include the opportunity to scale up in the training of health workers in low and middle income countries, and the need to prioritise the training of large cadres of low‐ and mid‐level community‐based health workers in attaining targeted health outcomes. Within this context, and in anticipation of the 2nd Global Forum on Human Resources for Health, Bangkok, Jan 25th – 27th 2011, the London International Development Centre (www.lidc.org.uk) will host an International Workshop looking at the role of distance learning in the training of health workers in low‐ and middle‐income countries. Objectives The primary objectives of this Workshop will be: • To discuss major themes associated with the development and implementation of distance learning programmes for health workers (DL4H) in low and middle income countries • To compare and contrast practitioners’ experience of design, delivery, and partnership models in DL4H for health workers in low and middle income countries • To facilitate a sharing of knowledge and experience between key DL4H providers from the UK, US, Africa and Asia In addition, the Workshop will seek to: • Contribute to the establishment of a international network of DL4H practitioners • Assist in fostering new institutional partnerships between educational institutions, NGOs, donors and government agencies Main Themes Among the major themes to be discussed at the Workshop are: • Distance Learning and attainment of the MDGs in Health • Local & International: models of DL4H provision and institutional collaboration • Programme design for DL4H in low and middle income countries • Teaching and learning experiences: providing knowledge, skills and capabilities for health professionals at a distance • Evidence of impact: issues surrounding the evaluation of DL4H contributions to health outcomes For more information about the DL4H International Workshop, please contact Chris Joynes [email protected] To register to attend, please contact [email protected] London International Development Centre 36 Gordon Square, London, WC1H 0PD, UK Tel: + 44 (0) 20 7958 8251 Fax: + 44 (0) 20 3073 8303 3 Annex 1b: DL4H International Workshop Programme DL4H International Workshop Programme 26th and 27th October 2010 Day 1 Tuesday 26th October 2010 Day 1 of the Workshop will take place at the Main Hall, Woburn House, 20 Tavistock Square, London, WC1H 9HQ. In addition to the presentations, the day will feature display‐and‐discussion stands from key institutions on themes not featured during the main presentation sessions. Stand‐holders are: • Open University UK: HEAT and OU‐FAIMER programmes – OERs for health • London Knowledge Lab: Mobile technologies for ODL • Association of Commonwealth Universities / Commonwealth Scholarships Commission • London School Of Hygiene and Tropical Medicine: OERs for Health – the LSHTM Malaria Module 9.30am – 10am Keynote Presentation ‘Capability, development, and open and distance learning’ • Hilary Perraton, Visiting Fellow, LIDC and the Institute of Education [email protected] Day 1 Session 1 – Distance Learning For Health in International Development 10am – 10.45 1. Human resources for health training ‐ an overview of training priorities and approaches • Tana Wuliji, Associate, Instituto de Cooperaciόn Social ‐ Integrare (ISCI) [email protected] 2. Open and Distance Learning for Health Worker Training: learning from experience. • Tony Dodds, ODL Specialist [email protected] 10.45 ‐ 11am Coffee Break – 15mins Day 1 Session 2 – Distance Learning for Health: programmes of training for health practitioners 11am – 12.30 Presenters: 1. Representative of AMREF Kenya e‐learning Nursing Programme • Caroline Mbindyo, e‐Learning Programme Manager [email protected]; 2. Representative from UCL UK: MSc in International Primary Health Care • Petra Boynton, Lecturer in International Health Care Research [email protected] 3. Representative from Peoples‐Uni (UK): Public Health online courses 4 • Jessica Sheringham, Evidence‐based Public Health tutor [email protected] Discussant: • Janet Grant, Director Open University Centre for Education in Medicine [email protected] Chair: • Pauline Horton, University of Dundee [email protected] 12.30 – 1.30 – Lunch break Day 1 Session 3 – Distance Learning for Health: programmes of training for health managers and medical educators 1.30 – 3pm Presenters: 1. Representative of IGNOU, India: PG Dip in Hospital and Health Management; PG Dip in District Health Management • Bimla Kapoor, Director of School of Medicine [email protected] 2. Management Sciences for Health, US: • Karen Chio, Senior Programme Officer [email protected] 3. Representatives of FAIMER, US: Fellowship in Medical Education • Ralf Graves, Program Manager, Regional Institutes [email protected] 4. Representative of Christian Medical College, Vellore, India: Fellowship in HIV Medicine • Anand Zachariah, Professor of Medicine [email protected] Discussant: • Sara Atkinson, Lecturer, LSHTM [email protected] Chair: • Sharon Huttly, Dean of Studies, LSHTM [email protected] 3pm – 3.30 Coffee Break Day 1 Session 4 – Evidence of Impact: issues surrounding the evaluation of DL4H programmes 3.30 – 5pm 5 Content • Approaches to evaluating the evidence of impact of DL4H programmes on: • health workers clinical and professional practice; • health systems enhancement; • wider health outcomes in the community Format: Panel and delegate group discussion. Panel: • Saville Kushner, Professor Of Public Evaluation, University of the West of England, Bristol; President‐Elect of the UK Evaluation Society [email protected] • Dr. Tana Wuliji, Associate, Instituto de Cooperaciόn Social ‐ Integrare (ISCI) [email protected] • James Ransome, Commonwealth Scholarships Commission [email protected] • Anand Zachariah, Professor of Medicine, CMC Vellore [email protected] • Pauline Horton, University of Dundee [email protected] Chair: • Jeff Waage, Director, LIDC DL4H International Workshop Programme 26th and 27th October 2010 Day 2 Wednesday 27th October 2010 Day 2 of the Workshop will take place at the Tavistock Room, Woburn House, 20 Tavistock Square, London, WC1H 9HQ. The format will involve a half‐day of further discussion, building on proceedings from Day 1 and based around the main themes for the review. A particular emphasis will be placed on practitioner experiences in DL4H design and implementation. Primary participants will include international attendees and the DL4H Advisory Board. Other participants from Day 1 will be welcome but not expected to attend. • 9.30am Arrival • 10am ‐ 10.45 Discussion Session 1 Delegates will break into two groups for this session. Group 1 will discuss the following topics: o Collaborative models for programme implementation o Approaches