The Knowledge library

Education and Training

Estimating the Institutional Costs of Educating and Training Health Workers: Preservice Education Costing Methodology and Instruments

CapacityPlus designed a costing study approach to: 1) estimate the financial costs to an educational institution and its associated clinical practice facilities of producing a graduate of a specific academic program; 2) identify the resource constraints to producing sufficient numbers of quality graduates; and 3) simulate the potential new unit cost to the educational institution and its associated clinical practice facilities if a scenario of interventions were introduced to increase the quantity and/or quality of graduates. The approach applies an Excel-based costing model and data collection instruments to analyze preservice education costing data derived from information about enrollment levels, curriculum data, school expenditures, payroll, available infrastructure and equipment, and others. Read more »

Successful mLearning Pilot in Senegal: Delivering Family Planning Refresher Training Using Interactive Voice Response and SMS

This article in the June 2015 issue of Global Health: Science and Practice highlights the results of an assessment CapacityPlus conducted in Senegal of a prototype mLearning system that uses interactive voice response (IVR) and text messaging on basic mobile phones. IVR allows trainees to respond to audio recordings using their telephone keypads. The pilot included offering a refresher training course on the management of contraceptive side effects and misconceptions to 20 public-sector nurses and midwives in working in Mékhé and Tivaouane districts in the Thiès region. The authors concluded that the mLearning system proved appropriate, feasible, and acceptable to trainees, and it was associated with sustained knowledge gains.

Identifying Approaches and Tools for Evaluating Community-Based Medical Education Programmes in Africa

The PEPFAR-funded Medical Education Partnership Initiative (MEPI) aims to support
medical education and research in sub-Saharan African institutions. The intention is to increase the quantity, quality, and retention of graduates with specific skills addressing the health needs of their populations. While many MEPI programs include elements of community-based education (CBE), such as community placements, clinical rotations in underserved locations, community medicine, or primary health care, the challenge identified by MEPI-supported schools was the need for appropriate approaches and tools to evaluate these activities. This article, co-authored by Rebecca Bailey and Heather Ross of CapacityPlus, outlines the process of identifying tools that, with modification, could assist in the evaluation of CBE programs in participating MEPI schools.

Evaluating Community-Based Medical Education Programmes in Africa: A Workshop Report

PEPFAR's Medical Education Partnership Initiative (MEPI) supports medical schools in Africa to increase the capacity and quality of medical education, improve retention of graduates, and promote regionally relevant research. Many MEPI programmes include elements of community-based education (CBE) such as: community placements; clinical rotations in underserved locations, community medicine, or primary health; situational analyses; or student-led research.CapacityPlus and the MEPI Coordinating Center conducted a workshop to share good practices for CBE evaluation, identify approaches that can be used for CBE evaluation in the African context, and strengthen a network of CBE collaborators.This report describes key insights from the workshop, and highlights plans for CBE evaluation among the MEPI institutions.This workshop clearly demonstrated the widespread interest in improving CBE evaluation efforts and a need to develop, implement, and disseminate rigorous approaches and tools relevant to the African context.

Health Workforce Education: Investing in the Next Generation of Health Workers

On April 14, 2015, CapacityPlus and SHOPS presented a webinar on innovative investment options for health workforce education and training. Over 40 participants joined in the session, which offered presentations and question-and-answer sessions with participants engaging both the speakers and each other. Access a recording of the webinar and view presentation slides. Read more »

Use of an Interactive Voice Response System to Deliver Refresher Training in Senegal: Findings from Pilot Implementation and Assessment

In-service training reinforces and updates health workers’ knowledge, but it is often expensive and requires providers to leave their posts. Interactive voice response (IVR) is a technology—possible with any type of phone—that delivers information via audio recordings and allows users to provide feedback by pressing a number key. CapacityPlus developed, deployed, and assessed an innovative mLearning system that used a combination of IVR and SMS text messaging to deliver refresher training to family planning providers in Senegal, focusing on management of contraceptive side effects and counseling to dispel misconceptions. The pilot application among 20 midwives, nurses, nursing assistants, and health agents took place in two districts in Thiès Region of Senegal. Evaluation findings showed that an mLearning system that delivers refresher training to family planning providers via simple mobile phones using IVR and SMS text is appropriate, feasible, acceptable, and associated with sustained gains in knowledge.

Increasing the Production of Competent and Qualified Frontline Health Workers in Nigeria

This case study is part of the interactive ePlatform for the World Health Organization’s guidelines on transforming and scaling up health professionals’ education and training. Findings of a rapid bottlenecks assessment of midwifery, nursing, and health technology schools in Nigeria informed CapacityPlus’s work with federal- and state-level stakeholders to develop a plan to increase the production of certified graduates. This included providing educational resources, training tutors in up-to-date clinical guidelines and computer assisted pedagogy, and supporting students at risk of dropping out through scholarships. This comprehensive support has reduced student drop-out rates and increased pass rates on national certification examinations.

Building the “Educational Home”: Staying Connected to Alumni with MEPI Graduate Tracking in Ethiopia

This case study is part of the interactive ePlatform for the World Health Organization’s guidelines on transforming and scaling up health professionals’ education and training. CapacityPlus is collaborating with the Medical Education Partnership Initiative (MEPI) Coordinating Center, MEPI Physician Tracking Technical Working Group, and MEPI-supported medical schools in 11 African countries to develop resources and good practices for graduate tracking and to foster exchange through a regional graduate tracking network. The MEPI Connect graduate tracking software is helping African medical schools to remain connected with their graduates. Tracking allows institutions to assess the effectiveness of strategies to retain graduates at posts in underserved areas.