Currently, EngenderHealth and the University of Oxford are conducting further evaluations of the e-learning module, as well as assessing how well the knowledge acquired through the module is translating to practice. Plans are underway to offer the module to a pool of health professionals across more than 90 countries who provide obstetric care and who have taken part in the Global Voices for Maternal Health Survey. The goal of this is to enroll approximately 1,000 participants, to have them complete both the basic and advanced modules, and then assess their knowledge through an online evaluation. Participants will receive a certificate of achievement issued jointly by the GFMER and the University of Oxford.
In addition, between April and August, 2011, national champions will introduce module to clinicians attending professional meetings in Mexico, India and Nigeria.
EngenderHealth and the University of Oxford have made significant progress towards achieving their commitment to increase global knowledge about and access around the use of magnesium sulfate for the management of eclampsia. Activities in the past year include:
- EngenderHealth and the University of Oxford launched a comprehensive, two-tiered (basic and advanced) e-learning module that has been available online to health professionals since March 2011. The module is in both English and Spanish. Previously, it was in CD-Rom form. Now, it is available to all via the Geneva Foundation for Medical Education and Research's (GFMER) website. It can also be accessed through EngenderHealth's Maternal Health Task Force's e-learning center, which had more than 100 visits during the month of March.
- In addition to the field-testing in India, Mexico, and Nigeria reported on last year, the module was further piloted in Karachi, Pakistan by both secondary and tertiary care hospitals.
- The e-learning module is being specifically offered to 120 health professionals, mostly from developing countries, taking part in the 2010-2011 formal course in Sexual and Reproductive Health Research through the GFMER. Though earlier field testing of the module was successfully completed among 20 health professionals in Mexico, India, and Nigeria, this current effort allows for formal pilot testing and evaluation of the module in the context of a formal, on-line reproductive health course with a larger and more diverse group of participants. The evaluation component will allow EngenderHealth and the University of Oxford to further refine the module and increase its future usefulness.
EngenderHealth and the University of Oxford have made significant progress towards achieving its commitment to increase knowledge and access around the use of magnesium sulfate for the management of eclampsia. Activities in the past year include:
- Extensive and thorough review of the most up-to-date evidence on the management of pre-eclampsia and eclampsia worldwide. The reviewed results contributed to the content of the e-learning module.
- Selected three centers for the pilot trial of the e-learning module in Mexico, Nigeria, and India.
- Developed the e-learning module with seven sections, each containing up to ten interactive pages with hyperlinks to resources such as publications from key clinical trials, systematic reviews and meta-analyses.
- Focused on the design and development of the largest section of the e-learning module related to the use of magnesium sulfate and management of pre-eclampsia and eclampsia.
- Conducted an assessment of local needs and resource constraints involving a combination of visits to and teleconferences with health professionals in three countries.
- Field tested the e-learning module among twenty (20) health care professionals from Mexico, Nigeria and India, to ensure its applicability and accessibility in diverse settings.
- The University of Oxford presented the project at the World Congress of Obstetrics & Gynecology in Cape Town, South Africa, October 2009.
Since making this commitment at CGI 2008, EngenderHealth and its partner, the University of Oxford, have made great progress toward the development of an electronic learning tool to improve the management and treatment of pre-eclampsia and eclampsia, a major cause of preventable maternal mortality in developing countries.
Training modules will consist of six or seven sections, each containing eight to ten interactive pages. Each section will require 10 to 15 minutes to complete, and will be customized for physicians or midwives. The modules will include hyperlinks to the most relevant publications. EngenderHealth is in the midst of developing the full content for the modules and anticipate a draft storyboard by May 2009.
The International Society of Ultrasound in Obstetrics and Gynecology has inquired about a similar e-learning module in obstetric ultrasound.
EngenderHealth's partners have had preliminary discussions with the Medical School at the University of Oxford and with the Midwifery School at Oxford Brookes University about building on this project to create a complete e-learning package in maternity care, which would be made available free of charge to all users in the developing world.
Early accomplishments include the following:
- Secured funding from the MacArthur Foundation for the first phase of the project, development, and pilot-testing of the e-learning modules.
- Confirmed the participation of partners in Nagpur, India; Ibadan, Nigeria; and Cuernavaca, Mexico.
- Linked with e-learning for Healthcare (e-LfH) and Giunti Labs to help produce the e-learning modules. Giunti's platform allows modules to be delivered to mobile phones and PDAs as well as computers, giving great flexibility.
- Begun a review of e-learning methods.
- Begun a review of the best available evidence in the management and treatment of pre-eclampsia and eclampsia, to be incorporated into the e-learning modules.