Scaling up the training of Health Personnel in the management of Malnutrition in Africa Mr Trevor Pickup, Dr Sunhea Choi 23 rd July 2014

Project team Chief investigator: Professor Alan Jackson Project manager and learning designer: Dr Sunhea Choi Lead author: Dr Reginald Annan Editor: Professor Ann Ashworth Hill Design and development: University of Southampton Medicine eLearning team 2

Summary of Malnutrition Course –Purpose: Children die because of poor malnutrition management training, even if trained in developed world – capacity in malnutrition management –Suitable for Doctors, Nurses, Public Health professionals, Nutritionists –Under graduate and CPD (Continuing Professional Development) –Based on WHO guidelines –Hosted in Nutrition Portal (registration on database) 3

Scaling up One of the elements is training Consistently delivered, according to agreed standards eLearning provides consistent teaching Huge potential coverage Significant opportunities within “Scaling up agenda” 4

Course details IMTF and University of Southampton developed an eLearning course called, “Caring for infants and children with Severe Acute Malnutrition (SAM)” Provides standardised and interactive learning in 3 modules: –Module 1: Definition and Classification –Module 2: Assessment and identification –Module 3: Application and management 5

Website rition 6

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Design Rich in media Run on low spec computer and internet –Developing and developed regions Interactive, engaging and reflective learning experience Use of community characters 8

Nutrition community 9 Paula Nkosi Ola Fatima Sheema Adam

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Website rition 11

Course evaluation study in Uganda Collaboration –Uganda Paediatric Association (UPA) and Makerere Medical School In December 2010 Venue: Medical School Work Station, Mulago Hospital Aim of pilot – Investigate effectiveness and appropriateness of delivery 12

Field test: Uganda 13

Participants overall experience “Thanks for the good course, many children in villages and community are suffering from malnutrition -- so thanks because I will be able to teach and advise now I have more knowledge about it.” 14

Introduction and promotion of the course –3 Conferences, 2011 – 2012 –Aim :increase levels of enrolment –Lessons learnt: This is not really working Not engaging with right audience 15

Social Media Campaign –Why social media is appropriate on line course, so need on line audience cuts through hierarchy and bureaucracy 16

Levels of use Over 7000 users From 141 Countries Course being used in 14 Institutions including –KNUST, Catholic Univ and Kintampo College of Health, Ghana –Kampala, Uganda –Universidad Rafael Landivar, Guatemala

Country statistics (to 30/6/14) Ghana 2471Nigeria 711 India515Uganda457 UK385USA275 Kenya303Ethiopia170 South Africa 86Somalia 66 18

Users by Profession Nutrition/Dietetics 1739 Public Health Specialists 1612 Undergraduates 1776 Medicine 666 Nursing

More feedback Thank you for your concern you send me rely very interesting guidelines which can help me for my jobs so that I can teach nursing students properly on update of malnutrition management Many thanks again we will do better for the future ZM, 17/4/13

NEEP evaluation DFID funding to follow up on the gaps in research identified in Lancet 2013 Nutrition Embedding Evaluation Programme Evaluate the course, both globally and with specific partners in Ghana, Ethiopia, Guatemala. 21

On going challenges Finding the right target audience, via social media Making links with new Institutions Translation into French and Spanish