1. HEAT: Health Education and Training Collaborative Module Development http://www.open.ac.uk/africa/HEAT/ Dr Basiro Davey, Department of Life, Health and Chemical Sciences, The Open University

2. ‘The single most common request in Africa is for assistance with educating and training staff of all kinds: community health workers, clinical officers, doctors, nurses, managers and technicians; meeting the needs of rural people is a key focus.’ Crisp Report, 2007

3. HEAT is upgrading Ethiopia’s rural health workers using ‘blended learning’ 3 Ethiopia has deployed over 33,000 rural health workers: 2 in every village

4. The blended learning model 13 Distance Learning Modules Practical Training Programme 10-15 Students Distance Learning Tutor Practical Skills Mentors self- directed study with tutor support face-to- face skills sessions

5. Developing the HEAT Modules 13 Modules commissioned and approved by the Ethiopian Federal Ministry of Health Authors are Ethiopian health experts We have already trained 57 authors in Ethiopia

6. Intensive Curriculum Design and Writing Workshops in Ethiopia Authors work collaboratively with OU experts in full-time workshops for a total of 6 to 8 weeks Ideal ratio is one OU expert to two local authors

7. Advantages of the blended learning approach Theory modules enable students to update, upgrade and learn new areas of curriculum... while remaining in their communities, delivering health services locally

8. Other advantages... Access to education and training for students who cannot leave their jobs and families to study conventionally Rapid scale-up of student numbers (1,092 already studying the Modules in Ethiopia) Lower cost than providing traditional ‘classroom’ teaching Quality national curriculum delivered transparently to an agreed standard in all locations Modules can be quickly adapted for training other health professionals Capacity building in distance learning (trained authors, tutors, implementation teams)

9. 13 Modules (total 225 Study Sessions) Every study session has the same structure: Introduction (begins the ‘learning pathway’) Learning Outcomes Teaching text, with diagrams, photos, tables, margin notes, boxes, In-Text Questions (ITQs) Most sessions also have ‘real life’ case studies Summary of main points Self-Assessment Questions (SAQs) testing the Learning Outcomes

10. Worldwide access to HEAT Modules Work is underway to create: An online knowledge bank of highly structured, distance learning texts and multi-media, covering core areas of healthcare All HEAT materials are open educational learning resources – free for anyone in the world to download and adapt for their own programmes Deliverable either in print, online or on disks.

11. Theory Curriculum: Overview The first four Modules 1,092 Ethiopian students have begun studying these now Antenatal Care Labour and Delivery Care Postnatal Care Integrated Management of Newborn and Childhood Illness (IMNCI)

12. The next four modules... Health Education, Advocacy and Community Mobilisation Communicable Diseases Vaccine- Preventable Diseases and Malaria TB and Leprosy HIV/AIDs and STIs Other Diseases and Epidemics Hygiene and Environmental Health Personal Hygiene Food safety Sanitation and Waste Disposal Water Safety Immunization

13. The last five Modules... Nutrition Family Planning Adolescent and Youth Reproductive Health Non-Communicable Diseases, Emergency Care and Mental Health Health Management, Ethics and Research

14. Challenges of the HEAT approach Some local authors struggled to write effective distance learning material despite our support OU team underestimated the editing we needed to contribute to the Modules after the authors handed over their texts Communication difficult between visits – weak internet access and bandwidth, unreliable postal service, mobile phonecalls expensive

15. Next steps Complete the online resource bank of the first 13 HEAT Modules as open educational resources Monitoring and evaluation of first students in Ethiopia With additional funding we aim to: Assist new partners wanting to adapt existing HEAT Modules for training in their countries Support development of new Modules in new topic areas (e.g. eye health, palliative care) Seek funding to translate Modules into other languages

16. HEAT: The big vision To create a consortium of countries and organisations working together to address the health education and training needs of their populations. To improve access and raise the quality of all aspects of health worker education and training in a way that is adaptable, highly cost-effective and sustainable. To protect lives – particularly young lives – and reduce maternal mortality. Thank you!