1. DR.G.MANOHARAN, MR.TOM PERDUE, MR.SUDHARSANA, DR.SHOBA DHARMARAJAN, & MR.TITUS SAMRAJ IMPROVING QUALITY OF HIV CARE THROUGH DISTANCE LEARNING SEMINARS: EXPERIENCE IN INDIA XIX International AIDS Conference 2012, Washington DC, July 25 th 2012

2. Goals To strengthen HIV care delivered by health care workers. To deliver up-to-date and evidence-based information on HIV/AIDS care and management. To establish a national network of HIV clinicians who can work together to address challenging issues through case discussions and lectures.

3. Objectives Increase knowledge and skills of health care workers related to care, treatment, diagnosis, and comprehensive management of HIV/AIDS patients in resource-limited settings. Rapidly disseminate cutting edge HIV/AIDS research and evidence-based case management approaches.

4. METHODOLOGY : National Distance Learning Seminar Series (NDLS)

5. 5 NDLS: Definition 1.Physical separation of place 2.Interaction is conducted through one or more media  Between instructor and learner  Among learners

6. National Distance Learning Seminar Series (NDLS) Sixty minutes Twice - monthly live distance learning series Experts present on a variety of HIV/AIDS topics using case based format via live sessions Sessions are conducted in English. Archived sessions are available for downloading from the URL: http://arogyaan.adobeconnect.com/dlcs /

7. NDLS : Participants Medical Officers: ARTC CoE staffs Physicians Other Health Workers

8. NDLS: Logistics Required Computer with Internet Connection and speaker Projector

9. NDLS: How to Log-on Go to “http://arogyaan.adobeconnect.com/dlcs/ Select “Enter as Guest.” If you are a site, log-in with your site name and location (i.e. Gandhi Hospital, Hyderabad). If you are an individual, log-in with your name and location (i.e. Dr.Raja, Chennai, India).

10. NDLS : Log-on Instructions Type the URL as provided in the space

11. NDLS : Log-on Instructions

13. NDLS: Feedback After each session: Debriefing ( if there is a group)  Participant Sign-in sheets  Participant Feedback Forms  Site Coordinator Feedback Forms

14. RESULTS National Distance Learning Seminar Series (NDLS)

15. Results Duration of the study: Sept 2010 to May 2012 Total number of sessions: 36 Total number of speakers: 24 Total number of participants: 1441 Total visits to the recorded sessions: 1840 (April 11-March 12)

16. Log in details: No. of Participants 31 26

17. New and repeat participants.

18. NDLS: Participation over time September 2010 to May 2011 June 2011 to November 2011 December 2011 to May 2012

19. NDLS: Participant Interaction

20. NDLS: State-wise Participation

21. Facility-wise Participation

22. Speakers / Place of telecast details No. of speakers: 24

23. Clinical usefulness

25. National (NACO) Faculty…

26. CoE Faculty..

27. I-TECH Faculty…..

28. International Faculty…

29. WHO Faculty…

30. Lessons Learnt It is an effective approach to increase the knowledge and skills of the medical officers It is interactive Easy to reach the whole country through involvement of national programme managers

31. Limitations Difficult to evaluate outcomes over distance Challenges with Internet Connection and Technical Difficulties Difficult to coordinate times that work across multiple time zones Strong Central and Local Coordination is necessary

33. PEPFAR