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HEALTH[e]FOUNDATIONBlended Learning to Strengthen Health Care Systems
Fransje van der Waals, MD PhDOctober 16, 2010
Philosophy of Health[e]Foundation: building long-term professional relationships
Our unique value proposition is
• To offer blended training programs (on-site workshops and distance-based learning)
• To offer a wide range of training programs on poverty-related diseases (not only HIV)
• To offer e-learning system that users can access on line and off-line (through a memory stick)
HEALTH[e]FOUNDATION
[e]Education
Blended Learning
• Personal contact is key to effective distance learning
• The software for the training program should be easy and accecsable also to first time computer users
• The learning modules should be state-of-the-art and updated yearly
HEALTH[e]FOUNDATION
Blended Learning: a new way of training
Participants receive
• A launch of the training in their own environment• A program written by the best authors of the world• Ten to twenty modules to finish themselves in three months• Local technical support from a local representative• Distant theoretical support direct on their computer within 24
hours
HEALTH[e]FOUNDATION
Blended Learning: a new way of learning
Participants learn
• in their own environment in their own time and pace
• to implement acquired knowledge direct into practice
• to discuss complicated cases with fellow participants
HEALTH[e]FOUNDATION
Blended Learning: improving the work environment
Participants learn
• to collaborate within their hospital as a team• to work together with other hospitals• to mentor and educate others
HEALTH[e]FOUNDATION
Training Programs of Health[e]Foundation
HIV[e]Education 2004Pediatric HIV[e]Education 2007
Mental Health and HIV[e]Education 2008 TB[e]Education 2009 Community[e]Education 2009
Tele Microbiology[e]Education 2010 Neglected Tropical Diseases and Diarrhea 2010 Cardiovascular Disease and Diabetes[e]Education 2010
HEALTH[e]FOUNDATION
Current and Future Languages of Training Programs
HIV[e]Education Current: English, Portuguese, French, Russian, Thai, Indonesian and Spanish Future: Vietnamese Pediatric HIV[e]Education Current: English, Portuguese, French, Thai, Spanish Future: Indonesian, RussianMental Health and HIV[e]Education Current: English, Russian Future: Portuguese, French, SpanishTB[e]Education Current: English, French, Portuguese Future: Spanish, Indonesian, ThaiCommunity[e]Education Current: Dutch, English, Thai
HEALTH[e]FOUNDATION
Expansion countries Active countries
Mozambique
Poland 08
Senegal
Mali
Cameroon
El Salvador 08
Russia
China
Tanzania
Uganda
Caribbean
Kenya
Rwanda
India 05
Indonesia
Malawi 8
South Africa 07
Where are we active
Thailand04Vietnam
Cambodia
Gambia
Argentina
Curacao Suriname
Bangladesh09
HEALTH[e]FOUNDATION
UgandaMozambiqueIndiaNetherlands
UgandaMozambiqueNetherlandsIndonesiaCuracaoKenyaSouth Africa
UgandaMozambiqueNetherlandsIndonesiaCuracaoKenyaEl SalvadorPolandRussiaMalawiCameroonThailandSenegal
UgandaNetherlandsCuracaoKenyaMalawiCameroonBangladeshThailandSenegalMozambiqueIndonesiaPolandRussiaArgentina
Increase in program coverage over time
Develop treatment plan Initial cART prescription in patients
with complications Supervise clinical team(s) at first level Toxicity management Evaluate for treatment failure Manage severe illness and malnutrition Clinical monitoring HIV clinical staging Check TB status Check pregnancy Assessment of cART eligibility Treat opportunistic infections Therapy adherence preparation and
support Respond to new signs and symptoms Referral to specialist in case of
complications, toxicity or treatment failure
cART prescription refills Arrange follow-up Start chronic care including education,
support and prophylaxis Prevention interventions: basic
prevention and positive prevention Suspect HIV, test and counsel
Traditional Task-shifting
Specialist
Specialists
Nurses/ other HCWs
General Practitioners
General Practitioners
Task shifting for early treatment initiation WHO 2007
Good division of labor between health care workers
Promotion of Collaborations Physicians
Clinical Medical OfficersNurses
MidwivesCounselors
Laboratory Staff
Key is training of each group of professionalsHEALTH[e]FOUNDATION
Kickoff Distant
learning 3-day
Workshop Mentoring
Networking
Certifi-cation
Continuous medical education
HIV[e]Education Training Program
How do we sustain the learning environment?
Continuous Medical Education
Future training and support is offered online, within the participant portal on the website:
• FAQ• Bulletin boards• e-Forums• Conferences • Program updates
HEALTH[e]FOUNDATION
How does the day look like?MorningKeynotesTestimonials
Lunch: networking, booths, update you stick AfternoonBreakout sessionsKeynote on the future of HIVTBCertificate and gift
HEALTH[e]FOUNDATION
The People who make Health[e]Foundations programs possible
Amsterdam EditingFransje van der Waals Uganda Wendy SmithLieke van Kerkhoven Nadine Pakker Esther Erwteman Hanipha KakoozaDebby Heuft Dorothy NdoleriireAnnemarie van den Heuvel KenyaMargo Caslavka Mozambique
Jeannet BosIT SenegalGijs Ruitenbeek Thailand Maaike CotteringPatricia Kalil Annemijn Blok
Reshmie Ramartausingh Curacao/ Carribean Gonneke Hermanides
Vietnam CameroonRogier van Doorn Roselyne TobyNguyen Van Dung
The people who make ‘the big Five in HIVTB Care’ possible
Amsterdam EditingFransje van der Waals Uganda Wendy Smith
Lieke van Kerkhoven Nadine Pakker Esther Erwteman Hanipha KakoozaDebby Heuft Dorothy NdoleriireAnnemarie van den HeuvelKenyaMargo Caslavka Mozambique Jeannet
BosIT SenegalGijs Ruitenbeek Thailand Maaike CotteringPatricia Kalil Annemijn Blok
Reshmie Ramartausingh Curacao/ Carribean Gonneke Hermanides
Vietnam CameroonRogier van Doorn Roselyne TobyNguyen Van Dung
The people who make ‘the big Five in HIVTB Care’ possible Uganda Amsterdam Nadine Pakker Fransje van der Waals Hanipha Adrian Kakooza Annemarie van den HeuvelDorothy Ndoleriire -OsunaRita Namusoke Prossy NamulemeRose Janet NakaliriAlice NakanjakoCarol Olive Namujju
SpeakersNelson Sewankambo Annet SoobiElly Katabira Jaap GoudsmitAlex Coutinho Yared Kebede Haile Andrew KambuguCissy KityoPhilippa MusokeCeppie Merry
De Hoge Dennen Holding BVStichting Het Groene Woudt
ICS
TIBOTEC
The Sponsors of the Symposium