Improving IMCI Training with a ComputerBased Program

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Improving IMCI Training with a Computer-Based
Program

• Marina Budeyeva, MD, MPH
• The Quality Assurance Project
• IMCI Workshop
• January 2001

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Potential of Computer-Based Training (CBT)

• CBT Learning Environment
• independent
• self-paced
• interactive
• shorter course of study
• more cost-effective

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Potential of Computer-Based Training (CBT)

• Can be copied or shared among a large number of
  users
• Serves as a reference material for up-to-date
  learning
• May be the only learning tool available to a
  health professional

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Computer-Based Training Issues Paper

• The Use and Effect of Computer-Based Training in
  Healthcare What Do We Know?
• Looks at effectiveness of CBT in healthcare and
  application in developing country settings

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IMCI CD-ROM Product Goals

• Shorten the standard in-service IMCI training
  course
• Provide refresher or pre-service training
• Extend the reach of IMCI training to a greater
  number of health professionals

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A Comparison of Standard vs. Computer-Based
Training in the Integrated Management of
Childhood Illness (IMCI) Algorithm in Uganda
Study Members Paula Tavrow, PhD Addy
Kekitiinwa, MD Albert MagandaAbbie
Sebina-Zziwa, PhD Grace Ndeezi, MDStewart
Blumenfeld, DrPH Study Team was attached to Old
Mulago Hospital in Kampala, Uganda
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Objectives of the Study

• To assess the effectiveness of computer-assisted
  IMCI training (CAT) versus standard IMCI training
  on
• Knowledge
• Skill
• Performance
• To compare the costs of the two types of training
• To assess the acceptability and feasibility of
  using computers for IMCI training

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Measurement Tools
Test of theoretical knowledge Self-administered
exam 20 questions, multiple choice, weighted by
GOV priorities Conducted at pre-test, after
training, and after 3 months Evaluation of skill
in sick child consultations Structured case
observation by experienced clinicians Two case
observations per provider Conducted after
training, after 2 weeks, and after 3
months Evaluation of IMCI performance Subjective
determination by clinician of whether provider
was performing IMCI regularly and was a potential
trainer, following case observations at each time
period.
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Comparison of Course Types
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Uganda IMCI Study Results

• Results of the cost analysis reveal that when
  compared to traditional classroom-based IMCI
  training, CBT was almost 20-25 percent cheaper
  per trainee (omitting development and hardware
  costs).

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Uganda IMCI Study Results

• Course is less taxing to facilitators.
• Participants seem to prefer the CBT course, even
  though none had ever used a computer before.
• New CBT courses may lead to increased knowledge
  and retention of information.

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QUESTIONS AND ANSWERS