Designing Pedagogically-Driven Approaches to Technology-Enhanced Learning for Community Health Workers

2021 ◽  
pp. 87-100
Author(s):  
Shobhana Nagraj

Technology-enhanced learning (TEL) is well established as a teaching modality. However, there is a lack of evidence for the pedagogical approaches used to design TEL for community health workers (CHWs). This chapter highlights the importance of contextualizing CHW learning within the wider health system. Theoretical approaches to consider when designing a TEL-based education and training programme for CHWs are presented, with practical examples of how these approaches might be most appropriately embedded in the delivery of CHW training. Finally, a framework for the design of pedagogically-grounded TEL-based learning for CHWs is presented, which may be used to help guide the design of TEL-based educational interventions for CHWs.

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 1154
Author(s):  
Christie Akwaowo ◽  
Victor Umoh ◽  
Idongesit Umoh ◽  
Eno Usoroh ◽  
Olugbemi Motilewa ◽  
...  

Background: Case detection for Tuberculosis remains low in high burden communities. Community Health Workers (CHWs) are the first point of contact for many Nigerians in the rural areas and have been found useful in active case finding. This study assessed the effect of cash incentives and training on tuberculosis case detection by CHWs in six Local Government Areas in Nigeria. Materials and Methods: A randomised control trial was conducted in three PHC clusters. The intervention Arm (A) received cash incentives for every presumptive case referred. The Training Arm(B) had no cash incentives and the control had neither training nor cash incentives. Case notification rates from the TB program were used to assess the effect of cash incentives on TB case finding. Data was analyzed using Graph Pad Prism. Descriptive data was presented in tables and bivariate data was analyzed using chi square. Mean increases in case notification rates was calculated Statistical significance was set as P=0.05. Results: The intervention identified 394 presumptive TB cases, contributing 30.3% of all presumptive cases notified in the LGAs. Findings also showed an increase of 14.4% (ꭓ2=2.976, P value=0.2258) in case notification rates for the Arm A that received cash incentives alongside training, there was also an increase of 7.4% (ꭓ2= 1.999, P value=0.1575) in Arm B that received Training only. Secondary outcomes indicated a 144.8%(ꭓ2= 4.147, P value=0.1258)  increase in community outreaches conducted in the Arm that were given cash incentives. Conclusion: The study demonstrated an increase in TB control activities of case notification and outreaches among community health workers that received cash incentives and training.  These findings support the use training and cash incentives for CHWs in high burden TB settings to improve TB case detection rates.


2017 ◽  
Vol 43 (3) ◽  
pp. 552-559 ◽  
Author(s):  
Carolyn M. Tucker ◽  
Tasia M. Smith ◽  
Maggie L. Hogan ◽  
Marion Banzhaf ◽  
Nanette Molina ◽  
...  

2021 ◽  
Author(s):  
Mamare Adelaide Bopape

Cardiovascular disease (CVD) is the complex disease associated with morbidity, mortality and loss of quality of life. Furthermore, it is the most significant cause of death in the diabetic population. South Africa is faced with an increasing number of people diagnosed with diabetes mellitus which intensify the burden on the health system. Home Based Carers (HBCs), also known as Community Health Workers need to undergo training before taking – up health-related jobs at the community level. HBCs who care for patients with cardiovascular diseases at the community level need to be trained on how to care for their patients at care and management. The systematic literature review method was used to review literature related to diabetes mellitus, type 2 diabetes mellitus, Community Health Workers, CHWs diabetic knowledge and diabetes mellitus, diabetic training of CHWs. The following themes and their subthemes have emerged: (1) The use of Practice orientated theory for training development which include the agent, the recipient, the context, the dynamics, procedure and terminus; (2) The use of the ADDIE model in the development of a training programme for HBCs which include Analysis, Design, Development, Implementation and Evaluation. Two conceptual frameworks to be used to guide the development of the training programme for HBCs for people with diabetes. The ideas of Dickoff and others can be used to formulate the conceptual framework that guides the development of training for HBCs for cardiovascular patients. The six concepts of the survey list include agent, recipient, context, dynamics, procedure and terminus. Instructional design system following the ADDIE model provided practical steps for organising training development project. According to Branch, ADDIE’s model describes and prescribes what needs to happen during the process.


2011 ◽  
Vol 37 (2) ◽  
pp. 529-537 ◽  
Author(s):  
Maia Ingram ◽  
Kerstin M. Reinschmidt ◽  
Ken A. Schachter ◽  
Chris L. Davidson ◽  
Samantha J. Sabo ◽  
...  

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