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Published in: Human Resources for Health 1/2019

Open Access 01-12-2019 | Care | Research

Critical success factors for the implementation and adoption of e-learning for junior health care workers in Dadaab refugee camp Kenya

Authors: Aude D. Burkardt, Nicerine Krause, Minerva C. Rivas Velarde

Published in: Human Resources for Health | Issue 1/2019

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Abstract

This paper presents the results of a case study that analyses the critical factors that influence the implementation of professional health education via blended learning in Dadaab refugee camp. It explores innovative solutions to the issues facing refugees looking for professional health training, namely the health workforce shortage and lack of training opportunities. It outlines social and political factors that impact professional health education for refugee youth. It outlines barriers and facilitators on the implementation of ‘Distance Basic Training of Healthcare Professionals’, a blended training course provided by the University of Geneva to junior health care personnel in Dadaab Refugee camp.

Methods

This case uses mixed methods. Descriptive statistics drawn from online surveys, learning analytics data, and exchanges on online forums and student chat groups are all used. Qualitative methods consist of two focus groups, comprising of all students (n = 27) were convened, as well as, individual semi-structured interviews with 14 of the 27 students; three with managers from the health service who supervised enrolled students; and two with senior managers who were responsible for staff and training decision-making. Qualitative data was transcribed, and thematic analyses were applied.

Results

The results demonstrate that barriers for the implementation of professional education in a refugee camp emerged not only from the constraints on the environment, but also from barriers stemming from legislation and administrative procedures. Data suggested weaknesses on the education system could be addressed by providing students with extra-curricular support, information and communications technology (ICT) literacy, and promoting mechanisms for peer support while broadening entry requirements to increase the enrolment of female students. Finally, providing internationally credentialed courses and transferable skills enables professional pathways for refugee students.

Discussion

Blended learning enables the design and delivery of high-quality medical education that is sustainable and relevant in a particular environment, e.g. refugee camps. Furthermore, the research reveals that building education pathways could enhance numbers of health workers with the appropriate skillset to serve communities.
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Footnotes
1
In Kenya, refugees do not have the right to work. ‘Incentive work’ allows them to earn an income in the form of incentives as opposed to salaries. Incentives may include cash, vouchers or in-kind goods as compensation for work or services [24].
 
2
Refugee participants have been assigned a number or ‘FG’. It is used for quotes from focus groups. A letter is assigned to managers. Given the small number of participants, no gender or any other types of personal information will be referred to.
 
Literature
2.
go back to reference Tripartite Agreement Between the Government of the Republic of Kenya, the Government of the Federal Republic of Somalia and the United Nations High Commissioner for Refugees Governing the Voluntary Repatriation of Somali Refugees in Kenya, 2013 (Nov. 10, 2013), available on the European Council on Refugees and Exiles (ECRE) retrieved from https://perma.cc/5EVJ-P29P, July, 2017 Tripartite Agreement Between the Government of the Republic of Kenya, the Government of the Federal Republic of Somalia and the United Nations High Commissioner for Refugees Governing the Voluntary Repatriation of Somali Refugees in Kenya, 2013 (Nov. 10, 2013), available on the European Council on Refugees and Exiles (ECRE) retrieved from https://​perma.​cc/​5EVJ-P29P, July, 2017
7.
go back to reference Martineau T, McPake B, Theobald S, et al. Leaving no one behind: lessons on rebuilding health systems in conflict- and crisis-affected states. BMJ Global Health [Online]. 28 July 2017 [accessed 19 May 2018]. Available from: http://gh.bmj.com/content/2/2/e 000327.info. Dalmar, A. A., Hussein, A. S., Walhad, S. A., Ibrahim, A. O., Abdi, A. A., Ali, M. K., ... & Yusuf, M. W. (2017). Rebuilding research capacity in fragile states: the case of a Somali–Swedish global health initiative: Somali–Swedish Action Group for Health Research and Development. Global health action, 10 (1), 1348693. Martineau T, McPake B, Theobald S, et al. Leaving no one behind: lessons on rebuilding health systems in conflict- and crisis-affected states. BMJ Global Health [Online]. 28 July 2017 [accessed 19 May 2018]. Available from: http://​gh.​bmj.​com/​content/​2/​2/​e 000327.​info. Dalmar, A. A., Hussein, A. S., Walhad, S. A., Ibrahim, A. O., Abdi, A. A., Ali, M. K., ... & Yusuf, M. W. (2017). Rebuilding research capacity in fragile states: the case of a Somali–Swedish global health initiative: Somali–Swedish Action Group for Health Research and Development. Global health action, 10 (1), 1348693.
10.
go back to reference George, P., Papachristou, N., Belisario, J., Wang, W., Wark, A., Cotic, Z., Car,. T. (2014). Online eLearning for undergraduates in health professions: a systematic review of the impact on knowledge, skills, attitudes and satisfaction. Journal of global health, 4(1). doi: https://doi.org/10.7189/jogh.04.010406 George, P., Papachristou, N., Belisario, J., Wang, W., Wark, A., Cotic, Z., Car,. T. (2014). Online eLearning for undergraduates in health professions: a systematic review of the impact on knowledge, skills, attitudes and satisfaction. Journal of global health, 4(1). doi: https://​doi.​org/​10.​7189/​jogh.​04.​010406
15.
go back to reference Bediang, G., Perrin, C., de Castañeda, R. R., Kamga, Y., Sawadogo, A., Bagayoko, C. O., & Geissbuhler, A. (2014). The RAFT telemedicine network: lessons learnt and perspectives from a decade of educational and clinical services in low-and middle-incomes countries. Frontiers in public health. doi.org/10.3389/fpubh.2019.00188 Bediang, G., Perrin, C., de Castañeda, R. R., Kamga, Y., Sawadogo, A., Bagayoko, C. O., & Geissbuhler, A. (2014). The RAFT telemedicine network: lessons learnt and perspectives from a decade of educational and clinical services in low-and middle-incomes countries. Frontiers in public health. doi.org/10.3389/fpubh.2019.00188
17.
go back to reference Minden, Maureen. "Midwives for refugees." World Health 50.2 (1997): 18-9. 126176 Minden, Maureen. "Midwives for refugees." World Health 50.2 (1997): 18-9. 126176
18.
go back to reference Turner C, Carrara V, Thein NAM, Win NCMM, Turner P, Bancone G, et al. Neonatal intensive care in a Karen refugee camp: a 4 year descriptive study. PloS one. 2013;8(8):e72721.CrossRef Turner C, Carrara V, Thein NAM, Win NCMM, Turner P, Bancone G, et al. Neonatal intensive care in a Karen refugee camp: a 4 year descriptive study. PloS one. 2013;8(8):e72721.CrossRef
20.
go back to reference Cropley, L. (2004). The effect of health education interventions on child malaria treatment-seeking practices among mothers in rural refugee villages in Belize, Central America. Health Promotion International, 19(4), 445-452. doi.org/10.1093/heapro/dah406 CrossRef Cropley, L. (2004). The effect of health education interventions on child malaria treatment-seeking practices among mothers in rural refugee villages in Belize, Central America. Health Promotion International, 19(4), 445-452. doi.​org/​10.​1093/​heapro/​dah406 CrossRef
21.
go back to reference Ehiri JE, Gunn JK, Center KE, Li Y, Rouhani M, Ezeanolue EE. Training and deployment of lay refugee/internally displaced persons to provide basic health services in camps: a systematic review. Global health action. 2014;7(1):23902 doi.org/10.3402/gha.v7.23902.CrossRef Ehiri JE, Gunn JK, Center KE, Li Y, Rouhani M, Ezeanolue EE. Training and deployment of lay refugee/internally displaced persons to provide basic health services in camps: a systematic review. Global health action. 2014;7(1):23902 doi.​org/​10.​3402/​gha.​v7.​23902.CrossRef
22.
go back to reference Mbai, I. I., Mangeni, J. N., & Abuelaish, I. (2017, March). Chapter 13th Community Health Workers and Education in the Refugee Context. In Science Research and Education in Africa: Proceedings of a Conference on Science Advancement (p. 163). Cambridge Scholars Publishing, ISBN-13: 978-1443817752 Mbai, I. I., Mangeni, J. N., & Abuelaish, I. (2017, March). Chapter 13th Community Health Workers and Education in the Refugee Context. In Science Research and Education in Africa: Proceedings of a Conference on Science Advancement (p. 163). Cambridge Scholars Publishing, ISBN-13: 978-1443817752
23.
go back to reference Rivas Velarde M (2018) Understanding professional health education for refugees: health systems approach, Manuscript submitted for publication. Rivas Velarde M (2018) Understanding professional health education for refugees: health systems approach, Manuscript submitted for publication.
24.
go back to reference Morris, H. and Voon, F., 2014.Page 5 (2) Which Side Are You On? Discussion Paper on UNHCR’s Policy and Practice of Incentive Payments to Refugees. PDES PDES/2014/04, Policy Development and Evaluation Service, United Nations High Commissioner for Refugees, Geneva. http://www.unhcr.org/5491577c9.html. Morris, H. and Voon, F., 2014.Page 5 (2) Which Side Are You On? Discussion Paper on UNHCR’s Policy and Practice of Incentive Payments to Refugees. PDES PDES/2014/04, Policy Development and Evaluation Service, United Nations High Commissioner for Refugees, Geneva. http://​www.​unhcr.​org/​5491577c9.​html.
Metadata
Title
Critical success factors for the implementation and adoption of e-learning for junior health care workers in Dadaab refugee camp Kenya
Authors
Aude D. Burkardt
Nicerine Krause
Minerva C. Rivas Velarde
Publication date
01-12-2019
Publisher
BioMed Central
Keyword
Care
Published in
Human Resources for Health / Issue 1/2019
Electronic ISSN: 1478-4491
DOI
https://doi.org/10.1186/s12960-019-0435-8

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