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 25th 2012

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.

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.

METHODOLOGY:

National Distance Learning Seminar Series (NDLS)

5

NDLS: Definition

1. Physical separation of place

2. Interaction is conducted through one or more media Between instructor and learner Among learners

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/

NDLS: Participants

Medical Officers: ARTC

CoE staffs

Physicians

Other Health Workers

NDLS: Logistics Required

Computer with Internet Connection and speaker

Projector

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).

NDLS : Log-on Instructions

Type the URL as provided in the space

NDLS : Log-on Instructions

NDLS : Log-on Instructions

NDLS: Feedback

After each session:

Debriefing ( if there is a group) Participant Sign-in sheets Participant Feedback Forms Site Coordinator Feedback Forms

RESULTS

National Distance Learning Seminar Series (NDLS)

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)

Log in details: No. of Participants

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285 Partic-ipants

54 3

436 2

331 26

New and repeat participants.

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NewRepeat

NDLS: Participation over time

September 2010

toMay 2011

June 2011 to

November 2011

December 2011to

May 2012

NDLS: Participant Interaction

35%

15%35%

15%

No of Questions asked dur-ing the Session

0 to 5 6 to 9 10 to 15 > 15

NDLS: State-wise Participation

GoaKerala

MeghalayaMizoram

OrissaSikkim

BiharMadhyapradesh

ManipurPunjab

WestbengalAssam

ChattisgarhRajasthan

UttrakhandKolkata

DelhiJharkhand

ChandigarhUttrapradesh

KarnatakaGujarat

MaharastraAndhrapradesh

Tamilnadu

0tan28a566028 0tan10a566010 0tan21a566021 0tan3a56613 0tan14a566114

Facility-wise Participation

55%

19%

22% 3%

ART Centers Private HospitalsCoE's SACS

Speakers / Place of telecast details

No. of speakers: 24

Clinical usefulness

Yes No0tan28a566028

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Do you think this session was useful in enhancing your clinical knowledge /skills?

231

4

Clinical usefulness

0tan28a566028

0tan9a56609

0tan19a566019

0tan29a566029

0tan9a56609

Enhancing the Knowledge/Skills

YesNo

National (NACO) Faculty…

CoE Faculty..

I-TECH Faculty…..

International Faculty…

WHO Faculty…

Lessons LearntIt is an effective approach to increase the knowledge and skills of the medical officersIt is interactiveEasy to reach the whole country through involvement of national programme managers

Limitations

Difficult to evaluate outcomes over distance

Challenges with Internet Connection and Technical Difficulties

Difficult to coordinate times that work across multiple time zonesStrong Central and Local Coordination is necessary

Thank youPEPFAR