Health Enablement & Learning Platform Introduction€¦ · Confidential –not to be shared or...

HELPHealth Enablement & Learning Platform

Introduction

4 June 2015

Copyright © 2015 Accenture & Amref Health Africa. All rights reserved.

Confidential – not to be shared or disseminated without explicit permission from Accenture & Amref Health Africa2

Background


Confidential – not to be shared or disseminated without explicit permission from Accenture & Amref Health Africa

Many developing and emerging countries are facing a severe shortage, and

significant skills gap, of frontline health workers

The Challenge: A Shortage of Trained Frontline Health Workers

3

By 2035, there will be a global deficit of 12.9 million skilled doctors, midwives and nurses.

This shortage is particularly critical in rural and remote areas.

Frontline health workers play a key role in reducing maternal & child mortality & combatting major diseases.

Skilled Health Workforce to Population Ratios in 2013

Low (<.23%)

.23% to .35%

.35% to .59%

High (>.59%)

Density of skilled health workforce

Source: 2013 WHO Report, A universal truth: no health without a workforce



Community Health Workers (CHWs) help to fill the health worker gap, providing

basic health care & education to their communities, families and children

The Roles, Responsibilities and Impact of Well-Trained CHWs

4

Evidence shows CHWs can improve health outcomes for large populations in

under-served regions.

Source. http://www.coregroup.org/our-technical-work/program-learning/community-health-workers/327-review-of-chw-effectiveness-for-mdgs

Full utilisation of CHWS could save 3.6 million children’s lives each year

PROMOTION

PREVENTION

TREATMENT

REFERRAL

• Prenatal & postnatal visits to health facilities

• Pregnant women to seek care at delivery

• Anti-malarials for fever

• ORT for diarrhea

• Antibiotics for pneumonia and dysentery

• Vaccine & nutritional counseling

• Use of insecticide-treated bed nets

• Mother-to-child HIV transmission

• Recognize danger signs for mothers, newborns, children and refer

• Follow up post-health facility visit

1

2

3

4

CHW Roles and Responsibilities CHW Impact

DATA COLLECTION

5 • Disease surveillance

• Mother & child data collection

http://www.coregroup.org/our-technical-work/program-learning/community-health-workers/327-review-of-chw-effectiveness-for-mdgs



However there is a pressing need for a more sustainable, scalable approach to

CHW capacity building

The Challenges in CHW Capacity-Building

• Following 10 days pre-service training CHWs are often left with little or no ongoing support.

• Refresher training is uncommon.

• Access to peer & supervisor support is variable, especially in rural areas.

5

Increasing demand for CHWs

Need for ongoing training & support

Face to face training is expensive and time-intensive

• Ministries of Health are strengthening their community health policies, particularly around the training and support of CHWs.

• They need require partners and new capabilities to support this.

• Running ten-day face to face training sessions takes a lot of time (for implementers, Community Health Extension Workers (CHEWs) and CHWs).

• The costs of face to face training limit scale (travel, accommodation, venue etc).



This presents an opportunity to realize lasting health change by providing CHWs

with the knowledge and skills to break the cycle of poor health & poverty

The Opportunities for HELP to Support CHW Capacity Building

• There is increasing global recognition of the importance of CHWs

• Ministries of Health (MOHs) are developing strategies, curricula and content for CHWs

• CHW training organisations want to collaborate to enable scale and sustainability

• 97% of CHWs have a mobile phone

6

HELP provides a more sustainable, scalable solution for CHW capacity

building, leveraging the mobile phone in the CHW’s pocket and available to all

CHW training organisations.



Introduction to HELP



Our sophisticated learning manager system schedules delivery of curriculum topics & learning activities, following our mPedagogy.

HELP is a mobile phone-based tool to train and empower CHWs flexibly,

when it suits them

An Introduction to HELP

8

CHEWs can use mobile reports to monitor CHW progress, identify top performers & motivate learning. Each user had a personal digital record of their training.

Health decision trees support real-time diagnosis of prevalent diseases, as well as introducing gamification to motivate learning.

Our group chat feature promotes collaboration & discussion of health issues between CHWs & CHEWs.

HELP works on even the most basic mobile communication channels, delivering content in English & Swahili.*

Content search allows users to access any mTopic, as they need.

*Smart enhancements in development



1.

2.

3.

We believe we can strengthen the health system broadly by focusing on building

the capacity of the community health workforce from the ground up

Impact Framework (Theory of Change)

Enabling health workers to be

better at their jobs providing

first-line healthcare

o On-demand access to essential

information, tools and services

o Collaboration tools for knowledge

sharing & support

Better equipped health

workers provide better care

and have higher

performance, leading to

improved community health

Provide effective, high quality

training to more health

workers, more efficiently

o Blended learning reduces F2F reqts

& improves learning experience

o Structured pedagogy delivers high

quality MoH-approved content and

drives impact

More health workers are

better at their job which

increases motivation, job

satisfaction and retention

9

Improve health worker

performance and strengthen

workforce management

o Build capacity of supervisors with

richer content and supervision tools

o Connect CHVs to the formal health

system and create digital records of

their training and career

development

All aspects of the health

system strengthen due to

health workers having more

capacity and supervisors

better able to manage the

health workforce

Outcomes ImpactHow



HELP has an all-around compelling value proposition for our key stakeholder

groups

HELP Value Proposition

10

Ministry of Health

An impactful, efficient method of building and managing

the capacity of the health workforce at scale and

strengthening the health system by growing talent

Implementers

A powerful service that can integrate well into your

programme and drive real value and impact, backed by a

reputable partnership

Supervisors

An efficient and effective way to manage your health

workforce and build your capacity as a manager in a

critical role for the Ministry of Health

Integrated Programme Partners

Better educated and equipped health workers strengthen

service delivery through improved performance and

motivation

Donors

Solid value for money solution providing high quality

training to the health workforce in alignment with the

Government and in collaboration with multiple partners

Community Health Workers

A powerful service always available to you to help you

build your skills and career in health, creating a personal

digital record of your training, while supporting you to

deliver great care to your community

Content Partners

A powerful solution for delivering content and learning on

a scalable platform that combines our mPedagogy with

sophisticated technology for the best learning experience

Influencers

Better educated and equipped health workers strengthen

service delivery through improved performance and

motivation

See ‘Our History’ for details on the impact and effectiveness of HELP.



How HELP works



Our unique, innovative mPedagogy is followed within each mTopic to enable high

quality, enjoyable learning

The HELP mPedagogy

12

The HELP mLearning solution is a balanced act between Pedagogy, Content and Technology…

…founded on the characteristics of good and effective learning…

…and orchestrated using a learning chain with right pace, rhythm and tools of mLearning for long lasting professional development



HELP content is developed in collaboration with the Ministry of Health, based on

the Ministry of Health’s CHW Curriculum

List of Available HELP Training Modules

13

Content available on HELP*

Curriculum Basic Modules

1. Health and Development in the Community

2. Community Governance and Leadership**

3. Communication, Advocacy and Social Mobilization

4. Best Practices for Health Promotion and Disease Prevention

5. Basic Health Care and Lifesaving Skills

6. Management and Use of Community HealthInformation and Disease Surveillance**

Other Modules (not based on the Curriculum)

7. Non-Communicable Diseases (Technical Module)

8. Ebola

9. Trachoma

*Details in appendix**Not currently fully available on HELP



HELP delivers capacity-building content and tools to mobile phones through text

(SMS & USSD) and audio (IVR)*

The Technology, Content, Tools and Channels behind HELP

14

TechnologyComponentsBack-end solution support

Technology Platform

Mezzanine Helium

UsersPlatform consumers and contributors

CHEWs

ChannelsPaths for data exchange - push & pull

ToolsHigh-level platform capabilities

Blended

Training

Productivity

Enhancement

Tools

Group Chat

Tool

Supervision

Tools

Content

Search

ContentHealth-related content

CHWs

Mobile Web Mobile App Desktop Web

Text Video/AnimationsPhotosAudio

SMSPhone Call (IVR) USSD

USSD

Greyed out=in development

*Smart-enhanced HELP is in development



HELP is built on Mezzanine’s Helium platform

HELP Technical Architecture

15

CHW / CHEW

SMS USSD IVR

Gateway

Infobip

Safaricom

- App Server- App Logic

vXML Browser

Helium DBSMS Content

Moodle LMS

LMS Manager

Gateway- Content

Infobip

UI- Menu Builder

Infobip

HeliumWeb App

Moodle Web App

Safaricom VM

Tech Support

Gateway

Safaricom

-vXML- Content

Safaricom VM

Safaricom VM

IVR Support

http xml

?

Batch mode Reporting Batch mode Schedule, Users, SMS Content

IVR Content

Mezzanine Kenya

USSD Support

Safaricom

Function

Where does it reside

- Content (IVR, SMS)- Schedule (TSA)

- Reporting- Users

KEY

Scheduler



HELP is driven by a cross-sectoral partnership, leveraging the partners’ capabilities

and expertise to deliver a highly impactful, integrated mHealth solution

16

Lead the custom development of the technology platform and provide multi-channel mobile health solutions.

Mobility Partnership

Kenya Ministry

of Health

Provide regulatory oversight & technical guidance to ensure project plans & implementation approaches are of high quality in line with the national technical guidelines.

Provide the extensive telecom infrastructure and data centres required to deploy the HELP solution across Kenya.

Own vision and ultimate strategic direction of HELP. Provide day to day project leadership and community engagement.

Build the capacity of the core team by providing expertise in program strategy, delivery, technical design, mobility, and learning methods. The Accenture Foundation provides funding.

The Roles within the HELP Partnership: Bringing Together Leading

Organizations

Funding



Working with Others



We want to work with you to leverage HELP in your programmes

HELP differentiators

• HELP is a unique mobile solution to enable CHW capacity building.

• HELP is aligned to the MoH national strategy, curricula and content.

• Our supplementary training approach, agreed with the MOH, allows a reduction in face to face training.

• CHWs get an individual digital training record.

• We have shown the improvements in quiz scores, and enjoyment of CHWs, in our pilot.

• Training with HELP provides value for money and is better than face to face training alone.

• HELP is built on a strong cross-sectoral partnership.

• We have the ability to scale to other countries and cadres of health worker.

• We can integrate with other programmes and solutions.

18

We’d be very interested to speak further with you to craft an opportunity to work with your organisation to support your health workers.



Set strategy

Provides mLearning services

Train

Implementers

We are talking to many stakeholders within this ecosystem

Some Example Stakeholders Within this Ecosystem

19

Ministries of Health Donors

Community Health Workers

Solution Partners

Influencers

HELP• Leadership & Programme Mgmt • mLearning Innovation & Development• mLearning Deployment• Operations• Technology

Delivery Partners

INDICATIVE

http://www.jhpiego.org/

http://www.jhpiego.org/

http://www.savethechildren.org/site/c.8rKLIXMGIpI4E/b.6115947/k.8D6E/Official_Site.htm

http://www.savethechildren.org/site/c.8rKLIXMGIpI4E/b.6115947/k.8D6E/Official_Site.htm

http://1millionhealthworkers.org/

http://1millionhealthworkers.org/



HELP’s capacity-building tools are complementary to other mHealth tools

How HELP Can Complement Other mHealth Solutions

20

Data Collection &

M&E

ExamplesJamii SmartCommCare

HELP Vaccines Mgmt

ExamplesmVaccination

Supply Chain

Examplese-Health

AfricaCommTrack

“Integrated” Process Services

Enab

leme

nt

Learnin

g

MiddlewareMezzanine / Dimagi / Other

Android Platform

1 2

3

1

2

3

Health Learning• mPedagogy/ Structured Learning• MoH Curricula for CHWs & CHEWs• Over 50 mTopics available;

supplementary approach reduces F2F training reqts

• Basic & Smart Phone Capable

Enablement (Capacity Building)• Job Aids• Diagnostic Trees/ Algorithms• Group Chat• Supervision Support• Data Utilization & Analytics/ Feedback

loop

Integrated Services• Programme & Process Integration• Integrate content and training• Share data/ analytics for feedback • Works across Middleware Solutions (on

Android)

Our Focus

Enabled by the capabilities of an experienced cross-sectoral organisation



HELP provides a structured set of offerings which have been developed

based on clear need and opportunity to make impact

HELP Offerings

21

Pre-service & In-Service Training

Enablement Tools & Services (Silver)

Learning manager

Group Chat

Content Search

Job Aids

Supervision Support

Decision Trees

xx

Pre-Certified Supplementary

Training(Platinum)

Refresher Training(Gold)

Programme-Specific Training

Community Education

(messaging/ podcasts)

Additional Services

Curriculum & Content Development

Mobile Content Development

Training Design Advisory

Training Delivery Advisory

CHEW Pre-Certified Training

(Smart)

Performance Management

Reports

Digital Training Records for

Health Workers

Workforce Management

Data

Structured Learning

Enablement Tools

Health Worker Supervision

Content & Training Advisory

Mo

bile

Tec

hn

olo

gy S

olu

tio

nSe

rvic

es



The HELP team would work with any potential partner to design roles and

responsibilities to ensure a successful programme

HELP Roles & Responsibilities

22

HELP provides Partner manages

Project Management

• Introductory meetings to plan programme• Weekly support calls with the Project &

Operations Lead

• Joining introductory meetings and weekly support calls

Face to face training

• Train the trainer session for your staff from our experienced project leads:• how to train supervisors to train CHWs

(how to use HELP)• how to manage first line support calls

(more complex queries escalated to the HELP team)

• Any face to face training for CHWs (including on the National Curriculum and How to use HELP)

• Training supervisors in how to train CHWs

Operations

• Management of users and content on the HELP platform

• Providing names and mobile numbers for all CHWs to be trained, and their supervisors, in the provided template

INDICATIVE – TO BE DESIGNED SPECIFICALLY WITH EACH PARTNER



Would You Like To Know More?

Get in Touch with the HELP team

23

Mike PuglisiAccenture HELP Delivery LeadEmail: [email protected]

Caroline Shakwei MbindyoAmref Health Africa eHealth Programme ManagerEmail: [email protected]

Get the latest news and additional resources on our website at ehealth.amref.org/help and find us on Facebook n and Twitter .

Jackie KiarieAmref Health Africa HELP Project ManagerEmail: [email protected]

Trip AllportHELP Partnership FacilitatorEmail: [email protected]

ehealth.amref.org/help

https://www.facebook.com/pages/Health-Enablement-and-Learning-Platform-HELP/340823772782256?notif_t=page_invite_accepted

https://www.facebook.com/pages/Health-Enablement-and-Learning-Platform-HELP/340823772782256?notif_t=page_invite_accepted

https://twitter.com/HELP__Health

https://twitter.com/HELP__Health



Appendix

• Glossary

• List of Available HELP mTopics

• Phase 1 Report

• Phase 2 M&E Framework



Common terms are defined here

Definitions

Term Definition

CHEW Community Health Extension Workers, CHW supervisor, often a nurse or Clinical Officer.

CHV Community Health Volunteer, term used in Kenya as CHWs are volunteers.

CHW Community Health Workers, broader term referring to a community member, chosen by their community to provide basic health and medical care to their community.

Collaborative platform Platform based on a partnership model which allows implementers to use, and contribute to, the HELP solution.

HELP Health Enablement & Learning Platform

mTopic Training topic delivered through a mobile phone.

mLearning Learning through a mobile phone.

MOH Ministry of Health

Shared service A service made available to any health worker training and enablement implementer, based on a per health worker cost.

25



List of Available HELP mTopics



Our mContent is aligned to the Kenyan National Curriculum and developed with

the Ministry of Health

List of Available HELP mTopics (1/2)

27

Key

Available in 2015

F2F only

# MoH Curriculum Module # HELP mTopic

1 Health and Development in the Community 1 Importance of Health

2 Health and Development in the Community

3 Role of CHWs in the Community

4 Sustainable development in the community

5 Kenya Essential Package for Health

2 Community Governance and Leadership N/A Concept of good governance

N/A Roles and functions of CHC

N/A Effective leadership

N/A Leadership Styles

N/A Community Problems and Problem solving skills

3 Communication, Advocacy and Social Mobilization

6 Basics of Communication

7 Basics of Counselling

8 Advocacy

9 Community dialogue

4 Best Practices for Health Promotion and Disease Prevention

10 Health Promotion

11 Health Promotion Activities

12 Care of New-borns and Infants

13 Family Planning

14 Ante Natal Care



Our mContent is aligned to the Kenyan National Curriculum and developed with

the Ministry of Health

List of Available HELP mTopics (2/2)

28

# MoH Curriculum Module # HELP mTopic

4 Best Practices for Health Promotion and Disease Prevention

15 Danger signs in pregnancy & after delivery

16 Danger Signs in children under five years

17 Maternal and Child health nutrition

18 Water safety, Hygiene & Sanitation, Hygiene & Sanitation

19 Common diseases in the community

20 Promotion of healthy lifestyle

21 Substance Abuse

22 Sexual and Gender Based Violence

5 Basic Health Care and Lifesaving Skills 23 Basic life saving skills & injury prevention

24 First Aid

25 Referral

6 Management and Use of Community HealthInformation and Disease Surveillance

N/A Management and Use of Community Health Information

26 Community based disease surveillance

13 Non-Communicable Diseases 27 Non-communicable Diseases

14 Other 28 Ebola

29 Trachoma

Key

Available in 2015

F2F only



Phase 1 Report



The profile of the CHWs who took part in HELP Phase 1 varied across the three

pilot sites (Kibera, Mwingi & Samburu)

Profile of the CHWs in Phase 1

30

48%

52%

Samburu

Male Female

43%

57%

Kibera

Male Female

25%

75%

Mwingi

Male Female 0%

5%

10%

15%

20%

25%

30%

35%

Samburu Kibera Mwingi

Age Group (years)

<25 25-29 30-34 35-39 40-45 >45

0%

20%

40%

60%

80%

100%


Years of Service as a CHW

< 1 year >1- 2 years >2-3 years >3-4 years >4-5 years >5 years

0%

20%

40%

60%

80%

100%


Highest level of education

None Primary Secondary Tertiary

Percentage of male and female CHWs in the three pilot sites



During the pilot, mTopics from the national CHW curriculum were delivered to 300

CHWs across Kenya, who will reach 30,000 people

mTopics delivered in Phase 1

• Family planning

• Antenatal care

• Danger signs in pregnancy

• Danger signs in new born and under five

• Maternal and child nutrition

• Maternal and child and nutritional assessment

• Common diseases in the community

• Basic life saving skills and injury prevention

• Sexual and gender based violence

• Kenya essential package for health

31



Training with HELP was very effective, improving CHW post test scores by an

average of 15%

The effect of the different training approaches on quiz scores

32

We tested three training approaches:1. Face-to-face: learners received complete training using the traditional face-to-face approach.2. Complementary: content covered in face-to-face training was also delivered through mLearning to provide

repetitive exposure to the learning content. 3. Supplementary: learners received some of the content through face-to-face and the remainder through

mLearning. This was aimed at assessing if mLearning alone was effective.

50%

60%

70%

80%

90%

100%

Face-to-face Supplementary Complementary

The effect of the different training approaches on quiz scores

Before face-to-face After face-to-face After mLearning



0%

10%

20%

30%

40%

50%

60%

70%

Which topics were most useful to your routine work?

Family planning was rated as the most useful mTopic, and the Kenya Essential

Package for Health as the least useful

CHW feedback on the mTopics

33

0%

10%

20%

30%

40%

50%

Which topics were challenging / difficult?

Based on interviews with 245 CHWs and three focus groups with 36 CHWs.



There was a range in mTopic completion and mTopic quiz scores across the

three pilot sites

Uptake of HELP

34

50%

60%

70%

80%

90%

100%

Kibera Mwingi Samburu

Completion Rates for the best, and worst, topics

Family Planning Kenya Essential Package for Health

50%

60%

70%

80%

90%

100%

Kibera Mwingi Samburu

Scores for the best, and worst, topics

Family Planning Kenya Essential Package for Health

• The ‘Family Planning’ mTopic had the highest completion rate (92% average across the 3 sites).

• The ‘Kenya Essential Package for Health’ had the lowest uptake (77%) – with a notably low uptake in Kibera (59%).

• Completion of the mTopic appears to be correlated with high scores in Mwingi and Samburu, but not Kibera.




0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

Littleappreciation

Phonehanging

Duration oftraining

Groupinteractions

Wronganswers

Venue

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Power Lateresponse

Delayedresponse by

HELP

HELP notresponding

Small screen Manipulatingthe phone

• “Motivating factors were that learning was interactive through:• The stories used in teaching• Role plays were interesting• Rewards for completion• The CHEWs took the courses to see what CHWs were learning”

• “The use of mobile phone for learning was unique and a new experience that we enjoyed.”

• “The mLearning made it easier for us to learn new things.”

• “I would like this to continue, I never knew learning can be done through the phone, I only knew how to send messages and use Mpesa”.

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

Knowledgeon health

issues

Mobilelearning

technology

Technologyuse

Learningmade simple

Groupinteractions

Gifts Free airtime

CHWs liked using their mobiles for learning and enjoyed the group chat functionality,

but struggled with power, technology issues and lack of appreciation

CHWs Perspectives on HELP

35

What did you think of HELP?

What did you like about HELP? What hindered you from completing all of the topics?

What did you not like about HELP?




Ninety-seven per cent of the CHWs were happy using a mobile phone for

learning

User experience feedback

36

Yes

No

Very good

Good

Fair

Difficult

Yes

No


Were you happy with the experience of using your mobile phone for learning?

What was your experience of manipulating the mobile phone?

Did you manage to go complete all of the topics?




CHWs appreciated being able to access HELP flexibly, in their own time and on

demand

CHW feedback on the benefits of HELP

37

0%

10%

20%

30%

40%

50%

60%

I canaccess info

in anemergency

I gainedknowledge

I can workand learn

It savestime

I can chatwith

colleagues

It's simple I gotexperience

What did you like about HELP?

0%

10%

20%

30%

40%

50%

60%

Need to HELPothers

Improvelearning skills

Handling healthproblems

Interestingtopics

Mobile useinteresting

What is your motivation for continuing to work with HELP?




However CHWs faced a number of challenges when using HELP

The Challenges of the Phase 1 Pilot

• CHWs reported difficulties accessing the help desk.

• CHWs would run out of memory on their phones and so have to delete content SMSs (a Search feature has been added to address this).

• The presence of other projects in implementing sites created some misunderstanding and expectations amongst CHWs.

• CHWs struggled with USSD (this has since been dropped).

38

0%

10%

20%

30%

40%

50%

No smart phones Delayed answers Limited phone memory Poor network Lack of allowance Battery problems Topic repetition

What challenges did you face when using HELP?




Phase 2 M&E Framework



An essential aspect of Phase 2 is to extend our understanding of the impact of

HELP

The Phase 2 Monitoring & Evaluation Approach

40

• Measuring outputs, outcomes and impact of the programme

• Evaluating the effects on CHW & CHEW employability.

• Health worker empowerment, job satisfaction and long-term retention

• Interactive, rather than didactic, relationship to a knowledge and skills resource

• Extend engagement of communities and patient populations in managing health care.

• Technology platform and 3rd party integration

• Ownership of HELP by stakeholders

• Alignment to MoH Community Health Strategy & government policy

• Potential funding models • mLearning contribution to learning

outcomes.

Project performance and resultsQualitative shifts in health system capacity and performance

Conditions necessary for scalability

We are following a structured results-based approach to enable simple, consistent and objective metrics of performance and achievement.



We are evaluating CHW outputs, health system capacity and performance

outcomes and health impacts

The Phase 2 Monitoring & Evaluation Framework (1/2)ACTIVITIES OUTPUTS CAPACITY

OUTCOMES

Mid- Phase II

HEALTH SYSTEM

PERFORMANCE OUTCOMES

MID-LATE Phase II

IMPACT ON HEALTH

1.1.1 Technical Working Group for

mobile content development identified 1.1 Ownership of the mobile learning

process by relevant stakeholders

engaged in the implementation of

Community Health Services (CHS)

1. Improved

skills of CHWs

and CHEWs to

be more

effective in-

health service

delivery to the

community

1. Higher quality healthcare

service delivery by CHWs

1.1.2 Mobile learning topics from the

CHW curriculum identified

1.2.1Mobile learning topics from the

CHEW curriculum identified (March

2015)

1.2 Appropriate learning pedagogy

employed in development of learning

content

1.2.2 Appropriate Mobile learning

pedagogy employed in development of

mobile learning content development

1.3 Comprehensive mobile learning

content for CHWs developed to

complement and enhance face to

face training

Lasting health change

in Africa through

improved access to

health care and

improved health and

economic outcomes

The project will

eventually support

thousands of

community health

workers in Kenya, with

the initiative

extending to other

countries in the

future.

2.1.1 Identify project implementation

sites ; Rural, Nomadic and Urban sites

for Phase II deployment

2.1 2940 CHWs trained using the

mobile learning solution

2.2. Identify ~3000 CHWs in AMREF

supported projects for mobile learning.

This will be sourced through AMREF

and their existing partnership networks

2.2 60 CHEWs trained using the

mobile learning solution2. Reduced attrition rates of

CHWs

41



We are evaluating CHW outputs, health system capacity and performance

outcomes and health impacts

The Phase 2 Monitoring & Evaluation Framework (2/2)

ACTIVITIES OUTPUTS CAPACITY

OUTCOMES

Mid- Phase II

HEALTH SYSTEM

PERFORMANCE OUTCOMES

MID-LATE Phase II

IMPACT ON HEALTH

3.1.1 Adapt the learning requirements

to technical requirements

3.1 System meets the design

specifications to support mobile

learning

2. A feasible,

scalable and

extendable

mobile learning

technological

platform

developed.

3. Increase the adoption of

innovative technologies in

reducing duplication, driving

efficiencies and providing

evidence for building stronger

health systems

Lasting health change

in Africa through

improved access to

health care and

improved health and

economic outcomes

The project will

eventually support

thousands of

community health

workers in Kenya, with

the initiative

extending to other

countries in the

future.

3.2.1 Adapt the CHW and CHEW

requirements for the HELP solution to

technical requirements 3.2 System supports third party

integration, resulting in an increased

number of partners utilizing the HELP

solution

3.2.2 Adapt third party requirements to

technical requirements

3.2.3 Implement the HELP solution

4.1.1 Develop criteria and work plans

for 3rd party partner organization

involvement

4.1 Relevant stakeholders involved in

capacity building of community

health workers identified and

integrated into the HELP Platform

4.2.1 Implement the HELP solution4.2 300 CHWs trained by third party

stakeholders using mobile learning

42

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