Adapting paramedic training in isolated areas

Description

Let’s build together Midwives training for remote areas in sub-Saharan Africa.

Activity C3 held online on November 18 2021, 13:15 to 14:15.

Facilitated by Mathilde Matringe and Perrine Courtois from EchOpen.

Video

To be released.

Notes

Video to be released.

So we got different insights through the questionnaire on how to build a training in remote area, among others for Benin where we have a project ongoing

I will share the screen with the inputs from different people including a Benin doctor - each post-it is an answer - there is a color per people answering but not identified

Once we will have gone through all topic,s we will have a discussion

We will go to each zone to see the answers

Personal experience

• People with field experience, or got an online training, and some have experience with paramedic

About digital or in presence

• More answers on digital especially in the current context, but with a part that would be offered offline too, with training sessions in presence that should be organized regularly

Best practices

• Ergonomy - different formats, synthesis flyers, visual information, etc with people responsible to relay information, with a sharing platform, and user tests
• Access - foster mobile over computer, enable replay
• Pedagogy - a field-based community, with a bottom-up approach, creating loyalty, with people having responsibility when they want to, creating tools for people who are getting to be trainers, and ensure user satisfaction, both users and paramedic- being examined with an echo stethoscope is quite new - patient play a key role in seeing the benefit of the tool - with a positive, inclusive approach
• Interactions - both online and in person, proposing to have six parts, also foster space repetition, to ease cognitive learning
• Partners -  building on the local community and local partners, government, science societies, humanitarians

Challenges

• Not too long, lack of interaction
• Funding of the material for caregivers

Webaccess

• Challenges to Internet access, usually easier in hospital or cities, but data is very expensive, with differences depending on countries, for example between Cameroon and Benin - one option is to provide this webaccess thanks to a variety of solutions - possibly with new material to ease - maybe also an option to receive and send sms between the phases to get answers - also develop connecting centers in different places where people could gather data

About places to connect

• Yes except where there is good coverage - there is a mapping to do
• At home, at work, medical centers, UN training centers, a truck that moves

On schedules of trainings

• Short but engaging to enable nurses to update their training
• Training adapted to the schedule of professionals, for example not during medical consultation
• Should be done as part of the working day

Mentoring

• Regular, constructive, no waiting time, supportive, ability to network with other people being trained or already trained - also clinical cases on other areas of care where echo stethoscopy is used
• Peer to peer is key
• Question open about midwives, we lack experience
• In Benin for ex midwives do not do echography yet

Training

• Hierarchy can have a major importance, especially depending to age and sex
• important to have both midwives and physicians in the same training, to also improve the cooperation across fields

Funding

• Various inputs, some say sponsors should be found, others that it should be autonomous

What we miss today is to know who are midwives in rural areas

Here is a chart synthesizing the possible training, with the second part on interactions between training sessions

So we had 10-15 answers from caregivers, project coordinators, etc.

For contact with the field we have support from a pharma foundation that helps us

About training, the idea is to have people locally that will be relays, with the idea that people can take ownership of the solution- for example Marie-Laure works with a midviwe in Benin to create the training with people on the field, so that they are autonomous and motors of action

Any input about how to organize this mixed online and offline learning ?

Anne - the identification of needs is important- what about pedagogic video, where best practices could be shared

Fabio - we had an activity presenting https://mindlogger.org/about.html where data and testimonials in various formats can be collected and shared

Vanessa - noted different points to address with midwives Anne - from the report we wrote a NGO SME in Laos set up groups of caregivers in different medical care settings who encourage cooperations across levels of care (local, regional, authorities, etc), and also internships to discover various contexts - also the importance to include minorities in these activities, which are usually less represented, both as participants and coaches - Guide pratique qui capitalise des expériences d’une dizaine d’ONG: https://www.fedevaco.ch/santepourtous - cette expérience au Laos: https://www.fedevaco.ch/fileadmin/user_upload/Fedevaco/Partage_de_savoirs/Sant%C3%A9/201809_FEDEVACO_centre_de_sante_Fiche_E.pdf