Self-directed e-learning at a tertiary hospital in Malawi--a qualitative evaluation and lessons learnt

Area of Science:

• Medical Education
• Health Workforce Development
• Information Technology in Healthcare

Background:

• Malawi experiences a critical shortage of healthcare workers, impacting medical staff training.
• This deficiency particularly affects medical interns, crucial for independent practice.

Purpose of the Study:

• To evaluate the relevance and appropriateness of an introduced e-learning platform at Kamuzu Central Hospital (KCH) in Malawi.
• To enhance the quality of medical training and access to current medical materials for interns.

Main Methods:

• Qualitative evaluation using face-to-face interviews and a group discussion.
• Data collected through observation logs and analyzed using content analysis.
• Purposive sampling used for interviewee selection.

Main Results:

• E-learning was technically feasible and deemed relevant and appropriate by users.
• Concerns identified regarding sustainability, infrastructure, and Malawian partner involvement.
• Low awareness and knowledge of the platform despite high user interest.

Conclusions:

• E-learning implementation requires local stakeholder commitment and adequate infrastructure.
• Specific adaptations to local needs are essential for increased usage and accessibility.
• Clear responsibilities and partner involvement are crucial for successful e-learning initiatives.