Usability and Feasibility of an Innovative mLearning Approach for Nurses Providing Option B+ Services in Manica and Sofala Provinces, Mozambique
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Jane Kim1, Florência Floriano, Georgina De Castro
1Jane Kim, BSN-RN, is a DNP-FNP student, School of Nursing, University of Washington, Seattle, Washington, USA. Florência Floriano, BSN, is a Research Nurse, Health Alliance International, Mozambique. Georgina De Castro, BSN, is a Research Nurse, Health Alliance International, Chimoio, Manica, Mozambique. João Luís Manuel, MPH, is an Education Specialist, Beira Operational Research Center, Mozambique. Celso Inguane, PhD, MPH, is a Postdoctoral Fellow, Department of Global Health, University of Washington, Seattle, Washington, USA. Kristjana H. Asbjornsdottir, PhD, MPH, is an Acting Assistant Professor, Department of Epidemiology, University of Washington, Seattle, Washington, USA. Falume Chale, BS, is a Staff Researcher, Beira Operational Research Center, Mozambique. Justina Zucule, BSN, is a Research Nurse, Sofala Province Directorate of Health, Mozambique. Kenneth Sherr, PhD, MPH, is Director of Implementation Science & Mozambique Programs, Health Alliance International, Chimoio, Manica, Mozambique, and Associate Professor, Department of Global Health, University of Washington, Seattle, Washington, USA. Sarah Gimbel, RN, PhD, MPH, is Co-Director, Center for Global Health Nursing, School of Nursing, University of Washington, Seattle, Washington, USA, and Adjunct Associate Professor, Department of Global Health, University of Washington, Seattle, Washington, USA, and Senior Technical Advisor, Health Alliance International, Seattle, Washington, USA.
Abstract:
The scaling of Option B+ services, whereby all pregnant women who test HIV positive are started on lifelong antiretroviral therapy upon diagnosis regardless of CD4 T-cell count, is ongoing in many high HIV burden, low-resource countries. We developed and evaluated a tablet-based mobile learning (mLearning) training approach to build Option B+ competencies in frontline nurses in central Mozambique. Its acceptability and impact on clinical skills were assessed in maternal child health nurses and managers at 20 intervention and 10 control clinics. Results show that skill and knowledge of nurses at intervention clinics improved threefold compared with control clinics (p = .04), nurse managers at intervention clinics demonstrated a 9- to 10-fold improvement, and nurses reported strong acceptance of this approach. "mLearning" is one viable modality to enhance nurses' clinical competencies in areas with limited health workforce and training budgets. This study's findings may guide future scaling and investments in commercially viable mLearning solutions.
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