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Understanding implementation contexts and determinants of e-learning for global health security competency-based
Kehinde O Ogunyemi1,2, Virgil K Lokossou3, Senait Kebede4
1Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA. ogunyemikehinde89@gmail.com.
Npj Health Systems
|July 29, 2026
Summary
Multi-communication online training (MOT) can enhance public health workforce capabilities in low- and middle-income countries (LMICs). Key implementation factors include intervention design and outer setting policies for effective e-learning deployment.
Area of Science:
- Public Health
- Health Workforce Development
- E-learning Implementation
Background:
- E-learning presents significant opportunities to bolster the public health workforce's ability to manage health emergencies.
- Multi-communication online training (MOT) is a key e-learning modality for capacity building in low- and middle-income countries (LMICs).
Purpose of the Study:
- To identify the implementation contexts and determinants of MOT in LMICs.
- To map MOT constraints and enablers using the Consolidated Framework for Implementation Research (CFIR).
Main Methods:
- Utilized the updated Consolidated Framework for Implementation Research (CFIR) to analyze MOT implementation.
- Mapped existing MOT constraints and enablers onto the CFIR's five domains and 39 constructs.
Main Results:
- Implementation contexts were identified across all five CFIR domains, with intervention (26.7%) and inner/outer settings (23.3% each) being most prominent.
- Sixteen determinants of MOT implementation were identified, with intervention design (16.7%), outer setting policies (13.3%), and local conditions/resources (10.0%) being the top factors.
- Contexts and determinants varied across CFIR domains, highlighting the complexity of e-learning implementation.
Conclusions:
- Findings provide insights into the contexts and determinants influencing MOT implementation in LMICs.
- Results can guide evidence-informed strategies for prioritizing e-learning resources to enhance global health security training.
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