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Skill-updates for senior immunization managers. Alan Brooks 26-28 May 2004 Kiev, Ukraine. Who Needs to be Trained?. Private Sector. Public Sector. Communities. Health Care Workers,. Surveillance Officers,. Logisticians, etc. Pre-service. MLM. SLM. AIM Modules.

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Skill updates for senior immunization managers

Skill-updates for

senior immunization managers

Alan Brooks

26-28 May 2004

Kiev, Ukraine

Skill updates for senior immunization managers

Who Needs to be Trained?

Private Sector

Public Sector


Health Care Workers,

Surveillance Officers,

Logisticians, etc




Aim modules
AIM Modules

  • Targeted skills based training

  • A la carte approach

  • E-learning to reinforce and expand information

  • Opportunistic

  • Collaborative process and common ownership

Highest priorities
Highest Priorities

  • Financial Sustainability

  • Considerations for introduction of new and underutilized vaccines

  • Multi-year and annual workplans

  • Program management

  • Strengthening ICCs

  • Assessments to improve programs

  • Health information as a management tool

  • Increasing public awareness

Skill updates for senior immunization managers

Customized & self paced learning process

Presentation of material in multiple modalities

Information easy to update & centrally located

Appeal of new technology -- the future


E learning disadvantages

Requires access to & knowledge of a computer & internet

Not exclusive - needs to be combined with other learning (face-to-face)

Internet is slow & unreliable

Potentially expensive


Learning about e learning
Learning about e-learning

  • Pilot (June - Dec 2002)

  • Reality Check in 2003

  • Roll Out in 2004

Pilot 6 months
Pilot (6-months)

  • Working with SUMMIT at Stanford University

  • Survey of SLM priorities

  • Survey of internet connectivity and access

  • Demo on introducing Hep B vaccine (team: WHO/CVP/CDC)

  • Evaluate as we went along

Access to computers internet e mail
Access to computers, internet & e-mail

  • All had access to a computer with CDROM

  • 70% of computers were less than 3-years

  • 70% had phone-line internet, 2 had fast-line

  • Hotmail and Yahoo most popular web sites, others include WHO, CDC, UNAIDS, MoH

  • More than half went on-line daily and the remaining went on 2 or more times a week

Skill updates for senior immunization managers

Internet connectivity in the field

  • Average speed of connection for field sites is 52K over phone-line (14.4K -- 56.6K)

  • Most had connections of average reliability (less than 5 disconnections per 10 dial-ups)

  • WHO technical and graphic considerations for Running Effective Meetings e-Learning module

Skill updates for senior immunization managers

Encouraging Results

  • Designed e-learning architecture (to meet specifications & so it will be transferable)

  • CDROM & Internet-based

  • Combined with face-to-face sessions

Skill updates for senior immunization managers

Module Formats





Follow-up by e-mail, next meeting agenda, informal groups

Skill updates for senior immunization managers

Facilitator Guides

  • Short modules on priority skills

  • Introduces e-learning tool within the module

  • Suggestions for follow-up, e.g., e-mail and/or in-country teams

  • e-learning can provide a framework for learning

Skill updates for senior immunization managers


  • June Launch

    • Immunization Financing

    • Introducing Hep B Vaccine

    • CDROMs (English) sent to SLM

  • Sept 04 – Russian & French versions available & CDROMs distributed

  • Face-to-face modules & follow-up

  • Estimated annual CDROM distribution with updates and new modules, e.g., JE, Hib, Rota, Pneumo