• K4Health Highlights

    Becca Simon

    JHU∙CCP | Communications Manager
    Field Knowledge is the Best Knowledge

    At the Global Health Knowledge Management Share Fair, Stacey Young from USAID's Bureau of Policy, Planning and Learning discussed the importance of local knowledge, and how the curated knowledge base needs be be accessible to practitioners in the field.

    This post originally appeared on the Global Health Knowledge Collaborative (GHKC) Blog. Basil Safi presented the Strategies Against Flu Emergence (SAFE) program at last month's Global Health Knowledge Management Share Fair, and how it's not always necessary to create a new tool to manage knowledge. Using Indonesia as an example, he illustrated how galvanizing a local team to optimize an existing tool can make life-saving knowledge accessible to those who need it most.

    Stacey Young, Senior Learning Advisor at USAID's Bureau of Policy, Planning and Learning, remarked that the knowledge base needs to be more than accessible to local partners, it needs to be created at the field level. 

    Strategies Against Flu Emergence (SAFE) is a program created to support USAID/Indonesia’s Avian and Pandemic Influenza (API) Program and the Government of Indonesia’s National Strategy for Avian Influenza (AI) Control and Preparedness for Human Pandemic Influenza. In addition to a range of prevention activities at the local level, the program uses state of the art KM and social media tools to promote public-private partnerships, good poultry farming practices, improved biosecurity and hygiene behaviors at farms and markets, and improved care-seeking behavior for AI. 

    During the Global Health Knowledge Collaborative's Knowledge Management Share Fair on April 16th in Washington, DC, I discussed that a key objective of the SAFE program was to facilitate coordination among partners by sharing important health information that is targeted for program managers and other decision-makers. In order to achieve this, SAFE taps into the potential of digital technology and create an online platform as a tool to share knowledge and communicate experiences for AI and Pandemic Influenza Programs in Indonesia.  

    Avian Influenza Toolkit

    Since it launched, this collection of Avian & Pandemic Influenza resources has been one of K4Health's most popular online toolkits.

    In its process, SAFE did not wish to create a new tool, but rather to optimize the already existing online platform under the USAID-funded Knowledge for Health (K4Health) project led by the Johns Hopkins Bloomberg School of Public Health’s Center for Communication Programs. In this endeavor, Indonesia has become a pioneer in which documents on Avian Influenza and Pandemic Influenza are carefully selected, stored, and shared among users. No less than 160 documents have populated the sites from different organizations in both Bahasa and English, and as SAFE is entering its final months, it is ensuring the continuation of the process by formally handing over the eToolkit to a KM technical advisory group made up of government and local NGO members. Representatives of these institutions will be granted special access to upload their own resources as they become available, so that the toolkit remains a living and dynamic platform through which all stakeholders can share the latest and most important information.  In February 2013, this eToolkit was the 8thmost visited toolkit within all the K4Health online toolkit resources and continues to receive a high degree of traffic each month, with the average visitor reading 3.4 resources per visit. 

  • K4Health Highlights

    Sidhartha Deka

    JHU∙CCP | Program Specialist

    K4Health's Bangladesh Knowledge Management Initiative (BKMI) has rolled out an eHealth pilot in April in two low-performing districts. The pilot is aiming to normalize the use of digitized resources on netbook computers by community-based fieldworkers for the purpose aiding their client-based counseling and supplementing their own knowledge in three key technical areas: MNCH, family planning, and nutrition. USAID's Monica Bautista and Peggy D'Adamo visited Bangladesh in early April where they observed the launch of the pilot in Chittagong District.  In this recent post on USAID's Impact Blog, they reflect on the value of including fieldworkers in the vision of a Digital Bangladesh

    With a population of 150 million, Bangladesh is a bustling country filled with vibrant people. On a recent trip to Dhaka and Chittagong we experienced first-hand the kindness and welcoming spirit of the country. The goal of our trip was to meet with various USAID implementing partners, and several units within theMinistry of Family Health and Welfareto find out more about their behavior change communication work. Developing high quality, evidence-based communication campaigns that promote healthy behaviors is quite a challenge for Bangladesh with their large population, numerous rural communities, and with so many health issues that need to be addressed. These health areas range from improved antenatal and postnatal care, family planning, nutrition, and child health. USAID implementing partners and the Ministry of Family Health and Welfare are now streamlining their health communications work, making sure their messages are in agreement, effective, and accessible to a range of people of all ages and educational backgrounds.

    Community health workers in Bangladesh receive training on the new netbooks

    Community health workers receive training on the new netbooks.

    Photo credit: Bangladesh Knowledge Management Initiative

    A key part in this new effort was the launch of a three-month eHealth pilot program, developed by Johns Hopkins University – Center for Communication Programs in partner with Eminence, the Bangladesh Center for Communication Programs, and the Ministry of Health and Family Welfare, with funding from USAID. The pilot will take place in Sylhet and Chittagong where 300 community health workers have received a netbook computer loaded with several eToolkits that contain a digital library of communication materials in maternal and child health, family planning and nutrition, and eight eLearning courses. The eToolkit includes 116 materials and tools which were selected by a team after a detailed assessment and review. The eToolkit will improve the quality and effectiveness of counseling visits that the community health workers have with their clients, while replacing the heavy materials they previously carried from house to house. The eight eLearning courses on the netbooks are meant to supplement the training that community health workers currently receive. Each course also includes an assessment designed to measure changes in the knowledge and skills of community health workers.

  • K4Health Highlights

    Becca Simon

    JHU∙CCP | Communications Manager
    Peer to Peer Learning in Communities of Practice

    Communities of practice benefit most when skilled facilitators encourage peer-to-peer learning, versus lecture-style dissemination. This image was created at the Global Health Knowledge Management Share Fair: Challenges and Opportunities by the Value Web as part of the graphic facilitation Knowledge Wall.

    Originally appearing on the Global Health Knowledge Collaborative (GHKC) Blog, this post by Kate Fatta of URC explains the emphasis the USAID ASSIST Project puts on small group discussions for meaningful exchange of tacit knowledge. 

    Last month's Global Health Knowledge Management Share Fair elicited a similar sentiment: Communities of practice benefit when a skilled facilitator encourages peer-to-peer learning over lecture-style dissemination, and the importance of giving people a moment to think before they are asked to speak in a group.

    The Share Fair utilized small group discussions, along with peer assists and other knowledge management and exchange techniques, to catalyze conversations about challenges and opportunities in knowledge management for global health and international development.

    Working with facility-based teams of health workers in knowledge management on the USAID Applying Science to Strengthen and Improve Systems Project (ASSIST) and its predecessor, the USAID Health Care Improvement Project (HCI), my colleagues and I have come to recognize the importance of using conversational, small group techniques to draw out tacit – “how to” – knowledge and provide opportunities for meaningful sharing between people.

    On ASSIST we work with many teams in multiple countries to improve the quality of the services they provide – whether they are providing anti-retroviral treatment to patients or ante-natal care to pregnant women. For example, one of the activities we are working on in Uganda is to integrate nutrition, assessment, counseling, and support (NACS) services with prevention of mother to child transmission of HIV (PMTCT) services in 22 sites in six districts. At the 22 sites, there are teams of service providers working to make this happen. While they are working on it, they are generating a lot of learning and new knowledge about this work and our challenge is to provide them with opportunities to come together and meaningfully share and learn from one another. We have already been doing this on HCI in the form of learning sessions, or meetings in which teams working on a specific activity are brought together to share what they have been doing, but in the past, we have often conducted those meetings in a very didactic, one person speaks/everyone else listens format.

    Photo by Kate Fatta, URC

    Photo by Kate Fatta, URC

    However, as our understanding and use of knowledge management techniques have grown, we have come to see the importance of designing meetings so that people share in small groups and integrate new knowledge in the large group. Giving people the opportunity to share in small groups and ask questions of each other allows for greater exchange of tacit knowledge than a formal presentation does. By using techniques such as storytelling, field trips, and even poster presentations in small groups, the person sharing learns more about their work by explaining it and answering questions, while the person listening gets to ask questions and probe deeper. It sets the stage that everyone has something to share and everyone has something to learn, eliminating the expert/student feeling that can happen with formal presentations.

  • K4Health Highlights

    Nandini Jayarajan

    K4Health, JHU∙CCP | Communications Specialist

    At the KM Share Fair hosted by the Global Health Knowledge Collaborative (GHKC), I had the opportunity to sit in on the Mixology: Blending eLearning with other Learning approaches session presented by Sara Mazursky, JHU∙CCP, Leanne Wolff, JHU∙CCP and Terra Fretwell, USAID. The session was part lecture and part workshop where participants were split into groups to design a blended learning program for programs described in two case studies.

    Blended Learning

    Blended learning can improve professional development experiences.

    In her short presentation, Mazursky introduced a new blended learning guide (PDF) developed by K4Health to inform health program managers and trainers on approaches to integrate self-paced eLearning courses, also known as online courses, such as those hosted by the Global Health eLearning Center (GHeL),  with other capacity building activities to increase application of new knowledge in the workplace.

    After a short presentation on when and where blended learning approaches are appropriate and how to design a blended program, the session transitioned to break out groups where participants were given one of two possible case studies: (1) an organization that needs to build skills to improve overall performance, and (2) an individual needing to gain technical knowledge for professional development.

  • K4Health Highlights

    Tara Sullivan

    JHU∙CCP | Deputy Director

    One of my greatest “take aways” from the Global Health Knowledge Collaborative (GHKC) knowledge management (KM) Share Fair held on April 16, 2013 is that learning is such a fundamental component of KM at all levels—individual, project, organizational and beyond. Learning is facilitated by the key KM elements—people, process, and technology—and takes place at all times—before, during, and after implementation of an activity or project. Almost everything we do in KM can be tied back to learning.

    We can facilitate learning in a number of ways as suggested by participants of the GHKC Share Fair:

    Whats Important for KM

    What's Important for knowledge management in global health and international development?

    • Actively listen to better understand and give voice to the communities we serve and their local knowledge
    • Explicitly create a defined “learning agenda” from the outset of activities.
    • Create feed back loops that take lessons learned and incorporate them into future activities
    • Get the right information, to the right people at the right time
    • Breakdown silos to “cross pollinate” ideas
    • Put people at the center who together form a powerful collective knowledge engendering multiple perspectives
    • Share failures openly so that others can learn from

    Putting learning at the forefront empowers us to translate knowledge into action—making informed decisions, creating evidence-based policies, and providing programs and practice based on experiential knowledge and latest research.

  • K4Health Highlights

    Becca Simon

    JHU∙CCP | Communications Manager

    This post originally appeared on Lab Notes, the new space on USAID's LearningLab to share timely news, announcements, commentary, and updates. Okey Nwoke attended the Global Health Knowledge Collaborative (GHKC) Share Fair on April 16, and he shares his impressions on the participatory sessions, graphic facilitation, and storytelling.

    On Tuesday, April 16th I had the opportunity to attend the Global Health Knowledge Management Share Fair, hosted by the Global Health Knowledge Collaborative (GHKC).  The aim of the Share Fair was to provide participants with an opportunity to share experiences, lessons learned, and acquire new skills and learning about knowledge management tools and techniques.  One of the benefits about attending these types of events is having the opportunity to meet other knowledge management (KM) practitioners who share common challenges within their organizations around knowledge sharing and learning.  Realizing that most organizations face similar challenges around knowledge sharing can spur a sense of comradery in addressing these challenges.  

    Share Fair Knowledge Wall

    Global Health Knowledge Management Share Fair: Challenges and Opportunities utilized graphic facilitation by The Value Web to capture the key points of conversations throughout the innovative, participatory one-day event.

    Throughout the Share Fair, various methods were used to encourage collaboration and dialogue among participants.  Participatory methods such as World Cafe, Peer-Assists, breakout sessions, and scavenger hunts were used.  One really creative approach that was used to bring attention to key points made throughout the day was graphic facilitation.  Graphic facilitation is essentially using imagery to draw participants towards seeing interconnections and reaching their goal.  It was really impressive to see how this form of facilitation can stir dialogue and spark ideas.  

    One big takeaway for me was realizing the importance of story when it comes to knowledge management.  With all the information we are bombarded with, it has become increasingly important for knowledge management professionals to become better storytellers.  Taking segmented bits of data, information, and knowledge and finding interconnections has become essential.  What do you feel are the big challenges when it comes to KM and what are some ways we can address them?       

  • Becca Simon

    JHU∙CCP | Communications Manager

    Originally published on the Global Health Knowledge Collaborative (GHKC) Blog, this post by Cassandra Mickish illustrates the impact of using knowledge management (KM) approaches during trainings. Rather than tell participants how to utilize participatory techniques, the USAID ASSIST Project incorporates small group discussions, storytelling, and other KM tools into their training model.

    The USAID Applying Science to Strengthen and Improve Systems Project (ASSIST) is changing the way we do “knowledge management.”  We’re shaking up meetings that used to be a series of presentations by integrating small group discussions and other interactive knowledge exchange techniques.  We encourage participants to discuss issues, tell stories about their experiences, and ask questions of their colleagues.  This meeting style generates more meaningful discussion about how work was implemented, rather than just a report of the observed results.  Small groups make it easier for everyone to contribute, allowing every individual to feel their knowledge is valuable and allowing the larger group to benefit from everyone’s unique experience and perspective.  Then the larger group can come together to synthesize themes and agree on recommendations and next steps.

    We Learn "How To" Knowledge from Peers

    A peer-to-peer learning model, as compared to a dissemination model.

    Moving from a dissemination model to a peer-to-peer exchange model for learning sessions is a significant culture shift for our project.  This change cannot be achieved effectively or sustainably by simply disseminating instructions on how to facilitate more interactive meetings.  Meeting organizers need to have the opportunity to practice these new knowledge exchange techniques and experience the meaningful discussion that is generated.  Several of our colleagues have been understandably skeptical that this proposed culture shift would be feasible, but allowing them to practice the techniques helps them understand how the techniques work and builds their capacity to implement them independently.

  • K4Health Highlights

    Jarret Cassaniti

    JHU∙CCP | Communications Specialist

    Earlier this week I attended InterAction’s annual Forum in Arlington, Virginia, to connect with my colleagues in international development, learn what they are doing, and showcase K4Health’s recent accomplishments and offerings in eLearning.

    Marie McNamee of InsideNGO brought together and moderated a panel on Harnessing the Power of E-Learning – What is on the Horizon.

    As NGO workers, we’ve become adept over the years at training ourselves to meet the challenges of global relief and development work. But we continue to do so predominantly through face-to-face, classroom-based methods. Recent trends in aid - including the need for rapid scaling of operations, greater cost efficiencies, and expanded use of partnerships - are placing tremendous strain on these time-tested approaches to staff development. In order to achieve greater reach, timeliness, and cost-effectiveness, the NGO community is increasingly turning to e-learning and blended learning approaches to help complement existing training methods. This workshop will explore the emerging fields of e-learning and blended learning as illustrations of how technology is shaping the future of humanitarian and development action. Participants will not only learn about current directions in e-learning and blended learning - they will be invited to help shape its future development based on their own experiences and recommendations.

    Eric Berg, Executive Director of LINGOs, delivered the first presentation and asked the audience if they had ever been on a conference call and learned something from it. When almost everyone raised their hands, he explained that their experience was a form eLearning.

    Disaster Ready Initiative

    Disaster Ready Initiative's web-based portal.

    George Devendorf, Director of Disaster Ready Initiative, spoke next about his group’s new web-based portal. Devendorf described how they developed eLearning courses and what they hoped to achieve.When it was my turn, I discussed the value of delivering eLearning courses in the context of other types of training. The presentation, Blending Learning: Knowledge Acquisition to Application, was developed by MSH’s Liz Mclean as part of K4Health’s management of USAID’s Global Health eLearning Center and the associated Blended Learning Guide.

    Blended Learning Definition

    The definition of blended learning: a combination of learning media and learning environments that reinforce and accelerate mastery and application to the job.

    Blended learning is a combination of learning media and learning environments that reinforce and accelerate mastery and application to the job. Examples of learning media include: face-to-face, online, print, social media and radio. Examples of learning environments include: instructor-led, group-work, peer-to-peer interaction and individual work.

    A blended learning approach,  such as the one described in a previous post, can help learners move from knowledge acquisition to knowledge application, as defined in the infographic of Bloom’s Taxonomy.

  • Nandini Jayarajan

    K4Health, JHU∙CCP | Communications Specialist

    Jose Gomez-Marquez likes to tell people that everyone can hack health, and he’s made a career of proving this true. He is a medical device designer at the Little Devices lab at MIT and a co-founder of LDTC+Labs LLC. When you Google him, the search results are basically a list of his awards and fellowships, and news articles lauding his penchant for innovation.

    Now, this isn’t innovation in the buzz word-y, conference-speak sense. It’s innovation where if you give Gomez-Marquez an ink cartridge, he’ll turn it into a no-prick vaccine delivery machine, or if he picks up a bunch of coffee filters at the grocery store, some of those might become TB drug compliance urine test strips.

    Having grown up in Honduras and coming from a family of medical professionals, Gomez-Marquez knows firsthand the limitations health workers face in low-income developing countries. Unlike in developed countries, if an essential part of a medical device breaks, there’s no repair person coming to fix it. In part because of his background, Gomez-Marquez adheres to the Do-it-Yourself (DIY) philosophy and recognizes that health workers in resource-constrained settings around the world are capable doing some of the best DIY work. In order to foster this behavior, he and his team at Little Devices have recently released a product called MediKit, a series of design building blocks that empower doctors and nurses in developing countries to invent their own medical technologies.

    Device Hacks at SwitchPoint 2013

    A group putting together a dual nebulizer using a foot pump at SwitchPoint 2013.

    I had the pleasure of getting an in-depth look at the type of work he does when I attended his micro-lab session at the SwitchPoint conference hosted by IntraHealth in North Carolina. During this short hour and a half workshop, Gomez-Marquez provided us with a list of ingredients: a foot pump, two nebulizers, tubes, a splitter, scissors, and duct tape and told us to create a drug delivery device that would treat not just one, but two patients, suffering from an asthma attack. Before setting us loose, he gave us instructions to not only build the device, but to also create a language for replication.

    Of course, once we started playing with the pieces, we completely ignored the second part of the instructions. It was so exciting to solve the puzzle. We got really into the experience of designing something useful and something that saves lives. But when it came to present our final devices and show off our ingenuity, we quickly realized how important the abandoned second part of the instructions were.

  • Stephen Goldstein

    JHU∙CCP | Senior Consultant

    Following on the heels of my recent blog about the Philippines signing into law the Responsible Parenthood and Reproductive Health Act of 2012, comes news that the National Assembly of Pakistan unanimously passed in March the Reproductive Healthcare and Rights Act 2013.

    Let’s hope that unlike the Philippines Act—now in legal limbo for 120 days while the court looks over some 10 petitions filed against the constitutionality of the law—Pakistan’s bold Private Member Bill will be implemented soon.

    Pakistani Mother Receives Family Planning Counseling

    At a Basic Health Unit in Punjab Province, Pakistan, 23-year-old Tahira Rashid receives counseling by Dr. Fauzia Amin, a female medical officer.

    © 2012 Derek Brown for USAID, Courtesy of Photoshare

     

    Introduced by Hon. Dr. Attiya  Inayatullah, MP, the Bill seeks to promote reproductive healthcare and rights in accordance with the national constitution and to fulfill international commitments made by the Government of Pakistan under the Convention on Elimination of Discrimination Against Women (CEDAW).  (Adopted by the UN General Assembly in 1979, the U.S. has yet to ratify CEDAW.)   

    A major section of the Bill is titled “Promotion of Reproductive Health Care Rights” and says that:

    • Men and women are the subject of reproductive health care, their joint involvement in responsible parenting is essential, as also, their need for access to information;
    • Male involvement is essential in the attainment of reproductive health care rights; and
    • It is important to develop public awareness that maternal deaths are preventable and the suffering of women and children avoidable.

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