London NHS-HE Conference Tuesday 13th November 2012

Saving lives through reliable health information

Partnerships in Health Information (Phi)

PRESENTERS Shane Godbolt, Phi

Potenza Atiogbe,

Epsom and St Helier University

Hospitals NHS Trust Ania Nogal, e-KAT , London Deanery Lucy Reid, South London & Maudsley NHS Trust Maria Musoke , Makerere University, Uganda

Overview

• The need for health information

• Partnerships in Health Information

• Case studies: Uganda & Tanzania

• Conclusion

The need: people are dying for lack

of knowledge

“Reliable health information is the foundation of good health, which is

essential to reduce poverty “ Jean Shaw, Research Officer, Phi

Millennium Development Goals:

Goal 1: Eradicate extreme poverty and hunger

Health related Goals:

Goal 4. Reduce child deaths worldwide by two-thirds

Goal 5. Reduce maternal deaths worldwide by three-quarters

Goal 6. Reverse the spread of HIV/AIDS, malaria and other major diseases, and provide universal access to treatment for HIV/AIDS.

About Phi

• Founded 1992

• Trustees; health professionals including librarians, academics & other NGO colleagues

• Programmes Officer 2006 -2010; full time grant funded post . 2011 – volunteers until Jan 2012 Phi Africa Office

• Pan African partners – ITOCA and AHILA

• Enabled expansion of activities & alignment with government level emphasis on partnerships

Phi’s objectives

• Support African Leadership to improve the

availability and quality of health information; Capacity building for health information professionals & librarians

• Work in partnerships with others to strengthen health information systems in Africa

Facilitating health information partnerships & development projects

• Improve public access to health information (PAHI) in Africa

Sponsored PAHI workshop in three languages at AHILA 13 Cape Verde

Track record to date

• Essential need for Phi's activities were promoted in the Crisp Report

• Developed broad portfolio of projects and partnership activities (funded by BMA, INASP, DelPHE, IFLA, THET & others)

• Substantial experience in working with partners to support library service development in societies where local hierarchy's and high rates of illiteracy are the norm

• Strong working relations with other organisations and groups working in the field of health information

Where and who we are working with

Country focus:

• Ethiopia

• Uganda

• Sierra Leone

• Tanzania

• Kenya

• Zambia

• Nigeria

Strategic collaborations:

• THET (MoU)

• INASP

• HIFA2015

• AHILA

• ITOCA (MoU)

• IFLA

• CILIP esp.HLG & ILIG

Future direction

• Strategic partnerships

• Strategic issues

• Fundraising

Getting Practical - Opportunities

If you would like to be more involved

• Commonwealth Professional Fellows; help with

hosting Mid Feb – early April 2013

• Join Friends of Phi

• Speak to us on our stand

Case Study – Uganda 1

Potenza Atiogbe

Overview

• The Uganda partnership – Brief History

• Exchange visits

• My involvement

• eLearning workshop (October to November 2012)

• The future

The Partnership – brief history

• Makerere University Library & Albert Cook

Medical Library, Uganda & Kent, Surrey &

Sussex Library and Information Services &

London Health Libraries

• Since 1994 (informal partnership)

• Funding, collaboration, understanding and

learning

Formal Partnership

2000: Guided by Partnerships in Health

Information (Phi)

‘The aim of the partnership will be to

encourage the free flow of health related

knowledge between nations’

My Involvement

• 2004 – Deputy Head of Library Services,

Surrey and Sussex

• 2005 and 2009 – Visit to Uganda: Launch

and development of the Albert Cook

Library website

• 2006 – Trustee for Phi

• 2007 – Lead for the UK Steering Group

• 2012 – eLearning workshop

Key themes

• Funding: British Council, TFPL, CILIP

• Collaboration: building the content

• Understanding: power cuts, Internet

access

• Learning: key skills to update the website

eLearning workshop - objectives

• Identify correctly the six stages to develop

e-learning as per the Training Foundation

TAP method

• Produce storyboards for an interactive e-

Learning module using basic tools such as

Power Point

eLearning workshop -Trainers

• Marisa Martinez Ortiz

– Diploma in eLearning

– Tutor on the Internet

– Author eLearning strategy for Surrey and Sussex

• Potenza Atiogbe

– TAP eLearning Design

– Facilitated Online Learning Interactive

Opportunity (FOLIO) course

– Open University student

eLearning workshop - Delivery

• 26 attendees

• Power Point presentations

• Flipchart exercises

• Practical session – design own eLearning

module via a storyboard

eLearning workshop – example

eLearning Tools

eLearning workshop -

evaluation

• 26 attendees

• Survey Monkey

• Positive comments

eLearning workshop –

evaluation examples

Key themes

• Funding: Elsevier

• Collaboration: participatory, two way

learning, forum

• Understanding: key issues e.g. Internet

• Learning: collective knowledge of

eLearning – rich and diverse, two way

Next steps

• Implementation of the learning: attendees

• Follow up workshop – blended learning

approach

• Interested in being involved?

Case Study – Uganda 2

Ania Nogal

Phi visit

Kampala

November

2012

Ania Nogal

eKAT

Elsevier Foundation project:

Enhancing Access to Current Literature by Health Workers in Rural Uganda and community Health Problem Solving

• visit to Naggalama hospital

Phi theme:

Building Strong Library Associations

Workshop : Impact of the Internet on healthcare information delivery: journey from library to mobile technology

Naggalama Hospital – workshops for health information workers in community

(am) and health care medical staff (pm)

Presentation on Malaria prevention

Audience – healthcare information workers in community

Naggalama Hospital - Emergency

laundry

Mending workshop

dryer

Hospital shops Per 100 beds 1 or 2

doctors

Building Strong Library Associations

Working in groups

Exercise: communicating & collaborating

without speaking a word

feedback

• Networking and partnerships

• Projects (RDD, ULS, EBM, KA24, Project Connect)

• From print to CD

• CD to online to www.lhlcatalogue.nhs.uk and

• Communication: www.hilo.nhs.uk and www.londonlinks.nhs.uk mailing lists

• Promotion

• Mobile technology

Impact of the Internet on healthcare

information delivery: journey from library to

mobile technology

Discussions in groups

Break and fun

How many believe mobile technology is the future?

0

2000000

4000000

6000000

8000000

10000000

Uganda

internet users mobile subscriptions

0

10000000

20000000

30000000

40000000

50000000

60000000

70000000

80000000

90000000

United Kindom

internet users mobile subscriptions

http://data.worldbank.org/data-catalog/ICT-table

Lucy Reid

Case Study -Tanzania

Partnership started in 2006

• Six partners

– Partnerships in Health Information

– Muhimbili University of Health and Allied Sciences

– Tanzania Library Services Board • School of Library Archive and Documentation Studies

– University of West London

– Royal College of Obstetricians and Gynaecologists

• DelPHE funding from 2008 – DfID and British Council to support north/south HE partnerships

– 3-year project

Project objectives

• Improvement of health in Tanzania focusing on

maternal and reproductive health and

communicable diseases including HIV/AIDS, TB,

malaria and cholera 1. Embedding information skills training the MUHAS curriculum

2. Developing a health information module for library students at

SLADS

3. Developing a network of Health Corners for members of the

public to access good quality, appropriate health information

Health in Tanzania

• Maternal death = 6 women /1,000 live births (NBS 2007).

Lifetime risk = 1/24

• HIV/AIDS prevalence = 6 % (15-49 years)

• Malaria, cholera and TB affect significant numbers of

people

• Health information systems mostly situated in urban

areas with poor coverage in rural areas

• Access to relevant information is crucial to the

economic, political, and social well-being of any

community (UNESCO)

Year 1 – 2008-9

• Baseline study

– Identifying needs of library staff (TLSB)

– Mapping resources available for Health Corners

• Exchange visits

– Sharing knowledge about local needs (staff and

users) and facilities

– Learning from existing services with similar aims

– Workshops on delivering information to members of

the public

– Training on health information skills

– Introductory presentation to library students at SLADS

• Developing information skills programmes for

undergraduates and postgraduates at MUHAS

• Improving infrastructure at MUHAS

• Developing partnership working between MUHAS

(appraising health information) and TLSB (network for

dissemination)

• PhD study – Effectiveness of communication channels in

disseminating HIV/AIDS information

• Exchange visit to UK

• Presentation at HLG and poster at IFLA

Year 2 – 2009-10

Year 3 – 2010-12

• Project extended due to personnel changes

• Information literacy training embedded as mandatory

component of undergraduate curriculum at MUHAS

• Curriculum for diploma students at SLADS submitted for

approval by National Council for Technical Education

• Health corners established at:

– MUHAS

– National Central Library

– Morogoro

– Dodoma

• Further evidence-based practice training in Tanzania

• Programme of visits to health libraries in HE, NHS and

public sector providing consumer health information and

information literacy training

• Meeting with partner organisations

• Evidence-based practice workshops

• Project planning and review

• Capacity building

Annual exchange visits

MUHAS Library

IT training room

Dodoma and Morogoro libraries

Workshops at MUHAS

Health Corners at MUHAS and

National Central Library

• Tanzania faces significant health challenges

• Access to health information for members of the public is

difficult

• Libraries are ideally placed to deliver health information

to members of the public

• Institutions working in partnership have resources and

skills to deliver health information in a way that is

suitable for members of the public

• Librarians need to repackage information and develop

ways of disseminating it to the community

Lessons learnt

Maria Musoke

Makerere University

Conclusion

Partnership working

• leads to mutual learning & mutual benefit

• is more effective

• delivers better outcomes

BUT

• takes considerable time & effort

• needs strong commitment

• involves building trust & friendship