Feasibility of project ECHO telementoring to build capacity among non-specialist emergency care providers

Wanjiku, Grace; Dreizler, Lindsay; Bell, G. E.; Wachira, Benjamin

doi:10.1016/j.afjem.2022.07.012

Cited by 6 publications

(2 citation statements)

References 25 publications

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“…Availability of internet bundle was highlighted as among enablers in this study where HCWs used internet bundle from their health facilities and sometimes use internet bundle provided by national team. Our results are comparable to another study conducted in Kenya on feasibility of project ECHO telementoring to build capacity among non-specialist emergency care providers in which it was highlighted that institutional buy-in is important when it comes to investing internet connectivity 14 .…”

Section: Existing Enablers For the Implementation Of Ipc Echo Clinic ...supporting

confidence: 80%

Evaluation of Infection Prevention and Control Extension for Community Healthcare Outcome Clinic in Referal Hospitals in Tanzania.

Ngowi,

Simba,

Eliakimu

et al. 2024

Preprint

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Background Project ECHO™ (Extension for Community Healthcare Outcome) is a telehealth initiative that aims to improve access to medical knowledge among healthcare workers (HCWs). Infection Prevention and Control (IPC) ECHO Clinic was implemented from April 2022 to January 2023 in Tanzania where HCWs from ten referral hospitals shared their experiences. The aim of this study was to evaluate the implementation of the IPC ECHO clinic, specifically by assessing enablers and barriers; and elicit recommendations for improvement and further scale-up. Methods An explanatory descriptive study design was conducted whereas both quantitative and qualitative methods of data collection were used. Results A total of 472 (47.2%) out 1000 targeted HCWs attended scheduled IPC ECHO session. Availability of infrastructure; facility management support; good coordination from the national team and availability of internet bundle were the enablers for the implementation of the clinic. Barriers included: lack of motivation among attendees; lack of Continuous Professional Development (CPD) points; shortage of staff; and poor internet connectivity. To improve implementation of IPC ECHO clinic it was recomended to: include IPC ECHO clinic in CPD initiatives; reviewing time for the sessions; provision of incentives for attendees; improve facilitation techniques; improve network connectivity; re-sensitization of HCWs: and scale up of IPC ECHO clinic. Conclusion Implementation of IPC ECHO clinic was successfully conducted. Scale-up of IPC ECHO clinic to other referral health facilities and primary health care facilities was recommended in order to facilitate knowledge sharing in the areas of IPC during this era of emerging and re–emerging diseases.

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Section: Existing Enablers For the Implementation Of Ipc Echo Clinic ...supporting

confidence: 80%

Evaluation of Infection Prevention and Control Extension for Community Healthcare Outcome Clinic in Referal Hospitals in Tanzania.

Ngowi,

Simba,

Eliakimu

et al. 2024

Preprint

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“…The current ultrasound system that was donated for their use does not allow for image transmission for remote review and quality assurance. Poor infrastructure and limited Internet connectivity further prevent the creation of robust frameworks for image review and feedback [10].…”

Section: Introductionmentioning

confidence: 99%

Utility of hand-held ultrasound for image acquisition and interpretation by trained Kenyan providers

Wanjiku

Dreizler

et al. 2023

Ultrasound J

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Background Point-of-care ultrasound (POCUS) plays a prominent role in the timely recognition and management of multiple medical, surgical, and obstetric conditions. A POCUS training program for primary healthcare providers in rural Kenya was developed in 2013. A significant challenge to this program is the acquisition of reasonably priced ultrasound machines with adequate image quality and the ability to transmit images for remote review. The goal of this study is to compare the utility of a smartphone-connected, hand-held ultrasound with a traditional ultrasound device for image acquisition and interpretation by trained healthcare providers in Kenya. Methods This study took place during a routine re-training and testing session for healthcare providers who had already received POCUS training. The testing session involved a locally validated Observed Structured Clinical Exam (OSCE) that assessed trainees’ skills in performing the Extended Focused Assessment with Sonography for Trauma (E-FAST) and focused obstetric exams. Each trainee performed the OSCE twice, once using a smartphone-connected hand-held ultrasound and once using their notebook ultrasound model. Results Five trainees obtained a total of 120 images and were scored on image quality and interpretation. Overall E-FAST imaging quality scores were significantly higher for the notebook ultrasound compared to the hand-held ultrasound but there was no significant difference in image interpretation. Overall focused obstetric image quality and image interpretation scores were the same for both ultrasound systems. When separated into individual E-FAST and focused obstetric views, there were no statistically significant differences in the image quality or image interpretation scores between the two ultrasound systems. Images obtained using the hand-held ultrasound were uploaded to the associated cloud storage using a local 3G-cell phone network. Upload times were 2–3 min. Conclusion Among POCUS trainees in rural Kenya, the hand-held ultrasound was found to be non-inferior to the traditional notebook ultrasound for focused obstetric image quality, focused obstetric image interpretation, and E-FAST image interpretation. However, hand-held ultrasound use was found to be inferior for E-FAST image quality. These differences were not observed when evaluating each E-FAST and focused obstetric views separately. The hand-held ultrasound allowed for rapid image transmission for remote review.

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Point-of-Care Ultrasound in Resource-Limited Settings

Beam,

Abdull Wahab,

Ramos

2025

Medical Clinics of North America

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Feasibility of project ECHO telementoring to build capacity among non-specialist emergency care providers

Cited by 6 publications

References 25 publications

Evaluation of Infection Prevention and Control Extension for Community Healthcare Outcome Clinic in Referal Hospitals in Tanzania.

Evaluation of Infection Prevention and Control Extension for Community Healthcare Outcome Clinic in Referal Hospitals in Tanzania.

Utility of hand-held ultrasound for image acquisition and interpretation by trained Kenyan providers

Point-of-Care Ultrasound in Resource-Limited Settings

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