Using eLearning to improve and retain the knowledge of community health workers in maternal and neonatal health in Rwanda: A cohort study.

Abstract

Background: In Rwanda, community health workers (CHWs) serve a crucial function in providing community-based maternal and neonatal health (CBMNH) services. However, limited access to continuous training affects their confidence and ability to execute their roles effectively. This study aimed at evaluating the impact of eLearning on enhancing and maintaining CHWs' knowledge of CBMNH.

Methods: This cohort study, conducted from April to October 2021 in two Rwandan districts, evaluated knowledge acquisition and retention among 36 CHWs participating in an eLearning course. Knowledge scores were measured using a structured questionnaire administered pre-training, post-training and at a 6-month follow-up. Descriptive analysis and paired t-tests were used to assess mean score differences.

Results: There was improvement in CHWs' performance scores following eLearning training, with an average increase from 86.5% to 98.2%. The improvement was sustained at a 6-month follow-up. Statistical significance was found between age category and CHWs' pre- and post-test performance (p = 0.01, p = 0.04 respectively), and between years of experience and pre-test scores (p = 0.02).

Conclusions: The results of this study suggest that eLearning is an effective method for enhancing and retaining CHWs' knowledge of CBMNH. The findings support the use of eLearning as a valuable strategy for strengthening the capacity of CHWs in Rwanda and other countries with similar contexts.