Résumés
Abstract
Medical education in Africa is in desperate need of reforms, evident in widespread diseases, and an inability to mobilise and train the required medical workforce to deal with these health issues. However, the exponential rise in the use of mobile technologies due to the spread of the Internet and increased telecommunication networks offer an opportunity for the transformation of medical education and practice through the deployment of mobile devices as a medium for learning and conveying health care services to the remote and resource-constrained locations of Sub-Saharan Africa (SSA). This paper reviewed articles on the affordances of m-learning for distributed medical education in SSA published between 2010-2018. Results from 18 articles identified in the review revealed a slow-paced ascendancy of practice and research in the field; it further exposed competing priorities, infrastructural deficit, and chronic workforce shortages as the bane of m-learning implementation in the subregion. This paper makes recommendations that will enhance the growth of mobile-based distance medical education and practice in SSA.
Keywords:
- mobile learning,
- distributed learning,
- medical education,
- Sub-Saharan Africa
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Bibliography
- Adebara, O., Adebara, I., Olaide, R., Emmanuel, G., & Olanrewaju, O. (2017). Knowledge, attitude, and willingness to use m-health technology among doctors at a semi-urban tertiary hospital in Nigeria. Journal of Advances in Medicine and Medical Research, 22(8), 1-10. Retrieved from http://www.journalrepository.org/media/journals/JAMMR_64/2017/Jul/Adebara2282017JAMMR33232.pdf
- Adjorlolo, S., & Ellingsen, G. (2013). Readiness assessment for implementation of electronic patient record in Ghana: A case of University of Ghana hospital. Journal of Health Informatics in Developing Countries 7(2), 128-140. Retrieved from http://www.jhidc.org/index.php/jhidc/article/view/104
- Africa-America Institute. (2015). AAI-SOE-report-2015-final. The State of Education in Africa Report 2015. Retrieved from http://www.aaionline.org/wp-content/uploads/2015/09/AAI-SOE-report-2015-final.pdf
- Ally, M. (2009). Mobile learning is transforming the delivery of education and training. MIS Quarterly, 3(2), 137-152. doi: 10.1111/j.1467-8535.2007.00809.x
- Anokwa, Y. (2010). Delivering better HIV care in sub-Saharan Africa using phone-based clinical summaries and reminders. America, 1-27. Retrieved from http://anokwa.com/publications/2010_UW_Generals_Paper.pdf
- Aryee., K. L. (2014). The role of mobile phones in health education for rural communities in Ghana: An exploratory study in digital technologies. Retrieved from https://ir.lib.uwo.ca/etd/2030/
- Baltimore, D., Charo, R. A., & Kevles, D. J. (2016). Summit on human gene editing. National Academies of Sciences, 61-69. Retrieved from https://www.nbp.pl/badania/seminaria/25x2016_2.pdf
- Barteit, S., Hoepffner, P., Huwendiek, S., Karamagi, A., Munthali, C., Theurer, A., & Neuhann, F. (2015). Self-directed e-learning at a tertiary hospital in Malawi–A qualitative Evaluation and Lessons learnt. GMS Zeitschrift für medizinische Ausbildung [GMS journal for medical education], 32(1). doi: 10.3205/zma000949
- Bediang, G., Stoll, B., Geissbuhler, A., Klohn, A. M., Stuckelberger, A., Nko’o, S., & Chastonay, P. (2013). Computer literacy and E-learning perception in Cameroon: the case of Yaounde Faculty of Medicine and Biomedical Sciences. BMC Medical Education, 13(1), 57. doi: 10.1186/1472-6920-13-57
- Bervell, B., & Umar, I. N. (2017). A decade of LMS acceptance and adoption research in sub-Sahara African Higher Education: A systematic review of models, methodologies, milestones, and main challenges. Eurasia Journal of Mathematics, Science and Technology Education, 13(11), 7269-7286. doi: 10.12973/ejmste/79444
- Biruk, S., Yilma, T., Andualem, M., & Tilahun, B. (2014). Health professionals’ readiness to implement electronic medical record system at three hospitals in Ethiopia: A cross sectional study. BMC medical informatics and decision making, 14(1), 115. doi: 10.1186/s12911-014-0115-5
- Chang, A. Y., Littman-Quinn, R., Ketshogileng, D., Chandra, A., Rijken, T., Ghose, S. ... Kovarik, C. L. (2012a). Smartphone-based mobile learning with physician trainees in Botswana. International Journal of Mobile and Blended Learning, 4(2),1-14. doi: 10.4018/jmbl.2012040101
- Chang, A. Y., Ghose, S., Littman-Quinn, R., Anolik, R. B., Kyer, A., Mazhani, L. ... & Kovarik, C. L. (2012b). Use of mobile learning by resident physicians in Botswana. Telemedicine and e-Health, 18 (1), 11-13. doi: 10.1089/tmj.2011.0050
- Chen, C., Buch, E., Wassermann, T., Frehywot, S., Mullan, F., Omaswa, F., ... Olapade-Olaopa, E. O. (2012). A survey of sub-Saharan African medical schools. Human Resources for Health, 10(1), 4. doi: 10.1186/1478-4491-10-4
- Chenault, J. (2011). Investigating and improving medical education and library resources at the Tamale teaching hospital in Northern Ghana : A case report. Kentucky Libraries, 76(2), 16-24. Retrieved from https://ir.library.louisville.edu/faculty/11
- Chin, W. W., & Todd, P. A. (1995). On the use, usefulness, and ease of use of structural equation modelling in MIS research: A note of caution. MIS Quarterly, 19(2), 237-246. doi: 10.2307/249690
- Creswell, J. W. (2013). Research design: Qualitative, quantitative, and mixed methods approaches. Thousand Oaks, California, US: Sage Publications.
- Feldacker, C., Pintye, J., Jacob, S., Chung, M. H., Middleton, L., Iliffe, J., & Kim, H. N. (2017). Continuing professional development for medical, nursing, and midwifery cadres in Malawi, Tanzania, and South Africa: A qualitative evaluation. PLoS ONE, 12(10), 1-16. doi: 10.1371/journal.pone.0186074
- Frehywot, S., Vovides, Y., Talib, Z., Mikhail, N., Ross, H., Wohltjen, H., ... Scott, J. (2013). E-learning in medical education in resource-constrained low- and middle-income countries. Human Resources for Health, 11(1), 1. doi: 10.1186/1478-4491-11-4
- Gupta, M., Marsden, S., Oluka, T., Sharma, R., & Lucas, H. (2017). Lessons learned from implementing E-learning for the education of health professionals in resource-constrained countries. Electronic Journal of E-Learning, 15(2), 144-155. Retrieved from http://www.ejel.org/volume15/issue2
- Ibrahim, N. A., Salisu, M., Popoola, A. A., & Ibrahim, T. I. (2014). Use of smartphones among medical students in the clinical years at a medical school in Sub-Sahara Africa: A pilot study. Journal of Mobile Technology in Medicine, 3(2), 28-34. doi: 10.7309/jmtm.3.2.5
- International Telecommunications Union. (2016). ICT facts and figures 2016. Retrieved from http://www.itu.int/en/ITU-D/Statistics/Documents/facts/ICTFactsFigures2016.pdf
- Kaliisa, R., & Picard, M. (2017). A systematic review of mobile learning in Higher Education: The African perspective. The Turkish Online Journal of Educational Technology, 16(1), 1-18. doi: 10.1017/CBO9781107415324.004
- Koole, M. L. (2009). A model for framing mobile learning. In M. Ally (Ed.), Mobile learning: Transforming the delivery of education and training. (1(2), pp. 25-47). Edmonton, Canada: Athabasca University Press. Retrieved from https://books.google.com.ng/books?id=Itp60WteuJsC
- Krull, G. E., & Duart, J. D. (2017). Research trends in mobile learning in Higher Education: A systematic review of articles (2011-2015). The International Review of Research in Open and Distributed Learning, 18(7), 1-23. doi: 10.19173/irrodl.v18i7.2893
- Lazarus, L., Sookrajh, R., & Satyapal, K. S. (2017a). Tablet technology in medical education in South Africa: A mixed methods study. BMJ Open, 7(7), 1-10. doi: 10.1136/bmjopen-2016-013871
- Masika, M. M., Omondi, G. B., Natembeya, D. S., Mugane, E. M., Bosire, K. O., & Kibwage, I. O. (2015). Use of mobile learning technology among final year medical students in Kenya. Pan African Medical Journal, 21, 1-12. doi: 10.11604/pamj.2015.21.127.6185
- Masita-Mwangi, M., Mwakaba, N., Ronoh-Boreh, F., & Impio, J. (2012). Building a case for m-learning in Africa. Proceedings of the 2012 ACM Annual Conference Extended Abstracts on Human Factors in Computing Systems Extended Abstracts - CHI EA '12, 521. doi: 10.1145/2212776.2212827
- Miles, M. B., Huberman, M. A., & Saldaña, J. (2014). Qualitative data analysis. A methods sourcebook. Zeitschrift Für Personalforschung [Journal For Personal Research], 28(4), 485-487. doi: 10.1136/ebnurs.2011.100352
- Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & Prisma Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Medicine, 6(7), e1000097. doi: 10.1371/journal.pmed.1000097
- Mtebe, J. S., & Raphael, C. (2018). Key factors in learners’ satisfaction with the e-learning system at the University of Dar es Salaam, Tanzania. Australasian Journal of Educational Technology, 34(4), 107-122. doi: 10.14742/ajet.2993
- Naismith, L., Lonsdale, P., Vavoula, G., & Sharples, M. (2004). Literature review in mobile technologies and learning. Educational Technology, 11, 1-25. doi: ISBN:0-9548594-1-3
- Obi, I. E., Charles-Okoli, A. N., Agunwa, C. C., Omotowo, B. I., Ndu, A. C., & Agwu-Umahi, O. R. (2018). E-learning readiness from perspectives of medical students: A survey in Nigeria. Nigerian Journal of Clinical Practice, 21(3), 293-300. doi: 10.4103/njcp.njcp_108_17
- Okai-Ugbaje, S., Ardzejewska, K., & Ahmed, I. (2017). A systematic review of mobile learning adoption in Higher Education: The African perspective. I-manager's Journal on Mobile Applications and Technologies, 4(2), 1. doi: 10.26634/jmt.4.2.13830
- Olajubu, E. A., Odukoya, O. H., & Akinboro, S. A. (2014). LWAs computational platform for e-consultation using mobile devices: Cases from developing nations. Technology and Health Care, 22(4), 561-571. doi: 10.3233/THC-140828
- Organisation for Economic Co-operation and Development (OECD) (2009). Teaching practices, teachers’ beliefs and attitudes: Creating effective teaching and learning environments: first results from TALIS. OECD. doi: 10.1787/9789264068780-6-en
- Oyo, B., & Kalema, B. M. (2014). Massive open online courses for Africa by Africa. The International Review of Research in Open and Distributed Learning, 15(6), 1-13. doi: 10.19173/irrodl.v15i6.1889
- Pimmer, C., Brysiewicz, P., Linxen, S., Walters, F., Chipps, J., & Gröhbiel, U. (2014). Informal mobile learning in nurse education and practice in a remote areas: A case study from rural South Africa. Nurse Education Today, 34(11), 1398-1404. doi: 10.1016/j.nedt.2014.03.013
- Traxler, J. (2009). The current state of mobile learning. In M. Ally (Ed.), Mobile learning: Transforming the delivery of education and training (Vol. 1, pp. 9-24). Edmonton, AB: Athabasca University Press.
- Trochim, W. M. K. (2006). The research methods knowledge base (2nd ed.). Cincinnati, OH: Atomic Dog Publishing. doi: 10.2471/BLT.05.029181
- Tsinakos, A., & Ally, M. (2013). Global mobile learning implementations and trends. Academia.Edu. Retrieved from http://www.academia.edu/download/36240447/global_Mobile_Learning.pdf#page=31%
- Urassa, D., Chaya, P., & Pilot, J. (2018). Addressing knowledge gaps among nurses in healthcare in Tanzania: Use of m-learning platforms in Tanzania. Global Journal of Human Social Science 18(1), 54-61.
- Witt, R. E., Kebaetse, M. B., Holmes, J. H., Ryan, L. Q., Ketshogileng, D., Antwi, C., ... Nkomazana, O. (2016a). The role of tablets in accessing information throughout undergraduate medical education in Botswana. International Journal of Medical Informatics. 88, 71-77. doi: 10.1016/j.ijmedinf.2016.01.006
- World Health Organization. (2011). M-Health: New horizons for health through mobile technologies. Observatory, 3, 66-71. doi: 10.4258/hir.2012.18.3.231
- Yunusa, A. A., & Dalhatu, I. I. (2014). Blended learning technique: Rethinking pedagogical approaches in sandwich / B.Ed art-time degree programmes in Nigerian universities. International Journal of Topical Issues in Education, Maiden Edition, 58-68. Retrieved from http://oer.udusok.edu.ng:8080/xmlui/handle/123456789/781