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Table 1 Features that address the learning needs of HWs in Africa

From: Development of a simple and effective online training for health workers: results from a pilot in Nigeria

Learners’ context and challenges

Features to include in learning solutions

Mobile devices and connectivity: most users access internet with mobile devices using cellular data

Mobile-ready and low bandwidth: optimized for mobile devices and for use over 3G connections

Lengthy registration processes: some platforms have multi-step registration processes or require download of an app

Minimal barriers to entry: does not require the download of new software, has a straightforward registration process and is offered free of charge

Complex user interfaces: some platforms have many different menus, screens, and pages that may have limited utility for learners and can interfere with learning

User-friendly and simple: has a single-screen and single-button navigation experience that does not require any orientation for learners to get started and is focused on learners’ priorities and experience

Scheduling issues: HWs’ work may conflict with synchronous events (webinars)

Self-paced and brief: can be accessed at any time and broken into short modules

Lack of utility: many courses focus on practices appropriate for tertiary care settings or emphasize non-clinical basic science content

Focused and applicable: learning is driven by brief “vignettes” set in health care facilities, content focuses on the most fundamental concepts in IPC, and certificates emphasize job-related course content

Passive learning: online courses often rely heavily on video and text, with limited opportunities for interactivity

Immersive learning: learning begins as quickly as possible and is driven by feedback and brief explanations embedded in formative assessment