COVID-19: Distance learning to empower educators and health assistants in rural areas

Abstract

Background: Educators and health assistants can act as key players in controlling the pandemic. In general, they are respected by the community, especially in rural areas, and can help guide and raise the population's awareness of preventive measures. The objective of this paper is to evaluate the results in knowledge progress of an e-learning course offered to educators and health assistants by a public university and to analyze the profile and satisfaction of the participants.

Materials and methods: A single group pre- and post-test design based on a questionnaire, interventional, study was conducted in the period from April 20^th to June 20^th. All participants of the course answered sociodemographic and satisfaction questionnaire and a pre- and post-test. Data were descriptively arranged and regarding the distribution and comparison of means and frequency, paired t-test for group comparisons. P < 0.05 was statistically significant. Data were collected from the Moodle® teaching platform, without identifying the participants.

Results: A total of 674 participants were enrolled in the five groups, and 583 concluded the course (86.5%). The reasons for those who did not access the entire course (n = 47) were: Lack of time, difficulty in accessing the internet, and lack of experience with distance learning courses. On the evaluation of the course platform, from the tutors in general and the degree of satisfaction in several questions, participants marked maximum grades. The comparison between pre- and post-proficiency scores showed increased proficiency of the enrolled groups (P < 0.0001).

Conclusions: The course contributed to the training of health assistants and educators, preparing them to act in a participatory way in the prevention and control of the pandemic. The course was well evaluated and there was a progression of knowledge by the participants.

Keywords: COVID-19; Coronavirus; e-learning; pandemics; public health.

Figure 1

Comparison between means of the obtained grades on pre- and post-tests in the e-learning course about Covid-19 (n= 1008)

Figure 2

Interaction with tutors through forums in the course. (A) question A: “Do the questions raised by the tutors help me to think critically? (B) question B: “Did the tutors answer your questions properly?”

Figure 3

Evaluation of participants in relation to the course. (A) Statement 1: “After training, I feel safer to provide information to the population” (B) statement 2: “After training, I feel safer to recognize the signs of disease severity” (C) statement 3: “After the training, I feel safer to work professionally”. (D) Statement 4: “Would you recommend this training to a colleague”