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<p>E-learning offers great benefits and potential to improve the capability of the public health workforce to prevent, detect, and respond to public health emergencies. This study aims to identify the implementation contexts and determinants of multi-communication online training (MOT) in low- and middle-income countries (LMICs). Using the updated Consolidated Framework for Implementation Research (CFIR), we mapped previously established MOT constraints and enablers onto its five domains and 39 constructs to determine implementation contexts and determinants, respectively. Overall, contexts for constraints and enablers to MOT implementation were established across all five domains of CFIR, with 16 determinants identified. The contexts were mostly linked to intervention (26.7%), followed by inner setting (23.3%), outer setting (23.3%), process (20.0%), and individuals (6.7%). The top three implementation determinants of MOT identified were intervention <i>design</i> (16.7%), outer setting <i>policies and laws</i> (13.3%), and outer setting <i>local conditions</i> and inner setting <i>available resources</i> (10.0%). These findings could be used to guide evidence-informed selection of strategies and prioritization of efforts and resources for e-learning implementation to improve global health security competency-based training in LMICs.</p>

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Understanding implementation contexts and determinants of e-learning for global health security competency-based training in LMICs

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年7月1日

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  • Kehinde O. Ogunyemi,
  • Virgil K. Lokossou,
  • Senait Kebede,
  • Lionel S. Sogbossi,
  • Julian Salim,
  • Ahmed Haji-Said,
  • Morgan Toth,
  • Kelechi Umoga,
  • Adaiah P. Soibi-Harry,
  • Simon Antara,
  • Carol Haley,
  • Affan T. Shaikh,
  • Michael Olaniran,
  • Tolbert Nyenswah,
  • Wondwossen A. Gebreyes,
  • Chima Ohuabunwo,
  • Scott McNabb,
  • Melchior A. Aïssi

摘要

E-learning offers great benefits and potential to improve the capability of the public health workforce to prevent, detect, and respond to public health emergencies. This study aims to identify the implementation contexts and determinants of multi-communication online training (MOT) in low- and middle-income countries (LMICs). Using the updated Consolidated Framework for Implementation Research (CFIR), we mapped previously established MOT constraints and enablers onto its five domains and 39 constructs to determine implementation contexts and determinants, respectively. Overall, contexts for constraints and enablers to MOT implementation were established across all five domains of CFIR, with 16 determinants identified. The contexts were mostly linked to intervention (26.7%), followed by inner setting (23.3%), outer setting (23.3%), process (20.0%), and individuals (6.7%). The top three implementation determinants of MOT identified were intervention design (16.7%), outer setting policies and laws (13.3%), and outer setting local conditions and inner setting available resources (10.0%). These findings could be used to guide evidence-informed selection of strategies and prioritization of efforts and resources for e-learning implementation to improve global health security competency-based training in LMICs.