Simulation-based training tools for JIT capacity building

Organisation: MiiHealth Ltd

Partners: The MENTOR Initiative

Location: Freetown, Siera Leone

Type of grant: Core – recognition

Status: Ongoing

  • Telegraph article on ebuddi

  • Frontline training - is there a better way

  • Augmenting practical training

  • At the start of the outbreak cases of Ebola were doubling every 4 weeks far outstripping the capacity of traditional approaches to train up frontline health workers so they could keep themselves safe and keep serving their communities

  • ebuddi - building on insights from the learning sciences

  • ebuddi provided a much more 'adaptive' approach to training so that it had the potential to be context sensitive and personalised

  • Critical steps identified by frontline workers could be highlighted as shown in this illustration

  • By March 2017, over 10 million Cardboard viewers had shipped with over 160 million Cardboard app downloads

  • Devices such as Google cardboard could make immersive pre-deployment or induction training both accessible and cost effective enough to transform our conventional view of training

Co-creation of simulation based training through an agile approach to development enabling Just in Time (JIT) high impact training which is cultural and context specific and ensures a sustainable legacy, with the potential to transform the international humanitarian response.

What is the humanitarian need?

Three challenges raised in emergencies include:

  1. How to give local people the knowledge, confidence and competence to help themselves and support one another with less reliance on international support
  2. How to empower frontline health workers so they can keep safe and keep serve their communities?
  3. How to improve quality, speed, scale and coherence of local capacity building?

Examples include: Strengthening outbreak response from pandemics and anti-microbial resistance; improving effectiveness and efficiency of IPC training; improving quality assurance and making M&E occur in real time; and reducing dependence on English language and literacy.

What is the innovative solution?

The solution is innovative in its approach to development, its outcomes and its potential to build on more widely. This tool will

  • build on advances in simulation training
  • enable the use of voice-overs in local language
  • allow agile development facilitating co-creation with frontline teams
  • be intuitive in overcoming barriers of literacy and language
  • ensure the availability of human resources with the appropriate mix of competencies, including knowledge and skills in the event of an outbreak
  • improve compliance with International Health Regulations
  • and could be applied to other competencies

What are the expected outcomes?

  • Understanding of barriers to innovation in the crisis
  • Appreciation that there are alternatives to current focus on English based MOOCs with well defined, practical model for training in local language
  • Illustration of how analytics can be used to drive a virtuous circle of improvement at the level of the individual, institution and programme
  • Cost effectiveness compared to traditional training formats
  • Development proposal for pilot in an affected country with sites and partners identified


Elrha is hosted by Save the Children, a registered charity in England and Wales (213890) and Scotland (SC039570).

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