ICATT

IMCI Computerized Adaptation

and Training Tool

To support WHO/UNICEF strategy for

Integrated Management of Childhood Illness (IMCI)
Major challenge for the implementation of IMCI

after more than 10 years... limited coverage!!!

 On the other hand...
Studies show e-learning saves time and cost

• Studies indicate that e-learning can

significantly reduce training hours and
training costs comparing with standard
teaching

Hall and Le Cavalier (2000) found that IBM saved

$200 million in 1999 by converting traditional training
to e-learning.

Fletcher (1990) found that computer-based training
yielded time savings of 35-45 percent

Hall (1997) indicates a reduction in time of 20-80
percent
 Additional advantages of e-learning...

• Consistency in delivery of the technical content…

• Self-pacing for slow or quick learners reduces stress and
increases satisfaction…
• Expert knowledge is communicated, but more
importantly captured, better in e-learning…
• Proof of completion and certification, essential elements
of training initiatives, can be automated…
How ICATT can be used...
 Two interfaces of ICATT
Builder and
• “Open” interface - allows to
do virtually everything
Manager

Change/adapt guidelines
and create management
flow chart etc.

Update library of
documents, and other
recourses

Design training
programme

• “Closed” end-user interface, which

can be used

by a trainee for self-learning

by a trainer for teaching
 ICATT – flow of implementation
Country Adaptation ICATT builder and
manager
(Open interface)

Global ICATT:
• ICATT builder and manager
• Generic ICATT player

Open interface
Locally adapted ICATT player Adaptation
of training design
Locally adapted ICATT player

Pre-service end-user
individual or classroom
In-service end-user -
individual or group
Potentials for ICATT based trainings
What options to choose?
 Individuallearning
Individual learning++Group
Groupclinical
clinicalpractice
practice

 Individual work with ICATT training

player – theory, practice exercises
 Individual speed or
 Assigned training units
 Group clinical practice with help,
supervision and feedback of IMCI
facilitators
 In the same health facility or
 Clinical practice in central place
 Final certification by IMCI facilitators
Class group
Class computer
group computerlearning
learning++Group
Groupclinical
clinicalpractice
practice

 Class room group work with help of

IMCI facilitator– theory, practice
exercises
 As one course
 Stand alone sessions on individual
training units
 Group clinical practice with help,
supervision and feedback of IMCI
facilitators
 Clinical practice in busy clinic/hospital
 Final certification by IMCI facilitators
 Distancelearning,
Distance learning,individual
individualororgroup
groupclinical
clinicalpractice
practice++ facilitator’s
feedback
facilitator’s feedback

 Learning through distance course

 With printed materials
 With ICATT software
 On job clinical practice with help of
IMCI trained senior colleagues
 In participants own clinics
 Periodic feedback on clinical parts
by IMCI facilitators
 Final certification
 ICATT as a reference tool for on-job
ICATT as a reference tool skills
for on-job skills reinforcement
reinforcement
 ICATT can be used not only
as a part of the formal
training, but also as a
reference tool
 It replaces huge number of
printed materials and
publications
 This approach is
recommended for
advanced users who
already attended a course,
but would like to learn
more about IMCI
ICATT – How to start?
Working with ICATT training player
To install…

Double click on file

TrainingInstall.exe
 To Install or not to install…?

You may choose…

ICATT Training player
- after installation
Welcome screen
 First time users…
create a student profile
New Student (1)
New Student (2)
ICATT menu
ICATT menu
ICATT menu
Training unit - example
Entry screen for training unit
Entry screen for training unit

There are two

possibilities to
access the
sections of the unit
Learning objectives
Link to IMCI chartbooklet
IMCI chart booklet

Press “Back”
button to return
to training player
Multiple links to IMCI chart booklet

When there are more than

one link to IMCI chart
booklet, the link title is
seen when mouse is over
the link
Working with the unit

1 2

When working with the

unit always start with 3 4
READ, than SEE,
followed by PRACTISE
and TEST
Training Unit – ICATT main building block

READ includes SEE includes

Key technical illustration materials
information and (pictures, videos,
links to the flash movies) with
reference materials explanations
(additional reading)

PRACTISE includes
TEST includes
Various exercises
Test questions, with
with immediate
final answers
feedback to trainee
available only from
and guidance for
facilitator
clinical practice
READ section of the training unit

You can always check Use “Next” and

how many pages you “Back” buttons
have to read to navigate
Further reading is an optional part of training

“The Library” in ICATT

Reference documents

Press “Back”
button to
return to
training player
SEE section of the training unit
Full screen video or picture

Press “Back”
button to return
to training player
PRACTISE section of the training unit

…but better is to
use “Next” and
“Back” buttons to
navigate
Different types of exercises in ICATT

Always check how

many questions you
have to answer
Different types of exercises in ICATT
Sometimes you
will be asked to
type-in your
answer
Different types of exercises in ICATT
Sometimes you
will be asked to
type a correct
number

After you press OK

you will always get
immediate feedback
TEST section of the training unit

No feedback Progress bar:

for TEST White – not began
exercises Yellow – in progress
Green – done
Red – failed (less than
80% answered correctly)
 When resuming interrupted training...

When you re-start your

training after break, you
can always go to the
place where you stopped
 Print and Glossary in ICATT

You can also

use ICATT
glossary
Glossary
Clinical practise
 Training Progress

Trainee can always

monitor the progress
made….at the end
(if successful!) a
certificate is issued….