ABSTRACT

The imbalance of the health workforce between rural and urban has the most severe impact in low-income countries (LICs). Lack of professional development opportunities, such as Continuing Medical Education (CME), is one of the key elements in this disparity. This research first presents a revised Citizen-centric Capacity Development (CCD) framework that focuses on goaldriven ICT solution design and impact assessment. It then investigates how the CCD framework guides the design, development, and assessment of CMES (CME on a Stick), a low-cost, integrative platform for the delivery of CME content to rural health workers in LICs. The success of the CMES project highlights the significance of the CCD framework in creating design artifacts that are contextually relevant, broadly scalable, and technologically sustainable. The research contributes not only to the theoretical knowledge of linking ICT interventions and development goals, but also the practical knowledge of ICT-based human capacity building in LICs.

摘要

城乡之间卫生人力的不平衡对低收入国家影响最大。缺乏专业发展机会，例如继续医学教育（CME），是造成这种差距的关键因素之一。这项研究首先提出了修订后的以公民为中心的能力发展（CCD）框架，该框架侧重于目标驱动的ICT解决方案设计和影响评估。然后，它研究了CCD框架如何指导CMES（棒状CME）的设计，开发和评估，CMES是向LIC中的农村卫生工作者提供CME内容的低成本集成平台。CMES项目的成功凸显了CCD框架在创建具有上下文相关性，广泛可扩展性和技术可持续性的设计工件中的重要性。