Severe Acute Malnutrition (SAM) Online Training

Summary of SAM eLearning Platform

Severe Acute Malnutrition (SAM) is a primary cause of death in children. SAM afflicts nearly 20 million pre-school age children, mostly from Africa and the southeast Asian region. Malnutrition provides to 8 million deaths in children under five years of age worldwide (WHO 2013).

❏ Publisher Name	:	International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b)
❏ Developer Name	:	Riseup Labs
❏ Course Type	:	Learning Management System (LMS)
❏ Platform Type	:	Website and Mobile
❏ Client Name:	:	UNICEF Bangladesh, HPNSP, IPHN, & icddr,b
❏ Release Date	:	Coming Soon
❏ Product Working Type	:	In progress
❏ Accessibility Type	:	Web browser supported, all device
❏ Product Type	:	Online Training
❏ Category	:	eLearning
❏ Initial Development Period	:	In progress
❏ Service Type	:	Mobile App Development and Website Development
❏ Experience you can trust	:	Meet The Core Team →
❏ Track Record (Portfolio)	:	Beyond the Limits of visualization →

The Learning Management System (LMS) thinks of a technology that can improve learning, make it faster, productive, cost-effective, and, more importantly, trackable.

The most basic Learning Management System (LMS) contains a core operative platform that empowers administrators to upload learning content, deliver lessons to end-users, serving notifications, and share data with authorized users.

Authenticated Learning Management System (LMS) courses today have the concentration to give proper instruction and certification. One such platform is the SAM Online Training course.

What is SAM Online Training?

Severe Acute Malnutrition (SAM) is an important cause of death in children. Children suffering from SAM can be successfully treated by using WHO guidelines that have been shown to be feasible and sustainable even in small district hospitals with limited resources, where the WHO guidelines have been implemented as recommended, substantial reductions in case fatality rates have been achieved.

WHO guidelines are a structured approach to care and involve 10 steps in two phases and taken into account the profound physiological changes that exist in severe malnutrition.

This online course provides clear and practical guidance for inpatient treatment and management of Under-5 children who are suffering from severe acute malnutrition.

Purpose of the SAM Online Training

Children suffering from SAM can be successfully treated by using WHO guidelines that have been shown to be feasible and sustainable even in small district hospitals with limited resources, where the WHO guidelines have been implemented as recommended, substantial reductions in case fatality rates have been achieved. WHO guidelines are a structured approach to care and involve 10 steps in two phases and taken into account the profound physiological changes that exist in severe malnutrition.

This national guideline is adopted from WHO guidelines, contextualized, and adopted through different level peer review committees.

This online course provides clear and practical guidance for inpatient treatment and management of Under-5 children who are suffering from severe acute malnutrition.

How will this help users?

The participant will learn about:

Importance of severe acute malnutrition as a public health problem.
Evaluation of nutritional status for the association of SAM at the facility (indoor, outdoor) and outreach sites.
Help to understand the principles of concern for SAM children.
Help to understand the different steps of management.
Help to understand children's daily care, including needed antibiotics, monitoring pulse, temperature & weight gain.
It will help to know and monitor the overall treatment performance of SAM word.
How to engage the mother in the child's care and prepare for follow-up.

Why is this important?

The whole training materials and the user interface are very simple and understandable to the target audience.
The platform has detailed content, a voice-over script illustrated with photographs, videos, GIF, animation reference to source materials, key references into the modules, animation on anthropometric measurement, etc.
In the training, proper nutrition knowledge has been covered in a limited amount of time, with animation and voice-over of seven modules in total.
The training materials and scripts were reviewed by relevant presenters from:
- DSHE- Directorate of Secondary and Higher Education (Bangladesh)
- HPNSP- Health Population and Nutrition Sector Program
- IPH- Institute of Public Health
- UNICEF Bangladesh

Website

Frontend

You can see the overview of the course, course structure, learning objectives, app downloadable links, and so on.
To enter each training, you should log in and join the training.
If you have no account then you should be registered to access the course.
You can see the course on the homepage.
There is an offline feature to complete the course.

Website

Backend

The training system is controllable from the backend.
The admin can update, edit new modules, and time sessions.
Admin can see the number of registered users, completed courses, and certificates obtained from the analytic dashboard.
The total number of download certificates, complete registration in each training, Gender wise by Division/District/Zila/Upazila is also there.

Mobile App

The app is available on both iOS & Android platforms.
You should to log in the app after opening the app. If you do not have an account, you need to complete the registration process from your app.
After login into the application, there are the following options – Home, course, my course, & profile.
There will be available basic information about the application on the app home page.
Users can take the course offline from the app.
Users get their information and update from the profile section.
The course section contains course modules and chapters.

System requirement to use this Platform

Android 5 and above
Ram 2 GB
Quad-core, 1.3 GHz
Network 2G, 3G, and above

Modules of SAM Online Training

Module 1: Introduction and Principles of Care The Importance of severe acute malnutrition.

Module 2: Nutritional Status Defining undernutrition and severe acute malnutrition.

Module 3: Initial Management Ten essential steps of management and very severe anemia.

Module 4: Feeding Feed the child in transition phase and Prepare F-75 and F-100.

Module 5: Daily Care Handle the child Gently and Provide continuing care at night.

Module 6: Monitoring Use a process to identify and solve problems.

Module 7: Involving Mother in Care Organize ward routine to encourage mother’s involvement.

User Journey throughout the Course

The entire course and each module have a specific learning time (defined by icddr, b). The content is available in one language English.

Video or audio elements are used to facilitate access to learning resources by International Centre for Diarrhoeal Disease Research, Bangladesh (icddr, b).

There are seven modules and one quiz session in this training session.

You need to complete each module to unlock the next module. You cannot skip the module and move to the next unless it is 100% completed. In between the modules, you find quiz slides to check your understanding of the topic.

Also, SAM training activities are suggested in the modules as an option, which you may wish to undertake and share your experiences. This section is inactive until you complete all the modules and quiz sessions. And you have 20 questions to respond to your assessment.

Structure of the Course

SAM Online training consists of seven modules and a quiz section.

01 / 08

Module 1: Introduction

All in all, this introductory section covers the importance of severe acute malnutrition, including the brief malnutrition situation in Bangladesh, objectives for clinical sessions, and so on. This module includes the following topic:

Importance of severe acute malnutrition
Purpose of these training modules
Course methods and materials
Learning objectives for modules
Objectives for clinical sessions

02 / 08

Module 2: Assessment of Nutritional Status and Principles of Care

This module defining undernutrition and severe acute malnutrition. Also, that includes an anthropometric measurement, physiology of severe acute malnutrition effect, a component of care, and others. This module includes the following topic:

Defining undernutrition and severe acute malnutrition Anthropometric measurements (length/height, weight, MUAC)
Identify the children with severe acute malnutrition
How does the physiology of severe acute malnutrition affect the care of the child?
Overview of the essential component of care
Discharge criteria for children with severe acute malnutrition from malnutrition ward

03 / 08

Module 3: Initial Management

It elaborates on the ten essential steps of management that can manage hypoglycemia, hypothermia, a child with severe acute malnutrition and shock, severe anemia, and others. This module includes the following topic:

Ten essential steps of management
Manage hypoglycemia
Manage hypothermia
Manage a child with severe acute malnutrition and shock
Manage very severe anemia
Give emergency eye care for corneal ulceration
Manage watery diarrohoea and/or vomiting with ReSomal.
Give antibiotics

04 / 08

Module 4: Feeding

This module covers feed the child in a transition phase that will help the malnutrition ward during the feed planning. This module includes the following topic:

Prepare F-75 and F-100
Feed the child with F-75
Feed the child in the transition phase
Feed freely with F-100
Feed planning for the malnutrition ward

05 / 08

Module 5: Daily Care

This module gives you a detailed overview of caring for skin and bathing the child. This module includes the following topic:

Handle the child Gently
Caring for skin and bathing the child
Give prescribed antibiotics and other medications and supplements
Care for the eyes
Monitor pulse, respirations, and temperature and watch for danger signs
Provide continuing care at night
Weight the children daily and maintain the weight chart

06 / 08

Module 6: Monitoring and Problem Solving

This module provides you information on the monitor and solves problems with and individual children, monitor child outcomes. This module includes the following topic:

Use a process to identify and solve problems
Monitor and solve problems with an individual child
Monitor overall weight gain on the malnutrition ward
Monitor child outcomes
Monitor practices and procedures
Solve problems

07 / 08

Module 7: Involving Mother in Care

This module gives you a detailed overview to involve mothers in comforting, feeding, and bathing children. That also includes general discharge instructions, teach mothers the importance of stimulation, and how to make and use toys. This module includes the following topic:

Organize ward routine to encourage mother’s involvement
Involve mothers in comforting, feeding, and bathing children
Teach a group of mothers about feeding and care
Prepare for feeding the child at home
Teach mothers the importance of stimulation and how to make and use toys
Give general discharge instructions
If the early discharge is unavoidable, make special arrangements for follow up

08 / 08

Quiz

Finally, as the learner, you have 20 questions to respond to the quiz session. You need to get 70% marks to pass the quiz assessment.

Upon successful completion, you can earn a digital badge certificate from the Sam Online Training platform. The digital badge certification verifies that the learner has achieved the learning outcomes and competencies outlined in the SAM course.

History of SAM Online Training

The course has a story before the software development company Riseup Labs started working on the project on March 4, 2021.

There, the ideal and the number one way to gain knowledge was "face-to-face training,". 90.4% of the respondents confirmed a need for a comprehensive eLearning platform for gaining and building malnutrition knowledge. A mobile phone and computer were the 1st and 2nd highest preferred tools, respectively when taking any eLearning module.

The rapid needs assessment findings noted that doctors and nurses are keen to learn and participate in online courses.

Features of SAM eLearning Course

An online and offline eLearning system based on the existing SAM guideline book in the English language, including the Front-end website and Back end website
The course has seven modules and one quiz assessment section
Text to speech voice-over for the eLearning materials
Interactive infographic in each module
Each module has some quizzes to check your understanding
Duration of the course 30 hours
Marking System in the quiz assessment.
Interactive eLearning platform. After completing the final assessment, you receive a digital certificate.

Severe Acute Malnutrition (SAM) eLearning Course Structure

Benefits of SAM eLearning Course

Easy to understand eLearning course for people of all ages especially doctors and nurses.
Available in one language- English.
The SAM online training offers a wealth of knowledge on malnutrition and related issues.
Learners can download the full course offline to complete the course.
The learner will find quizzes, questions,s, and FAQs at the end of the module.
Learners can participate in the online or offline course by downloading the mobile app from the Google Play Store or App Store.
The online version of the course can be accessed by mobile phone or computer (desktop and laptop).
The offline version of the course is available on the NCB website. It can be downloaded to computers and laptops (Windows and Mac).

Getting Digital Certificate is a beneficial aspect for Users

The Result

This eLearning course differs from others because it serves a common objective to all-knowledge severe acute malnutrition.

This online course provides clear and practical guidance for inpatient treatment and management of Under-5 children. Since this course is available online and offline, this is fit for most people in Bangladesh.