Fondation Pierre Fabre

Consolidate the expertise of nurses and midwives through a blended “e-learning and mentorship” scheme.

Main beneficiary countries:
Senegal - Côte d’Ivoire

About the sponsor


AMREF is Africa’s leading African healthcare NGO, with 162 programmes launched in 2015, affecting 9 million people in almost 35 African countries. Delivered in partnership with local authorities and bolstered by roots in the community, the programmes address two key public health priorities: mother and infant health, and training for healthcare professionals. Since July 2011, Amref Health Africa has been running pioneering initiatives in West Africa, using innovative solutions to encourage the sustainable consolidation of healthcare systems (programme to consolidate healthcare professional skills, community health, WASH, mobile medicine, etc.).

Sector: Organizational: Communities, public authorities, NGOs, associations, foundations, etc.

Country of origin: France

The organisation has:

Full-Time Equivalents
Service providers

Initiative overview

Healthcare themes targeted

  • Mother and child health
  • Primary healthcare
  • Sexual and reproductive health

Stage of development:

  • Routine project/operational

Area where initiative is utilised

  • International (in several countries)

Initiative start date

  • 04/04/2017

Initiative end date

  • 04/04/2017


Financing method

  • Public (grant/subsidies, call for proposals/call for tender, etc.)
  • Private (private investors, crowdfunding, philanthropy, etc.)

Economic model(s)

  • Subsidies

About the initiative

Senegal is experiencing a general shortage of healthcare professionals in terms of both quality and number. In 2007, there were only four healthcare professionals (one doctor and three nurses and midwives) per 10,000 people, below the WHO’s minimum threshold of 23 per 10,000 people to cover the needs of mother and infant health (World Health Statistics, WHO, 2009). Training is provided by the Ecole Nationale de Développement Sanitaire et Social (ENDSS), but staff are scattered unevenly across the country: there is a desperate shortage of midwives in rural areas, making barriers to access to healthcare in rural situations all the more impassable. Côte d'Ivoire is also facing a shortage of healthcare professionals. In 2007 there were only 7 healthcare professionals (one doctor and six nurses and midwives) per 10,000 people. Furthermore, the Côte d’Ivoire’s Strategic Development Plan for Human Resources (2009-2013) showed that training failed to meet needs in terms of both quality and quantity.

The project’s keystones are blended learning (e-learning and mentoring) and the accessibility of quality teaching that leads to recognised qualifications. The e-learning component in particular enables us to overcome geographical boundaries, avoiding the need for active healthcare workers to travel, facilitates the updating of training content, and optimises costs.

PRECIS is implemented under the aegis of the WAHO, in line with its policy of standardising training for healthcare professionals in the region. In Senegal, the e-learning solution helps to standardise training for all active midwives and nurses who were trained before the reforms of 2009, which created a double standard of training to the detriment of these healthcare professionals, and to promote learners being re-qualified at a higher grade upon completion of the course. In Côte d’Ivoire, e-learning will provide a comprehensive solution by providing access to education with a standardised quality and format in each of the Institute’s regional branches, based on WAHO recommendations and the Bachelor-Master-PhD system. It will also help to remedy the conflict between the shortage of teachers and the increasing numbers of students. Phases:

1. Implement a national and regional digital learning solution, with teaching materials to match identified needs and a teaching team to train State midwives and nurses. 

2. Deliver continued professional development to 1800 State nurses and midwives by 2020.

3. Track, assess, and capitalise to improve the courses implemented, and expand the project across the region.

Fields of application:

Health professional training

Target audience

  • Healthcare professionals and structures (hospitals, healthcare centres/clinics, health networks)

Initiative objectives

  • Decreased mortality
  • Decreased morbidity
  • Improved treatment

Key figures

500 Number of beneficiaries since launch

400 Number of users per Year

Materials used

  • Tablet
  • Computer

Technologies used

  • Mobile telecommunications (without data connection)
  • Internet

Offline use


Open Source


Open Data


Independent evaluation

evaluated independently


Ministère de la Santé et de l’Action Sociale (et ses instances décentralisées )

Health: Healthcare professionals and structures

L’Organisation Ouest Africaine de la Santé

Academic entities: Universities, research laboratories, etc.

le Syndicat Unique des travailleurs de la Santé et de l’Action Sociale

Organizational: Communities, public authorities, NGOs, associations, foundations, etc.

l’Association Nationale des Infirmiers et Infirmières

Organizational: Communities, public authorities, NGOs, associations, foundations, etc.