Challenges and Prospects to Implementation of E-Learning Midwifery Curriculum in Uganda

Background: Uganda's Ministry of Education and Sports, through the Business, Technical, Vocational Education and Training Directorate, is committed to using the e-learning approach to train midwives in Uganda. This study aimed to assess challenges and prospects for implementing an e-learning curriculum in Uganda and propose approaches for effective implementation. Methods: A convergent mixed methods research design and pragmatism paradigm was employed to survey 12 Ugandan Nursing and Midwifery Training Institutions, 52 Health Tutors, 11 Principals, and 152 students enrolled in an e-learning midwifery program. The study objective was to determine student-related challenges to the implementation of e-learning midwifery curriculum in Nursing and Midwifery training institutions in Uganda. The study was based on the Technology Acceptance Model (TAM) and data collection utilised questionnaires, interview guides and checklists. Data analysis employed SPSS (21.0) to generate descriptive statistics (percentage and frequency) for the study variables. Results: The study discovered that 40% of respondents disagreed with students possessing the necessary ICT skills, proving digital literacy as a significant challenge. Only 29% of respondents believed that prior ICT knowledge was considered in admissions, suggesting inadequate preparedness of students for e-learning. On a positive note, 58% of students displayed good communication and teamwork skills, with 60% exhibiting self-motivation and discipline. Concealed enrollment by trainees from employers to avoid conflicts and loss of jobs over study time reduced their ability to attend face-to-face sessions and fully participate in learning activities. Conclusion/Recommendations: Lack of digital literacy and prior ICT skills negatively affect the e-learning midwifery curriculum, while student self-motivation can enhance its implementation. Knowledge of ICT being a prerequisite for admission into e-learning programs, compulsory ICT training programs, establishing relevant policy guidelines, leveraging on students’ self-motivation, teamwork, and a positive attitude towards e-learning can guarantee efficient and effective e-learning midwifery curriculum implementation in Uganda. Engage employers to support study leave and workplace flexibility.