Evidence map›Paper›PMID 42527497›Full record

Articlenpj health systems2026

Understanding implementation contexts and determinants of e-learning for global health security competency-based training in LMICs.

Kehinde O Ogunyemi, Virgil K Lokossou, Senait Kebede, Lionel S Sogbossi, Julian Salim, Ahmed Haji-Said, Morgan Toth, Kelechi Umoga, Adaiah P Soibi-Harry, Simon Antara and 8 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in npj health systems, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Kehinde O OgunyemiHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA. ogunyemikehinde89@gmail.com.
Virgil K LokossouWest African Health Organization, Abidjan, Côte d'Ivoire.
Senait KebedeCenter for Studies of Human Health, Emory University, Atlanta, GA, USA.
Lionel S SogbossiWest African Health Organization, Abidjan, Côte d'Ivoire.
Julian SalimDepartment of Global Health, University of Washington, Seattle, WA, USA.
Ahmed Haji-SaidHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Morgan TothPublic Health Practice LLC, Public Health Practice LLC, Florida, FL, USA.
Kelechi UmogaMassachusetts General Hospital, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Adaiah P Soibi-HarryDepartment of Infectious Disease, Emory School of Medicine, Emory University, Atlanta, GA, USA.
Simon AntaraAfrican Field Epidemiology Network, Kampala, Uganda.
Carol HaleyHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Affan T ShaikhHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Michael OlaniranCollege of Engineering and Computer Science, University of Michigan-Dearborn, Dearborn, MI, USA.
Tolbert NyenswahDepartment of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Wondwossen A GebreyesThe Global One Health Initiative (GOHi), The Ohio State University, Columbus, OH, USA.
Chima Ohuabunwo *Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA, USA.
Scott McNabb *Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Melchior A Aïssi *West African Health Organization, Abidjan, Côte d'Ivoire.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

E-learning offers great benefits and potential to improve the capability of the public health workforce to prevent, detect, and respond to public health emergencies. This study aims to identify the implementation contexts and determinants of multi-communication online training (MOT) in low- and middle-income countries (LMICs). Using the updated Consolidated Framework for Implementation Research (CFIR), we mapped previously established MOT constraints and enablers onto its five domains and 39 constructs to determine implementation contexts and determinants, respectively. Overall, contexts for constraints and enablers to MOT implementation were established across all five domains of CFIR, with 16 determinants identified. The contexts were mostly linked to intervention (26.7%), followed by inner setting (23.3%), outer setting (23.3%), process (20.0%), and individuals (6.7%). The top three implementation determinants of MOT identified were intervention design (16.7%), outer setting policies and laws (13.3%), and outer setting local conditions and inner setting available resources (10.0%). These findings could be used to guide evidence-informed selection of strategies and prioritization of efforts and resources for e-learning implementation to improve global health security competency-based training in LMICs.

Identifiers

PMID42527497
PMCPMC13354242

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.