Barriers to participation | Limited time window to prepare for national roll-out Internet connectivity Competing time demands on facilitator given normal work duties to complete Language barriers (the course was not provided in French or Kinyarwanda) Voluntary nature of programme
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Facilitators to participation | Promotion of course to health sector by Ministry of Health Appointment of facilitators at district hospital level Provision of alternatives to enhance access to content when internet connectivity barriers were experienced (eg, provide transcripts of video text, audio files or option for smaller/low-quality videos) Appointment of course liaison (teaching fellow) to serve as point of contact for facilitators and to help create weekly session guides Incentive to complete course for local continuing professional education licensing Integration of course content with ongoing health sector initiatives to improve quality and safety
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