# Exploring the Ni-kshay SETU e-Platform Ecosystem: A Mixed-Methods Study on Strengthening Capacity Building Training for TB Care and Prevention (STEP) Among Interns

## TL;DR

This study evaluates an e-learning platform for training medical interns in TB care, showing improved knowledge and skills.

## Contribution

The study introduces a mixed-methods evaluation of the Ni-kshay SETU e-platform for TB training among interns in India.

## Key findings

- Medical interns showed a significant increase in TB-related knowledge after using the Ni-kshay SETU platform.
- Two-thirds of interns felt the training met their expectations and improved practical skills and critical thinking.
- The platform demonstrated potential as a sustainable tool for TB management training despite some usability challenges.

## Abstract

Introduction

Tuberculosis (TB) remains a critical global health challenge, particularly in low- and middle-income countries. In 2023, India had a large number of the world's TB cases, underscoring the urgent need for improved and effective training of healthcare providers involved in TB care and management. The World Health Organization (WHO) End TB Strategy emphasizes innovative approaches to enhance TB management, which include the use of digital tools for capacity building.

Objective

This study aims to evaluate the effectiveness of the Ni-kshay SETU (Indian Institute of Public Health, Gandhinagar, Gandhinagar, India) e-Platform in improving TB-related knowledge and practical skills among interns and to determine the scalability of the Ni-kshay SETU in training healthcare professionals.

Methodology

A mixed-methods approach was adopted, effectiveness was quantitatively assessed through pre- and post-test scores, feedback regarding the application was assessed for utility and interphase ease, and recommendation was assessed qualitatively. The overall performance of the digital e-learning platform was evaluated based on the WHO toolkit to assess the digital interface for learning among healthcare professionals.

Results

The study included 184 medical interns, with 156 registering on the Ni-kshay SETU platform. The pre- and post-test showed a significant increase in average scores from 14.49 (±6.67) to 20.46 (±7.84) post-training (p<0.001). Nearly two-thirds of medical interns felt that the training met their expectations, reported improvements in practical skills and critical thinking, and agreed to recommend it to their peers.

Conclusion

The Ni-kshay SETU e-Platform effectively improved TB care knowledge and skills among medical interns. Despite some challenges, the platform demonstrates significant potential as a sustainable training tool in TB management. Continuous updates and improvements in usability are essential for maximizing engagement and effectiveness in the long term.