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Dateline Global: Into Africa

E-learning, Kenyan nurses and Atlanta, and why Accenture is the common link

by Dianne Bernez

September 30, 2008

S ome corporations talk about being globally conscious. Then there are others, like Accenture, who walk the talk. Last June, the company announced a $2.9 million donation (which includes $1.7 million from the Accenture Foundations and $1.2 million in-kind consulting and services leveraging the company's electronic learning expertise) to the African Medical and Research Foundation (AMREF), and sent Stephanie Runyan, an Atlanta-based senior manager, to spend four months in Kenya piloting an e-learning training program to significantly increase the number of qualified nurses in the country through the Accenture Development Partnership Program. This first-of-its-kind e-learning training program is expected to run for five years.

0603P62DGAfricaIn Kenya, given the current shortage of nursing instructors and infrastructure, it has been estimated that the need to upgrade 26,000 nurses from certificate to diploma level would take about 100 years. "Community level nurses account for about 90 percent of Kenya's nursing staff and are the backbone of the healthcare system because there's only one doctor for every 100,000 patients," Runyan says.

However, research by AMREF and Accenture shows more than 85 percent of Kenyan nurses are under-qualified for the job and have not been trained to handle new and re-emerging diseases such as HIV/AIDS, tuberculosis and malaria (the leading cause of child morbidity and mortality in Africa).

Runyan took the assignment in stride. Because she had spent a month in 2004 volunteering in Tanzania with a community-based HIV youth organization (not affiliated with Accenture), she was familiar with the culture.

"English is spoken a lot because Kenya was once a British colony, but it's still a tribal society and you need to remember that," Runyan says. "I knew some Swahili phrases, always useful as an ice-breaker, but it wasn't difficult to be understood. There weren't any big communications issues in Nairobi because everyone has a cell phone."

That's no exaggeration. In Kenya, cell phones are the primary means of contact because of the scarcity of traditional telephone lines. While there were ongoing computer outages because of constant power fluctuations, Runyan had daily Internet access (Nairobi is eight hours ahead of Eastern Standard time).

"It was great to be able to send instant messages to my parents," she laughs. "The only time I got really homesick was during the Georgia-Tennessee university home game where I didn't have anyone to celebrate with on Georgia's victory. But there I was, driving in downtown Nairobi and saw a man walking down a street with a Georgia Bulldog cap on. I jumped out of the car and he became my instant buddy because he'd actually attended Georgia State and was thrilled to learn of Georgia's win!"

Runyan is proud of her affiliation with Accenture and says, "It's one thing to give money, but this is a unique program that really taps the skill-set of its employees ...(a lot of developing countries need a transfer of skills)... and that was a main part of my job - to build the capability of the AMREF staff and help them learn how to build and manage projects so they didn't have to depend on Accenture to maintain the program."

Runyan clearly has a global mindset. In August 1994, after completing graduate school, she lived for nine months in the city of Barnaul (pop: 800,000), in the middle of Siberia, teaching conversational English at a university and doing missionary work with a local church.  

"The world is the same all around," she says. "We have different cultures and our experiences are vastly different, but at the end of the day we are the same and I have loved living these experiences. It's made my ability to connect globally very deep and I know my skills can be used for good anywhere to help people."



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