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Gamified mobile learning to strengthen malaria diagnostic competence: a case study from Sierra Leone
* 1, 2 , 3 , 4 , 5
1  Department of Surgery, Medical and Social Sciences, Faculty of Medicine and Health Sciences, University of Alcalá, Alcalá de Henares, 28871, Spain
2  Leicester School of Allied Health Sciences, De Montfort University, Leicester, LE1 9BH, UK.
3  Department of Public Health, Microbiology and Immunology, Ernest Bai Koroma University of Science and Technology, Makeni, Sierra Leone.
4  Department of Biomedical Sciences, University of Alcalá, Alcalá de Henares, 28871, Spain.
5  Parasitology Area, Department of Agrochemistry and Environment, Muhammad Al-Shafra Building, Sant Joan d’Alacant Campus, Miguel Hernández University, Sant Joan d’Alacant, 03550, Spain.
Academic Editor: Honggang Liu

Abstract:

The ongoing global challenge posed by malaria underscores the urgent need for innovative, scalable, and context-appropriate educational tools, particularly in low-resource settings with limited access to laboratory training. In response, we developed a mobile-based digital learning solution—the e-Parasitology Game Collection©(https://play.google.com/store/apps/details?id=com.DMUHLS.ParasitologyGameCollection)—to support the acquisition of essential diagnostic skills in clinical parasitology. Designed specifically for use in Sierra Leone, the app combines three serious mini-games tailored to build user competence in malaria prevention, symptom recognition, and laboratory diagnosis. Available free of charge on the Google Play Store, the app provides interactive, self-directed training through a simulated public health environment. Users engage in activities such as identifying symptoms and examining virtual blood smears to distinguish between key Plasmodium species affecting humans. This educational tool was field-tested with a cohort of 54 public health students from the University of Makeni (UniMak), including undergraduate and postgraduate participants who had received prior instruction in malaria. Initial results show high levels of engagement and perceived educational value: 90.2% of students agreed the virtual smears were useful for learning diagnosis, while 88.7% considered the skills acquired relevant for their future careers. Notably, over 86% reported improved understanding of species-level identification, a key competency in malaria case management. This initiative is part of a broader effort to build sustainable health capacity in Sierra Leone through gamified and open-access resources that complement conventional teaching methods. The project also demonstrates the potential of digital tools to democratise access to essential diagnostic training, foster independent learning, and support the development of critical health workforce skills in malaria-endemic regions.

Keywords: Malaria diagnosis; Gamified learning; Mobile health education; Sierra Leone; Clinical parasitology

 
 
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