Addressing Delay 3: Quality of Care/ Mentoring in Zambia

Martha Ndhlovu

MNH Technical Advisor - MCHIP May 6, 2014

Mentorship Approach

• Reinforce appropriate application of knowledge and skills learned in EmONC/HBB in-service trainings through intensive, on-site mentorship

• Build capacity of district MOH and partner staff to provide quality mentorship, with support from MCHIP technical team

• Utilize existing MOH tools and structures with goal of integrating with quarterly district supervisory visits post-SMGL

Mentorship Components

• 3-5 day mentorship training for 17 Mansa-based mentors (PMO, DCMO, facilities and Partners)

– Mentoring skills – Use of EmONC Skills Checklists – Use of anatomic models to guide clinical simulations – Data collection and support – Reporting

• Visit to facilities on monthly basis by three teams of mentors (two to three mentors in each group)

• Quarterly mentorship meetings • Quarterly recognition/clinical update meetings

Motivation of providers

• Training in EmONC and HBB

• Training in mentorship • Monthly visits • Mentors spend time

working with mentees to clear work load

• Exchange visits • Lunch allowance where

applicable • Models for

demonstrations • Support from the local

management • Involvement of local

management

SuScces attributable to Success of the program attributable to: • Strong ownership at

Provincial and district levels

• Strong collaboration among partners

• Improved transport system at community and health centre level (zoned)

• Strong and organized SMAGs

Community meetings with SMAGs in progress

Mentors and mentees working together

SMGL – Design – On site Mentorship

Mentorship

Provided by: • Provincial

officials • District mentors • Peer to peer

mentoring • Partners

On site peer to peer mentorship

Helping babies breathe Assisted vaginal delivery

Competency tracking by mentors

Mentorship Tools

Result of mentorship in graph

Expected challenges and how they were addressed

• Transport ➢Liaising with district SM Coordinator to organize with

partners, PMO and DMO ➢Busy schedules of mentors – Group members are inter

changed according to availability ➢2nd mentorship training done to increase number of

mentors

Thank you!

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