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Learn about how MCHIP implemented mentorship to improve EmONC services in the Mansa District, resulting in increased provider confidence, better outcomes for pregnant women, and reduced pressure on referral facilities. Discover best practices and impacts of this mentorship program.
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Improving the Quality of EmONC Services through Intensive Mentorship – The MCHIP Approach Saving Mothers, Giving Life Endeavor 1 November, 2012
Mentorship Design • Trained team of 16 Mansa District mentors in: • Mentoring skills • IRH Supervisory Tool & EmONC Skills Checklists • Anatomic models to guide on-site clinical simulations • Data collection and support • Reporting • Team of 2-3 mentors visiting every delivering facility on a monthly basis • Hold Quarterly Recognition/Clinical Update Meetings with staff representatives of all facilities
Impact of mentorship • Immediate & sustained application of skills learned during EmONC training • Improved provider confidence and morale • HCs now managing complications which previously were referred (e.g., manual removal of placenta, MVA) • Improved outcomes for pregnant women • Reduced pressure on emergency transport systems and referral facilities
Impact (cont’d) • Increased use of the partograph (0.06% to 15%) • Improved documentation in service delivery registers • AMTSL applied in 85% of deliveries, even with 3-fold increase in number of facility deliveries since October 2011.
Best Practices • Strong leadership and ownership by Mansa DHO • Involvement and collaboration of many district partners – DHO, PHO, Mansa GH, ZPCT II, ZISSP and UNFPA • Use of anatomic models for on-site clinical simulations
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