Presentation on theme: "Improving the Quality of EmONC Services through Intensive Mentorship –"— Presentation transcript:
1Improving the Quality of EmONC Services through Intensive Mentorship – The MCHIP ApproachSaving Mothers, Giving Life Endeavor1 November, 2012The Maternal and Child Health Integrated Program is USAID’s Global Flagship Program for MCH. We are present in more than 30 countries and have been in Zambia under SMGL since October 2011.Under SMGL, MCHIP is the primary clinical implementing partner in Mansa District for EmONC and HBB, and in all four districts for HBB.
2Mentorship Design Trained team of 16 Mansa District mentors in: Mentoring skillsIRH Supervisory Tool & EmONC Skills ChecklistsAnatomic models to guide on-site clinical simulationsData collection and supportReportingTeam of 2-3 mentors visiting every delivering facility on a monthly basisHold Quarterly Recognition/Clinical Update Meetings with staff representatives of all facilitiesAlso providing supportive infrastructure: EmONC equipment and soon, solar lighting, repair of radios
3Impact of mentorshipImmediate & sustained application of skills learned during EmONC trainingImproved provider confidence and moraleHCs now managing complications which previously were referred (e.g., manual removal of placenta, MVA)Improved outcomes for pregnant womenReduced pressure on emergency transport systems and referral facilitiesSenama clinic now performs all basic EmONC functions on site
4Impact (cont’d) Increased use of the partograph (0.06% to 15%) Improved documentation in service delivery registersAMTSL applied in 85% of deliveries, even with 3-fold increase in number of facility deliveries since October 2011.Increase in facility deliveries: Oct-Dec 2011= 913; Jul-Sept 2012=3,194Although we have seen a significant increase in use of the partograph, it remains achallenging area. At our Sept Clinical Update Meeting....Nurse Chansa is now working in Samfya district and has communicated that she has continued using the skill and has been orienting other providers.Now MCHIP mentors have been receiving calls from Samfya inquiring and informing them of the progress there.
5Best Practices Strong leadership and ownership by Mansa DHO Involvement and collaboration of many district partners – DHO, PHO, Mansa GH, ZPCT II, ZISSP and UNFPAUse of anatomic models for on-site clinical simulationsWhile monthly mentorship may not be able to be sustained post-SMGL, the intensive nature of the mentorship is building a strong & diverse base of mentoring skills within the district, which can be drawn upon in the future. There is also now a strong base of EmONC knowledge and skills among Mansa District providers.