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Table 4 Implementation of African Health Initiative mentorship and coaching intervention

From: Mentorship and coaching to support strengthening healthcare systems: lessons learned across the five Population Health Implementation and Training partnership projects in sub-Saharan Africa

  Ghana Mozambique Rwanda Tanzania Zambia
Supervisory structure for mentoring intervention Weekly field supportive supervision, visits from regional supervisors
Peer mentoring exchanges, developed supervisory approaches [42]
District performance review and enhancement meetings where health facility and district staff are supported to collate and report key performance indicators. This includes 1–2 day one-on-one meetings with facility and district staff for coaching on synthesizing and interpreting secular trends in performance indicators.
Ongoing post-performance review meeting coaching via quarterly supportive supervision visits from provincial and district health systems managers, including ongoing mentorship from PHIT teams embedded in provincial health department.
After mentee’s clinical training, mentors visit each health facility every 4–6 weeks to provide mentorship in each clinical domain.
Mentors conduct coaching sessions with health facility staff as needed and work with health facility leadership to address systems-gaps.
Quarterly debriefing meeting to discuss quality improvement indicators.
Comprehensive training for CHW that lasts 9 months, covering biology, clinical skills.
Train CHWs, provide resources for facility/supply chain at district level. Mentoring occurs through facility supervision
Travel to sites monthly during first 3 months, switch to quarterly supervision afterwards.
Comprehensive training (1 month intensive on-site), on-site mentoring (month 2), monthly supervision visits by QI team (month 3 onwards) to review medical records, assess accuracy of diagnosis
Number of mentors 17 14 10 30 facility managers
50 village supervisors
Clinician/mentor ratioa 2.3 NA 12 4.8 9.3
Data use Peer exchange, weekly clinical audit meetings [42] Used in two-day performance meetings Quarterly internal debriefing meetings, district data sharing meetings Village supervisors track performance management. Used evaluation data from QoC study and 3-monthly longitudinal data system (Health and Demographic Surveillance Systems) on households Shared through facility and national level meetings, QI team meetings
Frequency of mentorship Monthly Biannual Every 4–6 weeks Facility managers: Biannual
Village supervisors:
  1. aNumber of health providers on average working at health facilities divided by number of mentors in PHIT mentorship and coaching intervention