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• W3202776409 abstract "Background: Despite evidence supporting Sexual reproductive health and rights (SRHR) as a strategy to improve outcomes in countries with high maternal mortality, Kenya face challenges related to lack of training, gaps necessary supporting health systems. These constraints lead to health care workers’ inability to consistently translate sexual reproductive health and rights knowledge, and skills into practice. There is lack of a program providing mentoring and enhanced supervision at health centers focusing on clinical and systems improvement. KMET implemented clinical mentorship in 22 facilities in Western Kenya as a strategy to address these issues, with the ultimate goal of improving the quality of services. Provision of comprehensive quality health care services requires training and mentorship, irrespective of the individual providing services. Clinical mentorship is aimed at improving the skills and knowledge of health care practitioners. In Kenya the health system lacks a system of practical training and consultation that fosters ongoing professional development of mentees to deliver sustainable high-quality clinical care. Although clinical mentorship guidelines have been developed they are not seen as part of continued professional development required to create competent care providers.Program Intervention: KMET Implements clinical mentorship in Kisumu, Siaya and Migori Counties and supported 22 facilities in mentorship. A mentorship guide for providing oversight, coordination and support to mentorship activities developed for utilization by public and private facilities. KMET included MOH representatives for continuous discharge of responsibility and as the sole regulator and coordinator of health services. The MOH supervised and offered technical support to providers. The program had mentors who formed the County Mentorship support unit (CMSU) who were official from the MOH and had expertise in sexual reproductive health provision. The program ensured that mentorship skills: clinical mastery in contraceptive provision, guidance and problem-solving skills, adherence to applicable clinical standards, guidelines, protocols and reporting and documentation were among selected mentors.Methodology: KMET trained MOH reproductive health coordinators as mentors and set up County mentorship Support unit (CMSU) who were responsible for mentorship and support needs and developed a suitable work plan to implement activities with providers. The mentors trained 66 providers on family planning services with focus on long acting reversible contraceptive methods. The providers were provided continuous mentorship sessions based on need basis. The mentorship assistance recorded in mentorship supervision tools. Providers were tasked with responsibility of doing 20 LARC procedure (10 implants and 10 IUCD insertions) own their own to attain competency. Results: A pool of 10 mentors established across the counties of intervention. A mentorship guide developed that had mentorship plan and data collection tools. There was increased uptake of family planning and CAC services with increased uptake of long acting reversible contraceptive (LARC) services from 12% (9,205) to 56% (43,774) in the year 2016-2017. About 89% of providers (58) health care providers reported improved skills in provision of LARC services and were graduated as mentors and tasked with providing on the job training to providers in their facilities.Lessons Learnt: Development of joint mentorship plans between a mentor and mentee ensures efficient clinical support and mentorship. Health event day (HED) strategy ensured flow of clients on the planned days to maximize experience sharing and learning during mentorship sessions. Mentors innovation to provide tele-mentorship (mentorship on phone) ensured that during emergencies quality service provision would be provided." @default.
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• W3202776409 date "2018-11-15" @default.
• W3202776409 modified "2023-09-25" @default.
• W3202776409 title "Clinical Mentorship to Improve Provision of Long Acting Reversible Contraceptive Methods: A Case of Facilities in South West Kenya" @default.
• W3202776409 hasPublicationYear "2018" @default.
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