ehealth digital library

Digital library of
the Tanzania
health
community

Mentorship and Coaching to Support Strengthening Healthcare Systems: Lessons Learned Across the Five Population Health Implementation and Training Partnership Projects in sub-Saharan Africa.

Manzi, A., Hirschhorn, L. R., Sherr, K., Chirwa, C., Baynes, C. and Awoonor-Williams, J. K. (2017) Mentorship and Coaching to Support Strengthening Healthcare Systems: Lessons Learned Across the Five Population Health Implementation and Training Partnership Projects in sub-Saharan Africa. BMC health services research, 17 (Suppl). p. 831. ISSN 1472-6963

[img]
Preview
PDF
Anatole Manzi.pdf - Published Version
Available under License Creative Commons Attribution Non-commercial.

Download (995kB) | Preview

Abstract

Despite global efforts to increase health workforce capacity through training and guidelines, challenges remain in bridging the gap between knowledge and quality clinical practice and addressing health system deficiencies preventing health workers from providing high quality care. In many developing countries, supervision activities focus on data collection, auditing and report completion rather than catalyzing learning and supporting system quality improvement. To address this gap, mentorship and coaching interventions were implemented in projects in five African countries (Ghana, Mozambique, Rwanda, Tanzania, and Zambia) as components of health systems strengthening (HSS) strategies funded through the Doris Duke Charitable Foundation's African Health Initiative. We report on lessons learned from a cross-country evaluation. The evaluation was designed based on a conceptual model derived from the project-specific interventions. Semi-structured interviews were administered to key informants to capture data in six categories: 1) mentorship and coaching goals, 2) selection and training of mentors and coaches, 3) integration with the existing systems, 4) monitoring and evaluation, 5) reported outcomes, and 6) challenges and successes. A review of project-published articles and technical reports from the individual projects supplemented interview information. Although there was heterogeneity in the approaches to mentorship and coaching and targeted areas of the country projects, all led to improvements in core health system areas, including quality of clinical care, data-driven decision making, leadership and accountability, and staff satisfaction. Adaptation of approaches to reflect local context encouraged their adoption and improved their effectiveness and sustainability. We found that incorporating mentorship and coaching activities into HSS strategies was associated with improvements in quality of care and health systems, and mentorship and coaching represents an important component of HSS activities designed to improve not just coverage, but even further effective coverage, in achieving Universal Health Care.

Item Type: Article
Keywords: Coaching, Ghana, Mentorship, Mozambique, Quality improvement, Rwanda, Tanzania, Zambia
Subjects: Health promotion & behaviour change
Health Systems > Quality of Care
Divisions: Ifakara Health Institute > Impact Evaluation
Depositing User: Mr Joseph Madata
Date Deposited: 17 Jan 2018 11:14
Last Modified: 17 Jan 2018 11:14
URI: http://ihi.eprints.org/id/eprint/4343

Actions (login required)

Edit Item Edit Item

Downloads

Downloads per month over past year

View more statistics