Mentorship and coaching to support strengthening healthcare systems: lessons learned across the five Population Health Implementation and Training partnership projects in sub-Saharan Africa.
Mentorship and coaching to support strengthening healthcare systems: lessons learned across the five Population Health Implementation and Training partnership projects in sub-Saharan Africa.
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DOI：
10.1186/s12913-017-2656-7
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发表时间：
2017-12-21
影响因子：
2.8
通讯作者：
AHI PHIT Partnership Collaborative
中科院分区：
文献类型：
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作者：
Manzi A;Hirschhorn LR;Sherr K;Chirwa C;Baynes C;Awoonor-Williams JK;AHI PHIT Partnership Collaborative
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.
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影响因子：
2.8
作者：
Awoonor-Williams JK;Bawah AA;Nyonator FK;Asuru R;Oduro A;Ofosu A;Phillips JF
通讯作者：
Phillips JF
DOI：
10.9745/ghsp-d-12-00012
发表时间：
2013-03
期刊：
Global health, science and practice
影响因子：
--
作者：
Awoonor-Williams JK;Sory EK;Nyonator FK;Phillips JF;Wang C;Schmitt ML
通讯作者：
Schmitt ML
影响因子：
2.8
作者：
Banchani E;Tenkorang EY
通讯作者：
Tenkorang EY
在卫生系统加强背景下确保和提高质量的方法：对五个非洲卫生计划合作计划的跨站点分析。
影响因子：
2.8
作者：
Hirschhorn LR;Baynes C;Sherr K;Chintu N;Awoonor-Williams JK;Finnegan K;Philips JF;Anatole M;Bawah AA;Basinga P;Population Health Implementation and Training – Africa Health Initiative Data Collaborative
通讯作者：
Population Health Implementation and Training – Africa Health Initiative Data Collaborative
影响因子：
2.8
作者：
Bassett MT;Gallin EK;Adedokun L;Toner C
通讯作者：
Toner C