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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
nursing
Nurse mentorship to improve the quality of health care delivery in rural Rwanda
Nursing Outlook, Volume 61, No. 3, Year 2013
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Description
Quality of care at rural health centers in Rwanda is often limited by gaps in individual nurses' knowledge and skills, as well as systems-level issues, such as supply and human resource management. Typically, nurse training is largely didactic and supervision infrequent. Partners In Health and the Rwandan Ministry of Health (MOH) collaborated to implement the nurse-focused Mentoring and Enhanced Supervision at Health Centers (MESH) program. Rwandan nurse-mentors trained in quality improvement and mentoring techniques were integrated into the MOH's district supervisory team to provide ongoing, on-site individual mentorship to health center nurses and to drive systems-level quality improvement activities. The program targeted 21 health centers in two rural districts and supported implementation of MOH evidence-based protocols. Initial results demonstrate significant improvement in a number of quality-of-care indicators. Emphasis on individual provider and systems-level issues, integration within MOH systems, and continuous monitoring efforts were instrumental to these early successes. © 2013 Elsevier Inc.
Authors & Co-Authors
Manzi, Anatole
Unknown Affiliation
Magge, Hema
Unknown Affiliation
Redditt, Vanessa
Unknown Affiliation
Karamaga, Adolphe
Unknown Affiliation
Niyonzima, Saleh
Unknown Affiliation
Drobac, Peter C.
Unknown Affiliation
Mukherjee, Joia S.
Unknown Affiliation
Ntaganira, Joseph
Unknown Affiliation
Nyirazinyoye, Laetitia N.
Unknown Affiliation
Hirschhorn, Lisa Ruth
Unknown Affiliation
Statistics
Citations: 103
Authors: 10
Affiliations: 9
Identifiers
Doi:
10.1016/j.outlook.2012.10.003
ISSN:
00296554
Research Areas
Health System And Policy
Study Locations
Rwanda