School of Social and Political Science, The University of Edinburgh, Edinburgh, UK
Economic Community of Central African States (ECCAS), Libreville, Gabon.
BMJ Open. 2021 Mar 19;11(3):e042523. doi: 10.1136/bmjopen-2020-042523.
To identify mentors' perspectives on strengths and weaknesses of the Training, Support and Access Model for Maternal, Newborn and Child Health (TSAM-MNCH) clinical mentorship programme in Rwandan district hospitals. Understanding the perspectives of mentors involved in this programme can aid in the improvement of its implementation.
The study used a qualitative approach with in-depth interviews.
Mentors of TSAM-MNCH clinical mentorship programme mentoring health professionals at district hospitals of Rwanda.
14 TSAM mentors who had at least completed six mentorship visits on a regular basis in three selected district hospitals.
Mentors' accounts demonstrated an appreciation of the two mentoring structures which are interprofessional collaboration and training. These structures are highlighted as the strengths of the mentoring programme and they play a significant role in the successful implementation of the mentorship model. Inconsistency of mentoring activities and lack of resources emerged as major weaknesses of the clinical mentorship programme which could hinder the effectiveness of the mentoring scheme.
The findings of this study highlight the strengths and weaknesses perceived by mentors of the TSAM-MNCH clinical mentorship programme, providing insights that can be used to improve its implementation. The study represents unique TSAM-MNCH structural settings, but its findings shed light on Rwandan health system issues that need to be further addressed to ensure better quality of care for mothers, newborns and children.
确定导师对 Training、Support 和 Access Model for Maternal、Newborn and Child Health(TSAM-MNCH)产妇、新生儿和儿童健康临床指导计划在卢旺达地区医院的优势和劣势的看法。了解参与该计划的导师的观点有助于改进其实施。
该研究采用了定性方法,进行了深入访谈。
卢旺达地区医院参与 TSAM-MNCH 临床指导计划的指导者。
14 名 TSAM 导师,他们至少在三个选定的地区医院定期完成了六次指导访问。
导师的陈述表明,他们赞赏两种指导结构,即跨专业合作和培训。这些结构是指导计划的优势,在成功实施指导模式方面发挥了重要作用。指导活动的不一致性和资源的缺乏是临床指导计划的主要弱点,可能会影响指导计划的有效性。
这项研究的结果强调了 TSAM-MNCH 临床指导计划的导师所感知到的优势和劣势,为改进其实施提供了见解。该研究代表了独特的 TSAM-MNCH 结构环境,但研究结果揭示了卢旺达卫生系统需要进一步解决的问题,以确保为产妇、新生儿和儿童提供更好的护理质量。