Development and implementation of clinical mentorship in Rwanda: successes and challenges

Journal of Public Health in Africa

Field Value
Title Development and implementation of clinical mentorship in Rwanda: successes and challenges
Creator Sebeza, Jackson Riedel, David J. Kiromera, Athanase Lavoie, Marie-Claude C. Blanco, Natalia Lascko, Taylor Muhayimpundu, Ribakare Mtiro, Emma Mugwaneza, Placidie Savio, Habimana Dominique Baribwira, Cyprien
Subject — clinical mentorship; HIV; quality improvement; Rwanda
Description Rwanda has prioritized the decentralization and integration of HIV services over the past decade to ensure universal access to HIV services throughout the nation. Improving the capacity of healthcare providers to provide high-quality HIV prevention and treatment services was a crucial component of this process. In partnership with the authors, Rwanda’s national health implementation agency developed a national clinical mentorship program from 2011 to 2017 to facilitate this transition. The Rwanda Clinical Mentorship Model aims to effectively manage HIV-infected patients across all levels of healthcare delivery, implement task shifting, and adhere to national guidelines. The clinical care of HIV-positive individuals was transferred from HIV specialists to family physicians and nurses. The facility team was trained, supervised, and mentored by a multidisciplinary team. Mentorship consisted of routine site visits during which clinical case reviews, clinical supervision teaching, and data reviews were conducted to assess the facility’s performance and identify obstacles. Between 2012 and 2020, 5,774 healthcare professionals across the country received HIV testing and treatment training. This clinical mentoring has demonstrated a pragmatic, data-driven, and enduring strategy for enhancing clinical practice at all levels of care. A dedicated cadre of mentors is required to ensure the coordination and sustainability of this approach, according to one finding. The authors participated in accelerating the geographic and scope expansion of clinical mentoring in Rwanda. Developing a sustainable HIV clinical mentorship program in Rwanda requires longterm partnerships and evolving technical assistance.
Publisher AOSIS
Date 2022-12-31
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/xml application/pdf
Identifier 10.4081/jphia.2022.2182
Source Journal of Public Health in Africa; Vol 13, No 4 (2022); 6 2038-9930 2038-9922
Language eng
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Rights Copyright (c) 2024 Jackson Sebeza, David J. Riedel, Athanase Kiromera, Marie-Claude C. Lavoie, Natalia Blanco, Taylor Lascko, Ribakare Muhayimpundu, Emma Mtiro, Placidie Mugwaneza, Habimana Dominique Savio, Cyprien Baribwira