Mentoring on the Job Training

Thu, Jul 19, 2012 From April 2011 to December 2011, ECRTC continued to implement dedicated mentoring (On-the job- Training) through 14 learning networks (nodes). 289 service outlets both hospitals and clinics had been reached and a total of 1819 health care workers i.e., Doctors, Nurses and others categories mentored. The mentoring approach/activities were categorized into cluster mentoring 1 and Cluster mentoring 2 activities. Activities during cluster mentoring 1 included the following: Distribution of training and support mentoring through the 14 clusters (4-6 district Hospitals and their referring health facilities throughout the Eastern Cape Province). Visits to each cluster for 2 days every month via an established learning network that facilitates continued learning opportunities for facility teams Sharing of the experiences by clinicians Supported the building of a cascade of knowledge, skills, protocols and tools to wider provincial coverage. Supported the building of human capacity at sub- district level to provide quality HAST prevention, care, treatment, and systems improvement by coaching program managers on performance Improvement methodologies such as PDSA cycle, change tracker etc. Activities during cluster mentoring 2 visits included the following: Review of facility based protocols incorporating national and provincial agreed guidelines into checklists, Tertiary clinical consultation services to clinicians in the field, Pharmacovigillance sessions and monitor switching of drugs, Regular analysis of care outcome trends overseeing quality assurance of HIV care and treatment and suggest management reviews and inform program approach and policies, Strengthen systems to enable a more efficient utilization of available resources. The continued learning activities with, Case reviews and discussions, Bedside learning of ward rounds, Targeted Didactic sessions (including interactive tele-seminars), Journal club discussions, Performance improvement meetings, Clinical symposiums. Following are some of the challenges and weaknesses experienced in the 14 learning networks Transport challenge for some Clusters Non-practiceof gained skills by some Professional Nurses Poor attendance in so Clusters. Inconsistency in attendance lay counselors i.e some still did not seemuch of their role in the HIV program Poor Integration of services at some clusters. Poordata management as evidenced by ACR & registers in some hospitals and clusters Some NIMART trained professional nurses did not get opportunity to implement skills learnt as they were re- allocated to other departments . Shortage of doctors in some clusters as a result the RTC clinical team arranged evening sessions for them. Poor Implementation of Down referral at some clusters Municipal clinics is not providing full packages of HIV management