Today on 11.09.2017, the Quarterly coordination meeting of Rwanda Midwifes Association (RAM), District Based mentors, Heads of Health facilities in which the mentorship in basic emergency in Obstetric and New born care is implemented in partnership with Nyamagabe District, and Maternal Child Survival Program (MSCP) to improve Women, newborn and child health by providing mentorship in Maternal Child Health at the health facilities was held in Nyamagabe district conference room.

Mentorship is conducted in 21 Health Facilities of Nyamagabe district (19 HCs and 2 DHs) by both RAM mentors (from CHUB, Kigeme DH) other district based mentors from different HFs, supported by MCSP.

The purpose of the meeting was to share the lessons learned success stories and recommendations from mentorship

Mentorship has improved knowledge and skills of both mentors and mentees, as well as quality of care provided to HCs clients

1. Mentorship improved the documentation at the wortk accomplished by nurses in HCs as well as the completeness of tools used in Maternity and postpartum follow-up

2. Mentorship helped to HC's managers to really identify their needs in equipment, staffing and was an opportunity to discuss of thjose issues in a realistic and efficient manner

3. With the mentorship methodology, some material (ex: gravidometer), medecines (ex: Sulfate de Magnesium, Oxyciticin, and Vitami K and some antibiotics) are regularly available in Maternity and deliver room and Nurses have improved their utilization by reading the national related protocols and their use were promoted to save mothers and newborns

4. A ''precoce'' diagnosis and an appropriated attitude are actually benefiting of parturient and newborn

5. An improved management of maternity and newborn care in health facilities.

Yet the mentorship improved the knowledge and skills, we still observe case of home deliveries (28 cases in August 2017) due to:

· lack of health insurance for some families,

· pregnancies among teenagers who do not use antenatal services and are stigmatized to deliver in maternity,

· geographical inaccessibility

· lack of ambulances when needed because of their number is still insufficient.

Some nurses are slow to change their attitude and are not empathic and this negatively affect parturient

Some nurses choose to hide errors of their colleagues and do not inform their supervisors, this ''negative solidarity'' does not promote the improvement of quality of services.

District based mentors who are relaying RAM mentors whose contract is closing should be more punctual to their tasks and regularly provide feedback to Heads of mentored Health facilities

Mentors to focus on improvement of quality of services provided, specifically when managing emergencies

To improve communication between care providers, health facilities managers and mentors to really improve quality of services.

District Authority to advocate for continuity of mentorship as the mentorship period for RAM was really short to ensure that the mentees acquired the essential needed skills.

Story from Twagiramungu Venuste

District Health Unit

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