000			04914nam a22005537a 4500
003			OSt
005			20240305193744.0
008			221202b |||||||| |||| 00| 0 eng d
028			_b Phone: +255 28 298 3384
028			_b Fax: +255 28 298 3386
028			_b Email: vc@bugando.ac.tz
028			_b Website: www.bugando.ac.tz
040			_bEnglish _cDLC
041			_aEnglish
100			_aShehnaz Alidina _946547
222			_a Multimodal mentorship intervention Surgical provider capacity Surgical quality Tanzania Safe Surgery 2020 Workforce
245			_aA multimodal mentorship intervention to improve surgical quality in Tanzania’s Lake Zone: a convergent, mixed methods assessment
260			_aMwanza, Tanzania: _bBioMed Central & _b Catholic University of Health and Allied Sciences [CUHAS – Bugando] _c23 September 2021
300			_a Pages 1-14
490			_aAlidina, S., Tibyehabwa, L., Alreja, S.S. et al. A multimodal mentorship intervention to improve surgical quality in Tanzania’s Lake Zone: a convergent, mixed methods assessment. Hum Resour Health 19, 115 (2021). https://doi.org/10.1186/s12960-021-00652-6
520			_aAbstract: Background: Safe, high-quality surgical care in many African countries is a critical need. Challenges include availability of surgical providers, improving quality of care, and building workforce capacity. Despite growing evidence that mentoring is effective in African healthcare settings, less is known about its role in surgery. We examined a multimodal approach to mentorship as part of a safe surgery intervention (Safe Surgery 2020) to improve surgical quality. Our goal was to distill lessons for policy makers, intervention designers, and practitioners on key elements of a successful surgical mentorship program. Methods: We used a convergent, mixed-methods design to examine the experiences of mentees, mentors, and facility leaders with mentorship at 10 health facilities in Tanzania’s Lake Zone. A multidisciplinary team of mentors worked with surgical providers over 17 months using in-person mentorship, telementoring, and WhatsApp. We conducted surveys, in-depth interviews, and focus groups to capture data in four categories: (1) satisfaction with mentorship; (2) perceived impact; (3) elements of a successful mentoring program; and (4) challenges to implementing mentorship. We analyzed quantitative data using frequency analysis and qualitative data using the constant comparison method. Recurrent and unifying concepts were identified through merging the qualitative and quantitative data. Results: Overall, 96% of mentees experienced the intervention as positive, 88% were satisfied, and 100% supported continuing the intervention in the future. Mentees, mentors, and facility leaders perceived improvements in surgical practice, the surgical ecosystem, and in reducing postsurgical infections. Several themes related to the intervention’s success emerged: (1) the intervention’s design, including its multimodality, side-by-side mentorship, and standardization of practices; (2) the mentee–mentor relationship, including a friendly, safe, non-hierarchical, team relationship, as well as mentors’ understanding of the local context; and (3) mentorship characteristics, including non-judgmental feedback, experience, and accessibility. Challenges included resistance to change, shortage of providers, mentorship dose, and logistics. Conclusions: Our study suggests a multimodal mentorship approach is promising in building the capacity of surgical providers. By distilling the experiences of the mentees, mentors, and facility leaders, our lessons provide a foundation for future efforts to establish effective surgical mentorship programs that build provider capacity and ultimately improve surgical quality.
700			_aCaroline Damian Mayengo _946548
700			_a Ntuli A Kapologwe _946549
700			_aNoor Zanial _946550
700			_aJohn Varallo _946551
700			_aMeaghan Sydlowski _946552
700			_a Steven J Staffa _946553
700			_aCheri Reynolds _946554
700			_a John G Meara _946555
700			_aInnocent Kissima _946556
700			_a Steve Kisakye _946557
700			_a Albert Kihunrwa _922809
700			_aBenard Kenemo _922729
700			_a Furaha Kahindo _946558
700			_aYahaya Hussein _946559
700			_aAugustino Hellar _946560
700			_aGeofrey C Giiti _944796
700			_a Laura Fitzgerald _946561
700			_a Joachim Eyembe _946562
700			_a Edwin Ernest _946563
700			_a Kevin Charles _946564
700			_a Monica Cainer _946565
700			_aDanta Bien-Aime _946566
700			_aDavid Barash _946567
700			_aSakshie Sanjay Alreja _946568
700			_a Leopold Tibyehabwa _946569
856			_uhttps://doi.org/10.1186/s12960-021-00652-6
942			_2ddc _cVM
999			_c19898 _d19898