BUILDING HEALTH

PROVIDER CAPACITY THROUGH

EmONC MENTORSHIP
Emergency Obstetric and Newborn Care

Our vision is a world where all mothers

experience childbirth safely and with respect,
and all newborns get a safe start in life.
EmONC MENTORSHIP
Taking the classroom to the maternity room Our program combines:

M
aternal and newborn health outcomes are closely
A standardized training
tied to the quality of care mothers receive. Yet, in package that includes
Kenya, there is a gap in cost-effective training to simulation-based training
improve and sustain life-saving emergency obstetric and
newborn care (EmONC) skills. Comprehensive training,
supportive supervision, and coaching are effective in giving
nurses and midwives the needed skills to avert or mitigate In-facility coaching for
life-threatening pregnancy and postpartum complications, skill improvement
improve clinical performance, and motivate providers and
managers.

Jacaranda is partnering with County governments and

public hospitals to deploy EmONC Mentorship, a low-cost Problem-solving advisory
program focussed on sustainably improving the quality of support that helps facilities
maternal and neonatal care in facilities. Jacaranda Lead resolve system-level bottlenecks
Mentors train and support a cohort of government nurse that hamper the delivery of life-
midwives to become maternal and newborn health quality saving care
of care champions, with training taking place in the facility
to ensure providers continue to improve their skills as they
deliver services.

Addressing an Urgent need… When the program started at our hospital it brought a
great impact on our service care and delivery. Suddenly,
6,000 I noticed better teamwork, as well as emergency
women in Kenya die during childbirth annually [1] preparedness in dealing with complications. Before, we
struggled to handle most complications during delivery
like postpartum hemorrhage. After the training we became

60% competent and confident, and the results we’ve seen - in

terms of attending emergencies and preventing mortalities -
of global neonatal deaths and half of maternal deaths in health really speak for themselves.
systems are attributed to poor quality care [2]
Loise Nzilani Muthami,
[1] Kenya Demographic and Health Survey; Key indicators, Head Nurse, Referral Mother and Child Department,
[2] Ending Preventable Newborn Deaths and Stillbirths by 2030. WHO, 2020. Makueni County Hospital
OUR MODEL FOR MENTORSHIP
Driving the program’s scale and sustainability through a ‘training of trainers’ approach We have deployed our Mentorship model
across 13 counties:

O
ur innovative ‘training of trainers’ model significantly
extends the program’s reach and impact across
Kenya, encourages counties and sub-counties to
take ownership of improvements to maternal and newborn
90% 91%
health care quality, and sustains a constant cycle of skills- improvement in neonatal of essential clinical steps
building within facilities - all meaning mums and babies are resuscitation skills are now consistently
served by competent, respectful maternity nurses. amongst providers. performed during delivery.

Jacaranda Lead Mentor

Typically embedded within high volume facilities around Kenya, lead mentors

8 are experienced EmNOC educators, equipped with training from Jacaranda

to provide comprehensive training to other service providers to become
Lead Mentors
8
mentors themselves.

counties are cost-

sharing over 50% of

400+
Government In-Facility Mentor our EmONC program
Our EmONC Mentor ‘Champions’ work within government health facilities
EmONC Mentors have been to refresh providers’ EmONC knowledge & skills, support continuing
trained by Jacaranda medical education (CMEs), and run drills and direct coaching.
Promoting a national standard of care

C
Mentees: Frontline Providers
6000 Our network of mentees across the country gain
advanced emergency care skills through continuing
ounty governments have already
bought-into our innovative model
healthcare providers have medical education (CME) lectures, and drills within their by sharing the program costs, and
received mentorship
respective facilities. its curriculum is being used as part of a new
National EmONC Mentorship Package, aimed
at upskilling nurses across the country.
EQUIPPING PROVIDERS WITH EMONC SKILLS REMOTELY THROUGH DELTA
Our Digital EmONC Learning Trainer and Assistant
1,500+
health providers
have learnt critical
Health provider enrolls onto emergency care skills
Data is collected into
DELTA via WhatsApp through DELTA
dashboards and shared
with counties to help
track competence levels

45
amongst providers

D
counties represented
ELTA is Jacaranda’s virtual learning assistant,
across DELTA learners
equipping health providers with the needed skills in
They add their details and that of
emergency care to avert life-threatening pregnancy
their facility, and begin the 11
and postpartum complications. Through a series of self- self-led learning modules.
paced learning modules, maternity nurses, doctors, students,
and clinical officers across the country can access EmONC On successful module 85%
learning content at their fingertips, and have their progress completion, they download an average score in post-
virtually validated and marked by program mentors. e-certificate, helping them test results
The modules mirror the mentorship model we deliver in- earn Continuing Professional
Development points.
facilities - covering subjects from respectful maternity care,
communications skills, and staff management alongside
critical emergency care competencies around neonatal
resuscitation, postpartum hemorrhage (excessive bleeding They receive reminders through
their phone to return and
after pregnancy), respectful maternity care, infection complete learning content.
prevention, and post-abortion care. Jacaranda has mentored thousands of frontline health
providers to date, but the program’s impact spreads far
Scenario-based questions help bring to life critical aspects
The idea of learning EmONC skills virtually is so beyond this. Mentors and mentees are empowered to
of emergency care - covering subjects from neonatal
resuscitation to preparing for a blood transfusion. Data encouraging. I’ve already learnt so much about different share their skills and know-how with colleagues in their
collected from providers’ progress through the learning areas in nursing and problem solving, which will help us respective facilities, and thousands of patients now
content is auto-processed and analysed within minutes, all improve the quality of care we give our clients. The receive better care at the hands of capable, confident
motivating nurses with instant feedback on their skills nurses and midwives.
development, and giving us - and the county governments certificates are motivating this progress.
we serve - real time updates on gaps in provider knowledge DELTA User
across the country.
GET IN TOUCH: hello@jacarandahealth.org
www.jacarandahealth.org