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Published in: BMC Health Services Research 1/2014

Open Access 01-12-2014 | Research article

Exploring experiences in peer mentoring as a strategy for capacity building in sexual reproductive health and HIV service integration in Kenya

Authors: Charity Ndwiga, Timothy Abuya, Richard Mutemwa, James Kelly Kimani, Manuela Colombini, Susannah Mayhew, Averie Baird, Ruth Wayua Muia, Jackline Kivunaga, Charlotte E Warren

Published in: BMC Health Services Research | Issue 1/2014

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Abstract

Background

The Integra Initiative designed, tested, and adapted protocols for peer mentorship in order to improve service providers’ skills, knowledge, and capacity to provide quality integrated HIV and sexual and reproductive health (SRH) services. This paper describes providers’ experiences in mentoring as a method of capacity building. Service providers who were skilled in the provision of FP or PNC services were selected to undergo a mentorship training program and to subsequently build the capacity of their peers in SRH-HIV integration.

Methods

A qualitative assessment was conducted to assess provider experiences and perceptions about peer mentoring. In-depth interviews were conducted with twelve mentors and twenty-three mentees who were trained in SRH and HIV integration. Interviews were recorded, transcribed, and imported to NVivo 9 for analysis. Thematic analysis methods were used to develop a coding framework from the research questions and other emerging themes.

Results

Mentorship was perceived as a feasible and acceptable method of training among mentors and mentees. Both mentors and mentees agreed that the success of peer mentoring largely depended on cordial relationship and consensus to work together to achieve a specific set of skills. Mentees reported improved knowledge, skills, self-confidence, and team work in delivering integrated SRH and HIV services as benefits associated with mentoring. They also associated mentoring with an increase in the range of services available and the number of clients seeking those services. Successful mentorship was conditional upon facility management support, sufficient supplies and commodities, a positive work environment, and mentors selection.

Conclusion

Mentoring was perceived by both mentors and mentees as a sustainable method for capacity building, which increased providers’ ability to offer a wide range of and improved access to integrated SRH and HIV services.
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Literature
1.
go back to reference Church K, Mayhew SH: Integration of STI and HIV prevention, care, and treatment into family planning services: a review of the literature. Stud Fam Plan. 2009, 40 (3): 171-186. 10.1111/j.1728-4465.2009.00201.x.CrossRef Church K, Mayhew SH: Integration of STI and HIV prevention, care, and treatment into family planning services: a review of the literature. Stud Fam Plan. 2009, 40 (3): 171-186. 10.1111/j.1728-4465.2009.00201.x.CrossRef
2.
go back to reference Dehne KL, Snow R, O'Reilly KR: Integration of prevention and care of sexually transmitted infections with family planning services: what is the evidence for public health benefits. Bull World Health Organ. 2000, 78 (5): 628-639.PubMedPubMedCentral Dehne KL, Snow R, O'Reilly KR: Integration of prevention and care of sexually transmitted infections with family planning services: what is the evidence for public health benefits. Bull World Health Organ. 2000, 78 (5): 628-639.PubMedPubMedCentral
3.
go back to reference Spaulding A, Brickley D, Kennedy C, Almers L, Packel L, Mirjahangir J, Kennedy G, Collins L, Osborne K, Mbizvo M: Linking family planning with HIV/AIDS interventions: a systematic review of the evidence. AIDS. 2009, 23 (Suppl 1): S79-S88. 10.1097/01.aids.0000363780.42956.ff.CrossRefPubMed Spaulding A, Brickley D, Kennedy C, Almers L, Packel L, Mirjahangir J, Kennedy G, Collins L, Osborne K, Mbizvo M: Linking family planning with HIV/AIDS interventions: a systematic review of the evidence. AIDS. 2009, 23 (Suppl 1): S79-S88. 10.1097/01.aids.0000363780.42956.ff.CrossRefPubMed
4.
go back to reference Dudley L, Garner P: Strategies for integrating primary health services in low- and middle-income countries at the point of delivery. Cochrane Database Syst Rev. 2011, Art. No.: CD003318. DOI: 10.1002/14651858.CD003318.pub3, 7CrossRef Dudley L, Garner P: Strategies for integrating primary health services in low- and middle-income countries at the point of delivery. Cochrane Database Syst Rev. 2011, Art. No.: CD003318. DOI: 10.1002/14651858.CD003318.pub3, 7CrossRef
5.
go back to reference Liambila W, Askew I, Ayisi R, Gathitu M, Mwangi J, Homan R: Feasibility, Acceptability, Effect and Cost of Integrating Counseling and Testing for HIV Within Family Planning Services in Kenya. FRONTIERS Final Report. 2008, Washington DC, USA: Population Council Liambila W, Askew I, Ayisi R, Gathitu M, Mwangi J, Homan R: Feasibility, Acceptability, Effect and Cost of Integrating Counseling and Testing for HIV Within Family Planning Services in Kenya. FRONTIERS Final Report. 2008, Washington DC, USA: Population Council
6.
go back to reference WHO: WHO Recommendations for Clinical Mentoring to Support Scale-up of HIV Care, Antiretrov Iral Therapy and Prevention in Resource-Constrained Settings. 2006, 20 Avenue Appia, 1211 Geneva 27, Switzerland: World Health Organization WHO: WHO Recommendations for Clinical Mentoring to Support Scale-up of HIV Care, Antiretrov Iral Therapy and Prevention in Resource-Constrained Settings. 2006, 20 Avenue Appia, 1211 Geneva 27, Switzerland: World Health Organization
7.
go back to reference Chankova S, Muchiri S, Kombe G: Health workforce attrition in the public sector in Kenya: a look at the reasons. Hum Resour Health. 2009, 7: 58-10.1186/1478-4491-7-58.CrossRefPubMedPubMedCentral Chankova S, Muchiri S, Kombe G: Health workforce attrition in the public sector in Kenya: a look at the reasons. Hum Resour Health. 2009, 7: 58-10.1186/1478-4491-7-58.CrossRefPubMedPubMedCentral
8.
go back to reference Luoma M, Doherty J, Muchiri S, Barasa T, Hofler K, Maniscalco L, Ouma C, Kirika R, Maundu J: Kenya Health System Assessment 2010. 2010, Bethesda, MD: Health Systems 20/20 project, Abt Associates Inc Luoma M, Doherty J, Muchiri S, Barasa T, Hofler K, Maniscalco L, Ouma C, Kirika R, Maundu J: Kenya Health System Assessment 2010. 2010, Bethesda, MD: Health Systems 20/20 project, Abt Associates Inc
9.
go back to reference Chen L, Evans T, Anand S, Boufford JI, Brown H, Chowdhury M, Cueto M, Dare L, Dussault G, Elzinga G, Fee E, Habte D, Hanvoravongchai P, Jacobs M, Kurowski C, Michael S, Pablos-Mendez A, Sewankambo N, Solimano G, Stilwell B, de Waal A, Wibulpolprasert S: Human resources for health: overcoming the crisis. Lancet. 2004, 364 (9449): 1984-1990. 10.1016/S0140-6736(04)17482-5.CrossRefPubMed Chen L, Evans T, Anand S, Boufford JI, Brown H, Chowdhury M, Cueto M, Dare L, Dussault G, Elzinga G, Fee E, Habte D, Hanvoravongchai P, Jacobs M, Kurowski C, Michael S, Pablos-Mendez A, Sewankambo N, Solimano G, Stilwell B, de Waal A, Wibulpolprasert S: Human resources for health: overcoming the crisis. Lancet. 2004, 364 (9449): 1984-1990. 10.1016/S0140-6736(04)17482-5.CrossRefPubMed
10.
go back to reference Smith MK, Henderson-Andrade N: Facing the health worker crisis in developing countries: a call for global solidarity. Bull World Health Organ. 2006, 84 (6): 426-10.2471/BLT.06.031757.CrossRefPubMedPubMedCentral Smith MK, Henderson-Andrade N: Facing the health worker crisis in developing countries: a call for global solidarity. Bull World Health Organ. 2006, 84 (6): 426-10.2471/BLT.06.031757.CrossRefPubMedPubMedCentral
11.
go back to reference Gagliardi AR, Perrier L, Webster F, Leslie K, Bell M, Levinson W, Rotstein O, Tourangeau A, Morrison L, Silver IL, Straus SE: Exploring mentorship as a strategy to build capacity for knowledge translation research and practice: protocol for a qualitative study. Implement Sci. 2009, 4: 55-10.1186/1748-5908-4-55.CrossRefPubMedPubMedCentral Gagliardi AR, Perrier L, Webster F, Leslie K, Bell M, Levinson W, Rotstein O, Tourangeau A, Morrison L, Silver IL, Straus SE: Exploring mentorship as a strategy to build capacity for knowledge translation research and practice: protocol for a qualitative study. Implement Sci. 2009, 4: 55-10.1186/1748-5908-4-55.CrossRefPubMedPubMedCentral
12.
go back to reference Karcher MJ, Kuperminc GP, Portwood SG, Sipe CL, Taylor AS: Mentoring programs: a framework to inform program development, research, and evaluation. J Community Psychol. 2006, 34 (6): 709-725. 10.1002/jcop.20125.CrossRef Karcher MJ, Kuperminc GP, Portwood SG, Sipe CL, Taylor AS: Mentoring programs: a framework to inform program development, research, and evaluation. J Community Psychol. 2006, 34 (6): 709-725. 10.1002/jcop.20125.CrossRef
13.
go back to reference McDonald J: Mentoring: An Age Old Strategy for a Rapidly Expanding Field: A What, Why and How Primer for the Alcohol and Other Drugs Field. 2002, Adelaide, Australia: National Centre for Education and Training on Addiction (NCETA) McDonald J: Mentoring: An Age Old Strategy for a Rapidly Expanding Field: A What, Why and How Primer for the Alcohol and Other Drugs Field. 2002, Adelaide, Australia: National Centre for Education and Training on Addiction (NCETA)
14.
go back to reference Eby LT, Allen TD, Evans SC, Ng T, Dubois D: Does mentoring matter? A multidisciplinary meta-analysis comparing mentored and non-mentored individuals. J Vocat Behav. 2008, 72 (2): 254-267. 10.1016/j.jvb.2007.04.005.CrossRefPubMedPubMedCentral Eby LT, Allen TD, Evans SC, Ng T, Dubois D: Does mentoring matter? A multidisciplinary meta-analysis comparing mentored and non-mentored individuals. J Vocat Behav. 2008, 72 (2): 254-267. 10.1016/j.jvb.2007.04.005.CrossRefPubMedPubMedCentral
15.
go back to reference Ragins BR, Cotton CJ, Miller JS: Marginal mentoring: the effects of type of mentor, quality of relationship, and program design on work and career attitudes. Acad Manag J. 2000, 43 (6): 1177-1194. 10.2307/1556344.CrossRef Ragins BR, Cotton CJ, Miller JS: Marginal mentoring: the effects of type of mentor, quality of relationship, and program design on work and career attitudes. Acad Manag J. 2000, 43 (6): 1177-1194. 10.2307/1556344.CrossRef
16.
go back to reference Fagenson-Eland EA, Marks MA, Amendola KL: Perceptions of mentoring relationships. J Vocat Behav. 1997, 51: 29-42. 10.1006/jvbe.1997.1592.CrossRef Fagenson-Eland EA, Marks MA, Amendola KL: Perceptions of mentoring relationships. J Vocat Behav. 1997, 51: 29-42. 10.1006/jvbe.1997.1592.CrossRef
17.
go back to reference Weng RH, Huang CY, Tsai WC, Chang LY, Lin SE, Lee MY: Exploring the impact of mentoring functions on job satisfaction and organizational commitment of new staff nurses. BMC Health Serv Res. 2010, 10: 240-10.1186/1472-6963-10-240.CrossRefPubMedPubMedCentral Weng RH, Huang CY, Tsai WC, Chang LY, Lin SE, Lee MY: Exploring the impact of mentoring functions on job satisfaction and organizational commitment of new staff nurses. BMC Health Serv Res. 2010, 10: 240-10.1186/1472-6963-10-240.CrossRefPubMedPubMedCentral
18.
go back to reference Population Council: Balanced Counseling Strategy Plus Trainer’s Guide Second Edition, part of The Balanced Counseling Strategy Plus: A Toolkit for Family Planning Service Providers Working in High STI/HIV Prevalence Settings. 2011, Washington, DC: Population Council Population Council: Balanced Counseling Strategy Plus Trainer’s Guide Second Edition, part of The Balanced Counseling Strategy Plus: A Toolkit for Family Planning Service Providers Working in High STI/HIV Prevalence Settings. 2011, Washington, DC: Population Council
19.
go back to reference Warren CE, Mayhew SH, Vassall A, Kimani JK, Church K, Obure CD, du-Preez NF, Abuya T, Mutemwa R, Colombini M, Birdthistle I, Askew I, Watts C: Study protocol for the integra initiative to assess the benefits and costs of integrating sexual and reproductive health and HIV services in Kenya and Swaziland. BMC Public Health. 2012, 12 (1): 973-10.1186/1471-2458-12-973.CrossRefPubMedPubMedCentral Warren CE, Mayhew SH, Vassall A, Kimani JK, Church K, Obure CD, du-Preez NF, Abuya T, Mutemwa R, Colombini M, Birdthistle I, Askew I, Watts C: Study protocol for the integra initiative to assess the benefits and costs of integrating sexual and reproductive health and HIV services in Kenya and Swaziland. BMC Public Health. 2012, 12 (1): 973-10.1186/1471-2458-12-973.CrossRefPubMedPubMedCentral
20.
go back to reference Ministry of Public Health and Sanitation & Ministry of Medical Services (MoPHS, MOMS): National Guidelines for Prevention and Management of Cervical, Breast and Prostate Cancers; Nairobi, Kenya. 2012, Nairobi, Kenya: Division of Reprodcutive Health Ministry of Public Health and Sanitation & Ministry of Medical Services (MoPHS, MOMS): National Guidelines for Prevention and Management of Cervical, Breast and Prostate Cancers; Nairobi, Kenya. 2012, Nairobi, Kenya: Division of Reprodcutive Health
21.
go back to reference Government of Nepal: Ministry of Health and Population, National Health Training Center. Implementation Guideline of Structured On-The-Job-Training (OJT) for Postabortion Care (PAC) In Nepal. 2007, Nepal: Nepal Family Health Program Government of Nepal: Ministry of Health and Population, National Health Training Center. Implementation Guideline of Structured On-The-Job-Training (OJT) for Postabortion Care (PAC) In Nepal. 2007, Nepal: Nepal Family Health Program
22.
go back to reference WHO: Recommendations for Clinical Mentoring to Support Scale-up of HIV Care, Antiretroviral Therapy and Prevention in Resource-Constrained Settings. 2005, 20 Avenue Appia, 1211 Geneva 27, Switzerland: World Health Organization WHO: Recommendations for Clinical Mentoring to Support Scale-up of HIV Care, Antiretroviral Therapy and Prevention in Resource-Constrained Settings. 2005, 20 Avenue Appia, 1211 Geneva 27, Switzerland: World Health Organization
23.
go back to reference Philips M, Zachariah R, Venis S: Task shifting for antiretroviral treatment delivery in sub-Saharan Africa: not a panacea. Lancet. 2008, 371 (9613): 682-684. 10.1016/S0140-6736(08)60307-4.CrossRefPubMed Philips M, Zachariah R, Venis S: Task shifting for antiretroviral treatment delivery in sub-Saharan Africa: not a panacea. Lancet. 2008, 371 (9613): 682-684. 10.1016/S0140-6736(08)60307-4.CrossRefPubMed
24.
go back to reference Leppel K, Brucker E, Cochran J: The importance of job training to job satisfaction of older workers. J Aging Soc Policy. 2012, 24 (1): 62-76. 10.1080/08959420.2012.629136.CrossRefPubMed Leppel K, Brucker E, Cochran J: The importance of job training to job satisfaction of older workers. J Aging Soc Policy. 2012, 24 (1): 62-76. 10.1080/08959420.2012.629136.CrossRefPubMed
25.
go back to reference Coomber B, Barriball KL: Impact of job satisfaction components on intent to leave and turnover for hospital-based nurses: a review of the research literature. Int J Nurs Stud. 2007, 44 (2): 297-314. 10.1016/j.ijnurstu.2006.02.004.CrossRefPubMed Coomber B, Barriball KL: Impact of job satisfaction components on intent to leave and turnover for hospital-based nurses: a review of the research literature. Int J Nurs Stud. 2007, 44 (2): 297-314. 10.1016/j.ijnurstu.2006.02.004.CrossRefPubMed
26.
go back to reference Castle NG, Engberg J, Anderson RA: Job satisfaction of nursing home administrators and turnover. Med Care Res Rev. 2007, 64 (2): 191-211. 10.1177/1077558706298291.CrossRefPubMed Castle NG, Engberg J, Anderson RA: Job satisfaction of nursing home administrators and turnover. Med Care Res Rev. 2007, 64 (2): 191-211. 10.1177/1077558706298291.CrossRefPubMed
27.
go back to reference Salt J, Cummings GG, Profetto-McGrath J: Increasing retention of new graduate nurses: a systematic review of interventions by healthcare organizations. J Nurs Adm. 2008, 38 (6): 287-296. 10.1097/01.NNA.0000312788.88093.2e.CrossRefPubMed Salt J, Cummings GG, Profetto-McGrath J: Increasing retention of new graduate nurses: a systematic review of interventions by healthcare organizations. J Nurs Adm. 2008, 38 (6): 287-296. 10.1097/01.NNA.0000312788.88093.2e.CrossRefPubMed
Metadata
Title
Exploring experiences in peer mentoring as a strategy for capacity building in sexual reproductive health and HIV service integration in Kenya
Authors
Charity Ndwiga
Timothy Abuya
Richard Mutemwa
James Kelly Kimani
Manuela Colombini
Susannah Mayhew
Averie Baird
Ruth Wayua Muia
Jackline Kivunaga
Charlotte E Warren
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2014
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-14-98

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