Quality of care at rural health centers in Rwanda is often limited by gaps in individual nurses’ knowledge and skills, as well as systems-level issues, such as supply and human resource management. Typically, nurse training is largely didactic and supervision infrequent.Rwandan nurse-mentors trained in quality improvement and mentoring techniques were integrated into the MOH’s district supervisory team to provide ongoing, on-site individual mentorship to health center nurses and to drive systems-level quality improvement activities.
The program targeted 21 health centers in two rural districts and supported implementation of MOH evidence-based protocols.