Mentor Toolkit

The Mentor Toolkit is designed for use by clinical mentors with experience in pediatric HIV and health systems strengthening to support delivery of high-quality care. The Toolkit consists of a clinical lecture series and clinical practice cases for on-site mentorship and resources for the implementation of a mobile-phone hotline for clinical consultations.

Clinical Lecture Series

Lectures designed to present on-site support to mentees in providing quality comprehensive HIV care and treatment. Topics include PMTCT/EID, adult HIV care and treatment, pediatric care and treatment, adult and pediatric TB and HIV, ART report writing, nutrition assessment, HIV management guideline updates and TB contact investigation, HIV-TB co-infection, TB infection control, ART drug resistance/treatment failure, disclosure, PEP, opportunistic infections, jaundice and its management, drug adherence and interpretation of VL results, sample transport systems and others.

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Clinical Case Studies

A set of standardized clinical practice teaching cases designed to provide consistent and concise pediatric HIV education to clinical providers in 10 minutes. Topics include: HIV Diagnosis, Presumed Severe HIV Disease, ART Eligibility, ART Side Effects, Exposed Infant Care, Opportunistic Infections, Tuberculosis, Treatment Failure, and Adherence. Designed to be used as a laminated card with a clinical case and questions on one side, and answers with key summary points on the reverse side, the mentor can then conduct a brief teaching session with the mentee at the end of a clinic day, focusing on history, examination, evaluation, and development of differential diagnosis and management plans.

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Pediatric Clinical Hotline

A package of tools for the implementation of a Pediatric Clinical Hotline, a mobile phone service that allows mentees to call toll-free and receive consultations for the management of complicated clinical cases. The package includes templates for the poster and business card, sensitization handout and M&E call log tools.

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Tingathe's Clinical Mentorship Model

Tingathe's clinical mentorship model focuses on improving the capacity of health facility teams to manage pediatric and adolescent HIV care, providing program oversight and guidance to teams of CHWs, and strengthening health systems. Each mentorship team is comprised of a clinician, a nurse and a Community and HTC Program Officer (CHPO). Travelling from facility to facility, the team provides cadre-to-cadre level clinical mentorship as well as facility level systems strengthening assistance. For consistency, each mentorship team is assigned to specific health facilities to visit regularly.

Clinical Support
The mentorship team helps mentees and health facilities achieve site level HIV testing and ART initiation goals, provides Ministry of Health clinical staff with real-time clinical support and answers to specific patient management questions through the Baylor-Malawi Pediatric Hotline, improves pediatric HIV case management, and helps identify suspected treatment failure cases, interpret viral load results and provide guidance for their management.

Systems support
The mentorship team contributes to positive changes in organization of the ART clinic, improves documentation, supports sites to ensure adequate stocks of HIV commodities and creates interdisciplinary linkages across facilities. It supports the Ministry of Health with regular supervision, supply distribution and data management.

Lectures and case studies
The mentorship team provides on-site lectures to support mentees in providing quality comprehensive HIV care and treatment. It uses targeted case studies to deliver information in ten-minute teaching sessions.