RMNCAEH Quality of Care (QoC) Mentor at Jhpiego – John Hopkins University

Location: Birnin Tudu, Kebbi

Job Summary

• The RMNCAEH Quality of Care (QoC) Mentor will provide routine on-site mentoring, coaching, and technical assistance to health facilities to strengthen the quality of Reproductive, Maternal, Newborn, Child, Adolescent Health and Nutrition (RMNCAH+N) services.
• The mentor will support facilities to identify quality gaps through data-driven approaches, strengthen adherence to national clinical standards and guidelines, institutionalize quality improvement processes, and enhance service delivery outcomes.
• They will conduct quarterly QoC assessment across supported facilities using the 8 standards of car.

Goal

• To improve the quality of RMNCAEH and Nutrition services through continuous mentoring, coaching, quality improvement support, and data-driven decision-making at supported health facilities.

Specific Objectives

• Strengthen health worker competencies in the delivery of high-impact RMNCAEH and Nutrition interventions.
• Improve the use of service delivery data for identification and resolution of quality gaps.
• Strengthen Infection Prevention and Control (IPC) practices within supported facilities.
• Improve referral and feedback mechanisms for maternal, newborn, child, adolescent health, and nutrition services.
• Establish, revitalize, and strengthen functional Quality Improvement Teams (QITs).
• Institutionalize continuous quality improvement using recognized QI methodologies and tools.

Responsibilities
Key Responsibilities

• Routine Mentoring and Coaching of health care workers

The Mentor Will:

• Conduct regular facility visits (20 days per month) to provide on-site mentoring and coaching to healthcare providers.
• Support providers to effectively implement high-impact interventions in maternal, newborn, child, and adolescent health, including nutrition services
• Reinforce compliance with national clinical protocols, standards, and guidelines.
• Observe service delivery practices and provide constructive feedback for performance improvement.
• Facilitate skills transfer through demonstration, bedside coaching, and case reviews.
• Data-Driven Quality Improvement Support

The Mentor Will:

• Review facility performance data to identify service delivery and quality improvement gaps.
• Support health workers to routinely analyze data from registers, patient records, tally sheets, DHIS2 reports, partographs, maternity registers, child health registers, nutrition registers, and other source documents.
• Guide facility teams to use data for evidence-based decision-making and planning.
• Track priority quality indicators and support facilities to improve performance.
• Quality Improvement (QI) Processes

The Mentor Will:

• Support facilities to identify priority quality problems using routine service delivery data.
• Facilitate root cause analysis using quality improvement tools including:Five Whys Analysis, Fishbone (Ishikawa) Diagram and Process Mapping
• Support facility teams to prioritize identified causes and develop change ideas.
• Guide facility teams in the application of the Plan-Do-Study-Act (PDSA) cycle to test and implement solutions.
• Monitor progress of improvement projects and document lessons learned and best practices.
• Strengthening Quality Improvement Teams (QITs)

The Mentor Will:

• Support facilities to inaugurate or revitalize Quality Improvement Teams (QITs).
• Orient QIT members on their roles and responsibilities.
• Facilitate the development of facility-specific quality improvement plans.
• Support QITs to conduct monthly meetings and maintain meeting records.
• Review QIT action plans and monitor implementation of agreed actions.
• Promote multidisciplinary participation and ownership of quality improvement activities.
• Maternal, Newborn, Child, Adolescent Health and Nutrition Support

The Mentor Will:

• Provide technical guidance on quality service delivery across RMNCAEH and Nutrition service areas.
• Support implementation of interventions aimed at reducing maternal, newborn, and child morbidity and mortality.
• Strengthen nutrition assessment, counseling, referral, and follow-up systems.
• Promote adherence to standards for ANC, labor and delivery, postnatal care, newborn care, child health, adolescent health, and nutrition services.
• Referral System Strengthening

The Mentor Will:

• Provide technical support to strengthen two-way referral systems.
• Ensure proper documentation of referrals and feedback mechanisms between referring and receiving facilities.
• Review referral registers and referral outcomes during mentoring visits. Support facilities to identify and address referral bottlenecks affecting service quality and continuity of care.
• Infection Prevention and Control (IPC)

The Mentor Will:

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• Assess compliance with IPC standards and protocols.
• Provide practical coaching on hand hygiene, environmental cleaning, decontamination, sterilization, and waste management.
• Support facilities to establish and maintain proper healthcare waste segregation and disposal practices.
• Identify IPC gaps and support implementation of corrective actions.
• Promote availability and appropriate use of IPC commodities and personal protective equipment.
• Documentation, Reporting and Follow-Up

The Mentor Will:

• Develop mentoring visit reports with documented observations, recommendations, and action points.
• Maintain records of mentorship sessions, QI activities, and facility performance improvements.
• Share feedback with facility management and relevant stakeholders.
• Monitor implementation of agreed action plans during subsequent visits.
• Highlight best practices, success stories, lessons learned, and persistent challenges requiring escalation.

Deliverables
The Mentor Shall Produce:

• Monthly facility mentorship reports.
• Facility-specific quality improvement projects.
• Root cause analysis reports for identified quality gap and improvement tracking records.
• Monthly QIT meeting reports and attendance records.
• Quarterly QoC Assessment Report

Required Qualifications 
The RMNCAEH Quality of Care (QoC) Mentor shall possess the following minimum qualifications, professional experience, technical competencies, and personal attributes:
Educational Qualifications:

• Bachelor’s Degree in nursing, Midwifery, Medicine, Public Health, Community Health, or another relevant health-related discipline from a recognized institution.
• A master’s degree in public health, Nursing, Midwifery, Health Services Management, or a related field will be an added advantage.
• Valid professional registration and current practicing licence with the relevant regulatory body, where applicable.

Professional Experience:

• At least 5 years of relevant professional experience in RMNCAEH, primary healthcare, quality improvement, or health systems strengthening.
• At least 3 years of demonstrated experience providing facility-level mentoring, coaching, supportive supervision, or technical assistance to healthcare providers.
• Demonstrated experience working with primary healthcare facilities and health workers, preferably within Nigeria.
• Experience supporting the implementation of maternal, newborn, child, adolescent health and nutrition interventions.
• Experience conducting Quality of Care assessments using national or recognized QoC standards and assessment tools.
• Demonstrated experience in establishing, strengthening, or supporting Quality Improvement Teams (QITs) and facility-level quality improvement initiatives.
• Experience applying quality improvement methodologies, particularly Plan-Do-Study-Act (PDSA) cycles.
• Demonstrated experience using QI tools such as Five Whys, Fishbone/Ishikawa analysis, process mapping, and other root-cause analysis approaches.
• Experience supporting health facilities to use routine health information and service delivery data for quality improvement and decision-making.
• Experience in Infection Prevention and Control (IPC), referral systems, clinical standards, and adherence to national guidelines.
• Previous experience working with State Ministries of Health, SPHCDA, LGAs, development partners, or other health-sector stakeholders will be an advantage.
• Technical Competencies

The mentor should demonstrate sound knowledge and practical competence in:

• RMNCAEH and Nutrition service delivery at primary and secondary healthcare levels.
• National clinical standards, guidelines, protocols, and quality-of-care requirements.
• Quality Improvement methodologies and tools.
• Facility-level QoC assessment and performance improvement.
• Data quality assessment, data analysis, interpretation, and use.
• DHIS2 and other routine health information.

Remuneration

• Jhpiego offers competitive salaries and a comprehensive employee benefits package.