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PIVOT provides extensive, rigorous training programs for health care personnel at all levels of the system – community health workers, nurses, and doctors.  Initially PIVOT will follow a set of protocols, called MESH, pioneered and utilized effectively by PIH in Rwanda.  Over-time, our training will integrate medical students and residents.

Mentorship and Enhanced Supervision of Health Care (MESH)

MESH strives to systematically improve health care delivery by providing both formal didactic training to healthcare staff as well as a system of supervision and mentorship.  The mentors supervise the implementation of clinical protocols by evaluating diagnoses and treatment.

MESH is structured around three clinical areas:

  • Integrated Management of Childhood Illness (IMCI) (PCIME – Prise en charge intégrée des maladies de l’enfant)
  • Maternal health (which includes emergency obstetrics and neonatal care; SONU – Soins Obstétricaux et Néonatals d’Urgence)
  • Chronic infectious and non-infectious diseases (which includes HIV, TB, schistosomiasis, filariasis, and chronic non-communicable diseases (NCDs) such as diabetes, asthma, seizure disorders, hypertension, cardiomyopathy and others)

Top Banner Photo Credit: Jorge Nyari Ramos

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