Maharashtra, India – More than 170 nurses, paramedics and other health providers increased their ability to deliver quality care to pregnant women, mothers and infants and handle complications at birth during recent clinical skills trainings led by Jhpiego.
Supported by the John D. and Catherine T. MacArthur Foundation, the hands-on trainings at 13 facilities took place in a record 26 days during the months of May and June at public health institutions across India’s second most populated state, Maharashtra.
The program was based on the Indian Government’s Basic Emergency and Obstetric Care Guidelines with the goal of demonstrating and implementing a training model to strengthen clinical skills in these areas that can be scaled up nationally.
“We have never experienced such a down to earth training,” said Savita Patil, a nurse at a maternity hospital in Ulhasnagar. “No one ever taught us like this — you literally held our hands and taught us how to plot a partograph, conduct normal delivery and newborn resuscitation. This has made us so much more confident!”
Jhpiego trainers travelled to each facility and conducted the clinical skills sessions on-site to ensure maximum provider participation.
The trainings included demonstrations of how to monitor the progress of labor using partographs; active management of third stage of labor; essential newborn care and neonatal resuscitation; infection prevention practices; prevention, diagnosis and management of postpartum hemorrhage and eclampsia/preeclampsia; reproductive maternal and neonatal counseling skills; and, postpartum family planning/postpartum Intrauterine Device (IUD) insertion trainings.
At the ending of the trainings, the following improvements in participants’ skills were observed:
- Nearly all participants were able to correctly use a partograph;
- Providers showed greater confidence in providing essential newborn care and newborn resuscitation; providers resuscitated at least 3 babies closely following the training;
- Participants’ ability to identify signs of preeclampsia and eclampsia — a hypertensive disorder related to pregnancy and a leading cause of maternal deaths — improved markedly as did their knowledge of a correct loading dose of magnesium sulfate, a maintenance dose of MgSO4, and signs for toxicity;
- Infection prevention practices were implemented;
- Newborn corners were set up at all 13 facilities and were ready for use;
- Providers began implementing the respectful maternity care practice of placing a newborn baby on the mother’s belly, allowing the infant to crawl to the breast and begin nursing.
The providers were also given hand-outs with essential information pertaining to the trainings, including information on labor and delivery and after birth care and management of complications, management of hypothermia, neonatal resuscitation, hand hygiene and infection prevention practice guidelines, information on family planning and immunization, and, performance standards for improving quality of intra and immediate postpartum care.
The facilities were also given information, education and training materials, including posters for prenatal and postnatal wards and videos on postpartum family planning and postpartum intrauterine contraceptive devices, developed by Jhpiego, along with a MamaNatalie and NeoNatalie simulation teaching tools — to ensure sustainability of practices and dissemination of health information among the clients who visit.