Madhya Pradesh, India (June 2013)—In an effort to ensure pregnant women and new mothers in Madhya Pradesh (MP)receive quality health care in public facilities, Jhpiego prepared nursing and midwifery instructors to hold refresher courses for nurses working in laborand delivery.
At the request of state officials, the first of its kind, Jhpiego held a two-day course to update clinical skills of 74 faculty of Auxiliary Nursing and Midwifery (ANM) schools, General Nursing and Midwifery (GNM) schools, and Colleges of Nursing from across the state.
In MP, the second-largest state in India (by area), health indicators are far below the national average. Each year, 59 of every 1,000 infants die before they turn one; for every 100,000 live births, 269 mothers die because of complications at childbirth. The Government of [fill in the blank with “MP” or “India”] recognizes that nurses and midwives are critical to improving the state’s health indicators, especially in rural and remote areas, where the availability of doctors and specialists is an ever-increasing challenge. The faculty at nursing and midwifery schools plays a vital role in preparing this health workforce.
Supported by the Norway India Partnership and partnered by the Government of MP, the “training of trainers” focused on hands-on practice with anatomical models, improved use of a partograph(a decision-making tool to chart the progress of labor) and key elements of quality care. These trainers will soon conduct a similar refresher course for nurses from 1,128 state facilities where women give birth to ensure the delivery of competent care.
Despite their level of experience and years teaching, the faculty participants said the Jhpiego-led training had increased their knowledge of the latest training methods and given them the opportunity to practice their new skills in a clinical setting.
“What was different from most other trainings I have attended was that each participant was given an opportunity for hands-on practice at the demonstration sessions,” said Vijaya Tagare, Principal of Ujjain Government College of Nursing in MP and a nursing instructor for 33 years. “Also, knowing that we would be tested on not only theoretical but also our clinical skills post training kept us very alert and ultimately helped us learn and become more confident trainers.”
These master trainers could see the benefit of the training for practicing nurses and midwives. “This training will be very helpful for in-service nurses. It will make them aware of the new trends, new methods of learning and technological improvements in health care. Such trainings will increase their skills and knowledge,” said Pratigya Kaushik, Staff Nurse attached to the School of Nursing at Bundelkhand Medical College, Sagar.
The training incorporated the latest updates on skilled attendance at birth, maternal and newborn health, infection prevention practices, core skills of maternal and child health, orientation on recordkeeping and reporting, and improvement of the participants’ skills to conduct trainings. Trainees participated in interactive presentations, group discussions, skill demonstrations and practice on models. “Observed structural clinical examinations,” whereby the participants were reviewed on their theoretical and clinical skills, helped assess their progress.
As part of this initiative, Jhpiego is helping the state establish skill labs in all 43 ANM and GNM schools and Colleges of Nursing where the in-service staff will be trained. Pre-service education of nursing and midwifery students is also being strengthened.
“There were several things that stood out in the training,” said Dipti Pandey, Principal at School of Nursing, Bundelkhand Medical College, Sagar. “On top of my list would be the way we were taught to use the partograph, with practical examples. Also, the stress on quality of services throughout the training was great. I will use that in my trainings as well.”
In a farewell poem of thanks, Tagare wrote:
. . . We were overwhelmed by everyone’s love and care
Your commitment and devotion has won our hearts
Your skillful teaching and training has helped us so much
We have learnt to become better trainers.