Program areas at Pronto International
Mozambique: In November 2019, PRONTO partnered with FHI 360 to conduct a Simulation Facilitator Training (SFT) in Nampula, Mozambique. PRONTO trained a cohort of 32 providers inclusive of midwives, nurses, and physicians from intervention facilities. The SFT training covered simulation facilitator skills and clinical content related to normal birth, postpartum hemorrhage, respectful maternity care, and neonatal resuscitation in addition to debriefing and team training skills. Post training, mentors ran simulations, knowledge reviews, and teamwork activities alongside facility-based clinicians.
Nigeria: In August 2019, PRONTO, in partnership with Clinton Health Access Initiative (CHAI), conducted a Simulation Facilitator Training (SFT) in Minna, Nigeria. The training brought together 30 participants (20 project mentors and 10 representatives from the Niger State government) to introduce simulation and team-training, impart simulation and debriefing skills, and review the project intervention schedule. Following the SFT, the project mentors began utilizing PRONTO simulation and team-training during regular mentorship visits at health facilities in Niger State, aimed at increasing healthcare provider confidence in managing obstetric and neonatal emergencies, promoting respectful maternity care, and forming cohesive interprofessional healthcare provider teams.
Bihar, India: In 2019, PRONTO International continued a long-standing collaboration with CARE India in Bihar. PRONTO continued to support the nurse mentoring program called AMANAT Jyoti, where 60 Nurse Mentor Supervisors (NMS) trained approximately 700 AMANAT mentors in 353 Primary Health Care Centers. These mentors were Auxiliary Nurse Midwives (ANMs) and General Nurse Midwives (GNMs). PRONTO conducted Fidelity Monitoring during the TOT of AMANAT mentors by the NMSs. PRONTO staff visited the facilities to provide supportive supervision as the AMANAT mentors delivered simulation training to the staff nurses in their own facilities. PRONTO staff videotaped the simulations and activities conducted as part of Fidelity Monitoring which were later coded for assessment. PRONTO also developed a curriculum for Outreach training to be delivered to staff nurses at sub-centers in villages. PRONTO was also involved in developing a new Induction training for the new staff nurses to be hired by the Bihar government. PRONTO started work on the Sustained Engagement platform and conducted a pilot with a few CARE CTEs (Clinical Training Experts) and Nurse Mentors for its first module.