Clin Case Rep Int | Volume 7, Issue 1 | Research Article | Open Access

Strengthening the Quality of Care for Safe Delivery through Capacity Building of Frontline Healthcare Providers

Hema D1,2*, Richa M1, Sheetal J1,2, Bhagyashri K1,2, Poorni N2, Rita S2 and Divakar GV1,2

1Asian Research and Training Institute for Skill Transfer (ARTIST), Bengaluru, India
2Divakars Specialty Hospital, Bengaluru, India

*Correspondance to: Hema Divakar 

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Background: The capacity building of frontline healthcare providers is essential to address the shortage in their numbers as well as the skills gap that hampers the provision of quality healthcare services. FOGSI-Manyata skill transfer training program is a quality improvement model for private facilities providing maternal care. Method: The impact of the Manyata skill transfer program was evaluated by a mixed-method approach. The participants were selected purposively from different geographical regions across the country. The pre- and post-training scores of staff nurses were captured using Kahoot! platform and statistical significance were determined by paired t-test using STATA software. The Focus Group Discussions (FGDs) with staff nurses and the In-Depth Interviews (IDIs) with the head consultants and assessors were conducted to explore their experiences and perceptions of the Manyata training program and data was analyzed through thematic analysis. Results: The statistical analysis of pre- and post-training scores suggests a significant improvement in the knowledge and skills of all the staff nurses from four states (Bihar, Tamil Nadu, Maharashtra, and Punjab). The mean percentage of correct answers (for all questions and states combined) increased from 42.5% before training to 82.9% after training with a mean difference of 40.4%. The qualitative data analysis demonstrates an improved motivation of staff nurses to upgrade themselves and others, their enhanced practical knowledge and skills, an increased sense of recognition and self-worth, respectful maternity care, and overall improved maternal outcomes. Conclusion: Our study suggests that staff nurses’ practical knowledge and skills, their adherence to clinical standards on antenatal care, and their overall professional behavior improved significantly post-Manyata training program. This FOGSI initiative is a promising intervention to build the capacity of healthcare providers, however, continuous and concerted efforts are needed at their workplaces to make the learning process sustainable.


FOGSI; Manyata skill transfer training; Frontline healthcare provider; Capacity building; Maternal care; Mixed-method; Kahoot


Hema D, Richa M, Sheetal J, Bhagyashri K, Poorni N, Rita S, et al. Strengthening the Quality of Care for Safe Delivery through Capacity Building of Frontline Healthcare Providers. Clin Case Rep Int. 2023; 7: 1466.

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