Table 6 Examples highlighting application of learning to practice
Sr. no. | Areas | Change/improvement | Example/s | Quote |
|---|---|---|---|---|
1 | Diagnosis | Early and correct diagnosis | 1. Need for suction among newborns 2. Identification of high risks during labour | ‘Before this training, my ANMs would call me during nights for deliveries, especially plotting partograph. But now, they plot the partographs and only if there is any life-threatening condition, they call me to take my opinion’—Medical Officer PHC |
2 | Case management | Correct management | 1. Routine ANC care 2. Newborn resuscitation | ‘I first give a left lateral position to every pregnant woman; I do not forget it.’—ANM ‘I conducted a normal [vaginal] delivery. The baby did not cry. I immediately resuscitated the baby and the baby cried. Earlier at such times, we used to be scared. This time I could handle the case confidently.’—ANM |
3 | Confidence during case management | Increased confidence for giving drug/s | 1. Use of magnesium sulphate for eclampsia management | ‘I recently received feedback from the field that two ANMs gave Magsulf and managed the case. We wanted to promote this they used to be anxious about it and we couldn’t do it and now it is happening.’—District health official |