Student Dissertation

Agency : RMNCH+A, On Site Coaching, Pilot, Post-test evaluation

Objective : Not Available

Background : Key observations from the national level bottleneck analysis that fed into the RMNCH+A strategy included: 1. Limited availability of skilled human resources, especially nurses 2. Low coverage of services and of skilled staff posting among marginalised communities 3. Inadequate supportive supervision of front-line service providers 4. Low quality of training and skill building 5. Lack of focus on improving quality of services 6. Insufficient information, education and communication on key family practices The On-Site Coaching Pilot aims to address these bottlenecks with targeted skill building. This model builds on the technical skills developed and ensures their application via on-site coaching. The coaching takes the shape of mentorship and supportive supervision to sustain high quality 44 service delivery and measures performance through regular monitoring Objectives: To assess the baseline knowledge and needs of staff nurses To assess the process of On Site coaching To assess the post coaching knowledge, skills and confidence of staff nurses.

Methodology : The present study is a longitudinal prospective study. The study was carried out from 1st February 2014 to 30th April, 2014 in Mahabubnagar. Four facilities (2 PHC’s and 2 CHC’s) with a total of 28 staff nurses are included in this study. Purposive sampling is done to decide the facilities. Quantitative data is collected through checklists and post-test questionnaire. Qualitative data is collected through observation, focused group discussions (FGDs) and in depth interviews.

Findings : The study showed that only 50 percent of the regular staff nurses are trained in SBA and NSSK. Among the trained staff, only 20 percent know how to perform regular day-to-day procedures. As high as 70-80 percent of the staff nurses expressed the need to be trained. After coaching around 36 percent of staff nurses scored an A++ and 53 percent scored an A+ in the theory based questionnaire, 64 percent and 29 percent of the staff nurses scored A++ and A+ respectively in practical exam, in poster presentation more than 50 percent of the staff nurses scored A++ grade.

Recommendations : An overwhelming majority of participants felt that their expectations of the level of training were met, skills and knowledge improved. The critical importance of coaches in a training period involvement is identified.