ArticleBMJ global health2019
The impact of a nurse mentoring program on the quality of labour and delivery care at primary health care facilities in Bihar, India.
Article in BMJ global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 10 citations in OpenAlex.
- Linking Household and Service Provisioning Assessments to Estimate a Metric of Effective Health Coverage: A Metric for Monitoring Universal Health Coverage.International journal of environmental research and public health · 2025Article
- Private sector delivery of care for maternal and newborn health: trends over a decade in the Indian state of Bihar.BMC medicine · 2025Article
- Developing and validating a tool for assessing the confidence in the competence of midwifery tutors in India on WHO core competency domains.PLOS global public health · 2024Article
- Article
- The impact of institutional delivery on neonatal and maternal health outcomes: evidence from a road upgrade programme in India.BMJ global health · 2022Article
- Leverage the power of ritual to improve community health worker efficacy and public health outcomes: Lessons from Bihar, India.The Lancet regional health. Southeast Asia · 2022Review
- Article
- In-service nurse mentoring in 2020, the year of the nurse and the midwife: learning from Bihar, India.Global health action · 2020Article
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAlthough the number of women who deliver with a skilled birth attendant in India has almost doubled between 2006 and 2016, the country still has the second highest number of maternal deaths and the highest number of neonatal deaths globally. This study examines the impact of a nurse mentoring programme intended to improve the quality of intrapartum care at primary healthcare centre (PHC) facilities in Bihar, India.
methodWe conducted an evaluation study in 319 public PHCs in Bihar, where nurses participated in a mentoring programme. Using a quasi-experimental trial design, we compared the intrapartum quality of care between the mentored (n=179) and non-mentored PHCs (n=80). Based on direct observation of 847 women, we examined percent differences in 39 labour, delivery and postpartum care-related recommended tasks on five domains: vital sign and labour progress monitoring after admission, second and third stages of labour management, postpartum counselling, infection prevention and essential newborn care practices.
resultsA significantly higher proportion of women at mentored PHCs received the recommended clinical care, compared with women at non-mentored PHCs. The overall total score of quality of care, expressed in percent of tasks performed, was 30.2% (95% CI: 28.3 to 32.2) in the control PHCs, suggesting that less than one-third of the expected tasks during labour and delivery were performed by nurses in these facilities; the score was 44.2% (95% CI: 42.1 to 46.4) among the facilities where the nurses were trained within last 3 months. The task completion score was slightly attenuated when observed 1 year after mentoring (score 39.1% [37.7-40.5]).
conclusionMentoring improved intrapartum care by nurses at PHCs in Bihar. However, less than half of the recommended normal delivery intrapartum tasks were completed by the nurse providers. This suggests the need for further improvement in the provision of quality of intrapartum care when risks to maternal and perinatal mortality are highest.
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