Pronto International

PRONTO INTERNATIONAL AIMS TO OPTIMIZE CARE DURING BIRTH. WE DEVELOP AND IMPLEMENT INNOVATIVE TRAINING STRATEGIES FOR HEALTH CARE PROVIDERS THAT ACT AS A CATALYST FOR INDIVIDUAL, TEAM, AND SYSTEM CHANGE.

PRONTO INTERNATIONAL DESIGNS AND CONDUCTS SIMULATION-BASED TRAINING FOR HEALTHCARE PROVIDER TEAMS USING AN INNOVATIVE, EVIDENCE-BASED APPROACH TO HELP LEARNERS MOVE FROM KNOWLEDGE TO PRACTICE IN THE MANAGEMENT OF MATERNAL AND NEWBORN EMERGENCIES DURING THE INTRAPARTUM PERIOD. IN ADDITION TO STRENGTHENING INDIVIDUAL PROVIDER SKILLS AND KNOWLEDGE, THE TRAINING STRENGTHENS TEAMWORK AND COMMUNICATION, INTER-PROFESSIONAL COLLABORATION, AND PERSON-CENTERED MATERNAL CARE (PCMC). PRONTO'S UNIQUE SIMULATION-BASED TRAININGS ALLOW HEALTHCARE PROVIDER TEAMS TO PRACTICE SKILLS IN SIMULATED HIGH-STRESS ENVIRONMENTS, ENSURING THAT THEY ARE PREPARED TO RESPOND EFFICIENTLY AND EFFECTIVELY DURING AN EMERGENCY. 2021 WAS ANOTHER YEAR OF BUILDING OPPORTUNITY OUT OF THE CHANGES BROUGHT ON BY COVID-19. PRONTO CONTINUED TO INNOVATE AND CREATE NEW AND ADAPTED PRODUCTS AND SERVICES THAT WOULD ALLOW US TO FULFILL OUR MISSION TO SUPPORT CLINICAL PROVIDERS WHO CARE FOR THE MOST VULNERABLE MOTHERS AND BABIES. WE WERE PROUD TO BE PART OF THE INITIATIVES BELOW. LINQED: LEADING INNOVATION IN QUALITY-OF-CARE EDUCATION PARTNERSHIP, BIHAR AND UP, INDIA PRONTO CONTINUED OUR 7-YEAR PARTNERSHIP WITH LINQED (UNIVERSITY OF CALIFORNIA AT SAN FRANCISCO AND UNIVERSITY OF UTAH) ON A GATES FOUNDATION FUNDED PROJECT TO BUILD THE CAPACITIES OF LOCAL HEALTH CARE PROVIDERS IN THE TWO LARGEST STATES OF UTTAR PRADESH AND BIHAR IN INDIA. IN RESPONSE TO THE COVID-19 PANDEMIC AND TO INTRODUCE DIGITAL LEARNING FOR SCALABILITY AND SUSTAINABILITY, WE DEVELOPED A LEARNING MANAGEMENT SYSTEM, PRONTOLEARN, TO ENABLE 'ON-DEMAND' TRAINING FOR THE LOCAL TRAINERS AND MENTORS. WE DEVELOPED A SERIES OF 10 INTERACTIVE DIGITAL COMIC MODULES "THE ADVENTURES OF SUPER DIVYA (SD)" TO STRENGTHEN SIMULATION EDUCATOR'S FACILITATION KNOWLEDGE, SKILLS, CONFIDENCE, AND ENGAGEMENT. THIS ENDLINE EVALUATION PRESENTS RESULTS ON THE CHANGE IN KNOWLEDGE AFTER WATCHING THE MODULES AND RETENTION OF KNOWLEDGE OVER10-MONTHS. SUPER DIVYA WAS ROLLED OUT TO 160 NURSE MENTORS AND NURSE MENTOR SUPERVISORS IN BIHAR. PRELIMINARY STUDY RESULTS SHOWED THAT KNOWLEDGE SCORES INCREASED, AND KNOWLEDGE WAS RETAINED LONGITUDINALLY. THE GOVERNMENT OF BIHAR REQUESTED THAT PRONTO CONDUCT RESPECTFUL MATERNITY CARE (RMC) TRAINING IN ALL 38 DISTRICT HOSPITALS OF THE STATE RESPONSE TO GOVERNMENT OF INDIA'S LAQSHYA GUIDELINES FOR QUALITY CARE IN LABOR ROOMS IN PUBLIC HEALTH FACILITIES. PRONTO WORKED WITH 125 FACILITIES AND 100 STAFF NURSES ON RESPECTFUL CARE, SUPER DIVYA FACILITATION TRAINING, AND HYBRID TRAININGS PRONTO CONTINUED WORKING ON THE THIRD YEAR OF THE USAID FUNDED ALCANAR PROJECT LED BY FHI360. THE OVERARCHING OBJECTIVE FOR PRONTO IN PY3 OF THE ALCANAR PROJECT WAS TO CONTINUE TO UPGRADE AND IMPROVE THE SIMULATION AND TEAM TRAINING MENTOR CADRE'S SKILLS AS SIMULATION FACILITATORS. BEFORE THE PANDEMIC, THE ORIGINAL PLAN TO MEET THIS GOAL WAS FOR SEVERAL OF PRONTO'S KENYA-BASED MASTER TRAINERS TO COME TO MOZAMBIQUE AT NUMEROUS TIME POINTS TO PROVIDE OBSERVATION AND REAL TIME IN-PERSON MENTORING AND SUPPORTIVE SUPERVISION TO THE ALCANAR MENTORS. ONCE IT WAS CLEAR WE WOULD NOT BE ABLE TO HAVE PRONTO MASTER TRAINERS TRAVEL DUE TO THE COVID-19 PANDEMIC, WE PIVOTED TO IMPLEMENT A SET OF ACTIVITIES DESIGNED TO SUPPORT THE MENTOR'S GROWTH THROUGH A COMBINATION OF SYNCHRONOUS AND ASYNCHRONOUS REMOTE AND VIRTUAL METHODS. WE ADDED 5 PRETERM BIRTH EDUCATIONAL MODULES AND ORIENTED THE MASTER TRAINERS TO THEM ON VIRTUAL COACHING CALLS. WITHOUT THE OPPORTUNITY TO HAVE IN-PERSON OBSERVATIONAL MENTORSHIP PROVIDED BY PRONTO MASTER TRAINERS, PRONTO PIVOTED TO PROVIDE A DETAILED OBSERVATION AND FEEDBACK PROCESS FOR THE MENTORS AS THEY IMPLEMENTED SIMULATION AND TEAM TRAINING THROUGHOUT PY3. BASED ON THESE INPUTS THE PRONTO TEAM ANALYZED THE DATA AND OFFERED TWO METHODS OF PROVIDING FEEDBACK TO MENTORS TO ENCOURAGE THEIR GROWTH: 1) MENTOR REPORTS - FROM THE CODED VIDEOS, THE PRONTO TEAM PREPARED INDIVIDUALIZED MENTOR REPORTS PROVIDING DETAILED FEEDBACK TO EACH MENTOR ON AREAS THEY WERE PERFORMING WELL IN, AND AREAS IN WHICH THEY COULD IMPROVE FOR FUTURE LEARNINGS. 2)SYNCHRONOUS CALLS - THE PRONTO TEAM PROVIDED LIVE COACHING IN A 90-MINUTE ZOOM CALL FORMAT DURING WHICH BEST PRACTICES AND THEMATIC AREAS THAT WERE EMERGING FROM THE VIDEO CODING AND SELF-EFFICACY FORMS WERE DISCUSSED. PRONTO CONTINUED WORKING ON THE SECOND YEAR OF THE USAID FUNDED KULAWA PROJECT LED BY SAVE THE CHILDREN. THE COVID-19 PANDEMIC CREATED DELAYS TO THE PRONTO IMPLEMENTATION ROLL-OUT. IN YEAR 2 WE CONTINUED TO PREPARE FOR IN-PERSON TRAININGS. OUR ACHIEVEMENTS INCLUDED: FINALIZING SUPPLY PROCUREMENT AND PACKING OF THE 51 MENTOR KITS, FINALIZING TRANSLATION OF PRONTO'S CURRICULUM INTO FRENCH, ALIGNING AND REFINING PRONTO'S MENTORING MODEL TO MATCH THE NIGERIEN CONTEXT, CREATING THE PRONTO IMPLEMENTATION PLAN FOR MENTORSHIP, PREPARED FRENCH-SPEAKING PRONTO TRAINERS FOR WORK IN NIGER. PRONTO CONTRIBUTED TO THE CRITERIA AND SCOPES OF WORK FOR THE MATERNAL AND NEWBORN HEALTH SPECIALIST (MNH SPECIALIST) AND TECHNICAL COORDINATORS AND PARTICIPATED IN INTERVIEWS OF POTENTIAL CANDIDATES. PRONTOSTAT IS DESIGNED TO BE A COMPREHENSIVE, MULTI-MODULAR, SCENARIO-BASED SIMULATION TRAINING CURRICULUM WITH ACCOMPANYING SIMULATION MATERIALS IN A PRONTOSTAT PACK. PRONTOSTAT WILL PROVIDE PRACTICE IN THE MANAGEMENT OF NORMAL BIRTH AND OBSTETRIC AND NEONATAL EMERGENCIES ACROSS THE EMERGENCY TRANSFER SPECTRUM - FROM LICENSED AND OUT-OF-HOSPITAL MIDWIVES, EMS, ED AND EMERGENCY DISPATCH PROVIDERS - AS THEY PROVIDE CARE TO PREGNANT AND BIRTHING INDIVIDUALS IN EACH PHASE OF THE EMERGENCY CARE CONTINUUM. THE FOCUS OF THE PRONTOSTAT CURRICULUM IS TO PROVIDE EMERGENCY MEDICAL SERVICE PERSONNEL OPPORTUNITIES TO PRACTICE RAPID INITIAL ASSESSMENT TRIAGE, INITIAL MANAGEMENT, STABILIZATION, PROVISION OF EMERGENCY CARE FOR OBSTETRIC AND NEWBORN PATIENTS' EMERGENCY CASES, AND HAND-OFFS. INTEGRATION OF TRANSPORT PROCEDURES TO HOSPITAL LEVEL CARE WILL BE INCLUDED TO IDENTIFY AND STRENGTHEN SYSTEMS GAPS. IN NOVEMBER 2021 "PRONTOSTAT FOR ED/EMS" CURRICULUM WAS PILOTED IN MOAB, UTAH WITH GRAND COUNTY EMS AND THE EMERGENCY DEPARTMENT TEAM AT MOAB REGIONAL HOSPITAL. STAKEHOLDERS FROM BOTH SITES PROVIDED INPUT INTO THE CURRICULUM AND WERE INSTRUMENTAL IN COORDINATING AND PLANNING THE IMPLEMENTATION DAY. THERE WERE 11 EMS TEAM MEMBERS AND 18 ED NURSES AND PHYSICIANS THAT PARTICIPATED IN THE DAY-LONG TRAINING.

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