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Table 1 Components of provider-improvement intervention, by level and country

From: Improving health worker performance of abortion services: an assessment of post-training support to providers in India, Nepal and Nigeria

Intervention Components

India

Nepal

Nigeria

Individual Provider Level

 Meets prerequisites for service provision

X

X

X

 Competency-based training to improve knowledge, counseling and clinical skills

X

X

X

 Cadre trained/length of training

MBBS physicians/5 days

Auxiliary nurse midwives/5 days Physicians/10 days

Physicians & midwives/5 days

 Values Clarification and Attitude Transformation exercises

X

X

X

 Clinical mentoring – coaching, individualized feedback, demonstration, problem-solving, case review, job aids

X

X

X

 Motivation – encouragement and recognition of providers

X

X

X

 Programmatic support contacts –

 Logistics, problem-solving, service data audit/review

X

X

X

 Provider networking

Virtual, online website

In-person

In-person

Health Facility Level

 Improved infrastructure

X

X

X

 Sustainable logistics for supplies/commodities

X

X

X

 Performance/Quality improvement activities (some facilities)

X

X

X

 Improved abortion case recordkeeping

X

X

X

Community Level

 Outreach, awareness-raising and referral for care

As needed

Community Health Volunteers

Lack of resources to employ