Effects of the Follow-Up and Enhancement program (FEP) on the retention of knowledge and skills of Skilled Birth Attendants (SBAs) and on the improvement of their working environments in rural Nepal.
The Nick Simons Institute (NSI) and Nepal Health Training center (NHTC) devised the Follow Up and Enhancement Program (FEP) – a pioneer program of supportive supervision where the clinical knowledge and skills of health workers who have received in-service training (e.g. SBA) are assessed directly at their working sites – in 2011.
FEP allows on-site coaching and feedback so that trainees may continue to improve upon any gaps in their skills and knowledge. FEP also allows an assessment of the trainees’ working environment in terms of essential equipment, drugs supply, and team support which is collectively called the Enabling Environment Score. The assessments from the FEP can then be fed back to the Health Facility Management Committees at the district and central levels so that gaps in the working environment can be fulfilled.
This study aims to assess the effect of the Follow-Up and Enhancement Program (FEP) on the retention of clinical knowledge and skills of Skilled Birth Attendants and on the improvement of their working environments and outcomes in rural Nepal. We will also explore the facilitating and hindering factors to provide maternal health services in rural settings.