Key Training Themes in Qualitative Analysis From Helping Babies Breathe Second Edition Field Testing in India

ThemesSubthemesSelected Comments
Most Effective Themes
FacilitatorsProvoke discussion
One-on-one interaction
“The facilitator could give feedback, genuine feedback.”
Workshop structureEmphasis on doing rather than lecturing
Small group size
Time for practice, observation, and learning from each other's mistakes
Enough equipment for everyone to practice with
Networking with others outside of their area to discuss their practice similarities and differences
“I think it uses everybody's time more effectively. I think working in small groups … that was the beauty of the program.”
Quality improvementReflection of each individual's practice and how to improve
Worked well with rest of workshop structure
“[B]ecause we train so many people, and we impart knowledge and skills, and it is individual improvement which is looked at. That session for the first time, looked at the individual and what he/she will do to bring change to their unit.”
ContentClear and concise presentation of information
Action plan was a helpful summary
Flip chart serving as a written guide for facilitating
“Planning of the flip chart and implementation guide has been incorporated. That was the one thing which everyone wanted. While you are organizing and conducting a workshop, what you need to do, and what our facilitators should do, is now written.”
Least Effective Themes
ContentSuggestive or ambiguous language such as “may” or “could”
Time to read and review material prior to the course
Complexity of content for peripheral clinics
“If it is meant mostly for peripheral settings, where resources are scarce, and I think the messages have to be direct and loud, that message is not obvious. Because you can say from this what is most important? It doesn't strike.”
FormatPresentation of material (color coding, font size, binding of flip chart)
IntegrationHow to ensure implementation at facility after training
Skills would not be maintained unless practiced and refresher courses available
Administrative support of the program at their facility
Buy-in from local leaders
“Otherwise we go through the same cycle of doing the workshop, but having no impact.”
“There has to be some time, some kind of timeline, that every day or alternate day, or once a week they have a practice session of this duration. And the unit in charge should be made responsible for this action.”
Unrealistic expectationsDifficult to implement with low resources
Supply chain
Facility where workshop held versus reality in periphery
Overemphasis of skin-to-skin care
Concerns about resources and space
Lack of experience with quality improvement
“[How to do skin-to-skin care] is all very vague, and therefore it may not be taken up well. So more clarity on that and the pictures need to be done.”
“Quality is considered a very special thing. It is something that is a luxury for people who have a lot of resources. This is their mindset. Because in a source limited situation, quality cannot be done. This is the mindset. So how to change that mindset?”