Implementing Adaptable Low-resource, Highly-realistic, In-situ Simulation and Team Training Programs Worldwide to Improve Quality of Care: Benefits, Challenges, and Lessons Learned from the PRONTO Experience in Mexico, Kenya, and India

Session: Highly-Realistic, In-situ Simulation and Team Training Programs for Obstetric and Neonatal Emergencies Worldwide: It’s About More than Managing the Emergency

Presenter: Onesmus Gachuno, University of Nairobi

Highly realistic simulation training is an effective method for preparing healthcare teams to respond effectively to obstetric and neonatal emergencies. PRONTO International aims to optimize care during birth. We develop and implement low-tech, in-situ simulation and team training strategies for health care providers that act as a catalyst for individual, team, and system change. Our experience suggests that simulation in resource-limited settings is not only accessible, but is also an effective tool. Simulation training programs in limited-resource settings, have shown sustained positive impacts on provider knowledge and improvements on practice when adapted to the cultural and country context.  Panelists will present case studies from simulation and team training projects in Mexico, Kenya, and India. The presenters will share local simulation training videos to illustrate the adaptive nature of low-tech simulation. They will discuss processes, challenges and results of integrating simulation and team training into existing training strategies and local training priorities. By sharing several real examples of highly realistic obstetric simulation training projects, the audience will come to understand the value and adaptability of in-situ simulation for system and practice change, for introduction and uptake of new technologies, and for guiding provider teams to effectively reflect on the provision of kind and respectful care. Designed for clinicians, trainers, and managers, this session will allow participants to discover the value of simulation and team training and the ease with which it can be adapted to any resource setting, and effectively compliment and strengthen diverse quality improvement initiatives.