PRONTO’s implementation and research provides evidence that PRONTO’s simulation-based training program has a positive impact on providers and their patients.

Monitoring progress and documenting impact is important to PRONTO International. We are continually developing innovative ways to monitor fidelity and show impact.

Global Reach: Training multi-professional providers worldwide

More than 8000 providers trained –globally through 2022. PRONTO has trained nurses, traditional midwives, doctors and other providers that care for women and infants during labor and delivery in 8 countries through not only our pilot and implementation studies, but also regularly requested trainings.

Capacity Building: Increasing PRONTO certified trainers

More than 1200 PRONTO trainers and PRONTO master trainers trained in 17 countries.

Participant Changes: Improving knowledge and self-efficacy

Improved self-efficacy and knowledge scores in participants post-PRONTO training – Participant self-reported self-efficacy and knowledge scores for multiple practices are regularly measured before and after all trainings. Three of our trials reported significant improvement in self-efficacy and knowledge following intervention, which is promising as it is hoped that through improving knowledge and self-efficacy, PRONTO will effect positive practice change.

Institutional Systems Change: Promoting goal achievement

PRONTO participant teams achieved more than 60% of the goals set during training. Strategic goals are set by participating teams during strategic planning sessions in the first Module of PRONTO training and are assessed during the second training Module. The majority of set goals are achieved, which is promising given that it is considered a potential proxy for quality improvement and practice change.


Saving Infants: Reducing neonatal mortality

In our implementation trial in Mexico, we found that intervention hospitals receiving PRONTO training had 44% reduced risk of facility-based neonatal mortality at 8 months follow-up when compared to control hospitals, which received no intervention. However, the results were not significant at 4 or 12 months, which motivates us to research how to improve uptake and retention of PRONTO training practice improvements.


Changing Practice: Decreasing cesarean deliveries

In our implementation trial in Mexico, we found that intervention hospitals receiving PRONTO training had a significant reduction in risk of cesarean delivery when compared to control hospitals. This is very exciting and merits further research especially in Mexico, a country with consistently high and rising rates of cesarean deliveries.