SBA + training The first part of the intervention involves all the 122 PHC 24/7 facilities in the two districts for two reasons: first we feel that this training is generally needed and will help to put the intervention and control site staff on the same level playing field in terms of basic MNCH knowledge; second, we know from the Sukshema baseline survey conducted in 2011 that few staff use adequate reporting mechanisms such as case sheets. As these are needed both programmatically as job aids, and for programme evaluative purposes, we will use this training as an opportunity to introduce new case sheets. After the first phase of baseline survey (described below) and before the mentoring programme begins in the intervention sites, Sukshema project staff will conduct a 3 day training update (called SBA+) for all staff nurses and a one day SBA+ for all M.O.'s from all 122 PHCs in the two districts, irrespective of whether they have previously attended the NRHM Skilled Birth Attendant (SBA) training. The 3 day training will focus on the essential components on intra-partum and postpartum (mother and baby) care identified in the Sukshema critical care package that evidence shows can significantly reduce maternal and newborn morbidity and mortality. The one day training for doctors will focus on identification of danger signs, pre-referral management of complications, quality of care, case audits and improvement of management and documentation. At these trainings, staff will be given, and instructed in the use of enhanced case sheets for women and babies from labour through to discharge, including use of the partograph. After this training, there will be no further interventions in the control sites, except that Sukshema staff will visit every 3 months to collect copies of the case sheets.