Peer-reviewed article
Development, implementation and short-term impact of capacity building workshops on nurturing care for paediatricians across India: a triphasic mixed-methods study
Sharmila Banerjee Mukherjee, Samir Hasan Dalwai, Digant D. Shastri, Yogesh N Parikh, Jeeson Unni et al. ·
Summary
Written by AI, not yet AICS's view · claude-haiku-4-5-20251001This study evaluated a capacity building program called IAP-NURTURE that trained paediatricians across India to provide nurturing care for early childhood development. The program trained 7,047 paediatricians through 200 workshops between 2022 and 2024 using a systems approach based on the Nurturing Care Framework. The evaluation found that trainees were satisfied with the training, felt it enhanced their skills, and reported positive feedback from families and patients.
Key points
- 7,047 paediatricians were trained across India through 200 workshops
- High satisfaction with training resources and content among trainees
- Trainees reported practical benefits including skill enhancement and improved use of well-child visit schedules
- Training involved staff engagement and positive feedback from patients and families
- The model was based on a systems approach, the Nurturing Care Framework, and adult learning principles
Limitations
The study measured short-term impact only and relied on self-reported satisfaction and feedback rather than direct observation of practice changes or child health outcomes. Long-term sustainability and actual changes in clinical practice with children were not assessed.
Abstract
BACKGROUND: The Nurturing Care Framework (NCF) is a comprehensive approach that enhances early childhood development (ECD). Due to the paucity of personnel skilled in nurturing care for ECD (NC-ECD), Indian Academy of Pediatrics (IAP) developed IAP-NURTURE (NC-ECD) aimed at training paediatricians to incorporate nurturing care into office practice. A systems approach was employed: needs assessment; development of resources and training strategy; implementation of 200 workshops across India (2022-2024), and; impact evaluation. The study objectives were to (a) document the context of IAP NURTURE (NC-ECD); (b) assess trainee capacity enhancement and (c) identify challenges and suggestions for improvement. METHODS: A triphasic mixed-methods study was conducted based on the RE-AIM (Reach, Effectiveness, Adoption, Implementation- Maintenance) framework. The study population included organisers, trainers and trainees, recruited by purposive sampling. Phase 1 (qualitative) used key informant interviews (KIIs) of organisers to understand context. Phase 2 focused on participants' training. In the quantitative component, workshop documents and online survey findings were reviewed. The qualitative component included in-depth interviews (IDIs) of trainees. Phase 3 (qualitative) employed focused group discussions (FGDs) of trainers. Data management included descriptive statistics (quantitative) and Braun and Clarke's methodology for thematic analysis (qualitative). Data integration identified areas of convergence, complementarity and expansion. RESULTS: IAP NURTURE (NC-ECD) trained 7047 paediatricians. Data was retrieved from: 9 KII (phase 1); 4155 (58.9%) pretests, 2596 (36.8%) post-tests, 1506 (21.3%) feedback forms, 205 (5%) online survey respondents, and 18 (36.7%) IDIs (phase 2) and 15 FGDs (phase 3). Data integration indicates IAP NURTURE (NC-ECD) had a positive impact on the trainees: high satisfaction with training and resources provided; helpful in practice (skill enhancement, involving staff, using well-child visit schedule), and; receiving positive feedback from clientele. Challenges and solutions were identified. CONCLUSIONS: The IAP NURTURE (NC - ECD) model (based on systems approach, NCF strategic actions and principles of adult learning) and lessons learnt from this study can guide development of similar capacity building initiatives.
Findings the Hub has extracted
Each claim below is labelled by its type of design and links back to this report.
Problem
Shortage of paediatricians trained in nurturing care for early childhood development in India
- Intervention
- IAP-NURTURE capacity building workshops training paediatricians to incorporate nurturing care into office practice
- Population
- 7,047 paediatricians across India trained through 200 workshops (2022-2024)
Key finding
7,047 paediatricians trained across 200 workshops