Onsite Nurse Mentoring intervention, a key component of project Sukshema, is a 24/7 facility based intervention through a dedicated cadre of nurse mentors. It was designed and piloted in Primary Health Centres (PHCs) in north Karnataka to improve quality of maternal and newborn care.

Covering a total of 385 PHCs, the intervention successfully demonstrated the feasibility and process of improving quality of care at a large scale for the first time in the country.

The intervention was replicated in the First Referral Units (FRU) of north Karnataka and PHCs and Community Health Centres (CHCs) of Uttar Pradesh. Critical intervention components like self- assessment and action planning to improve facility systems and onsite mentoring to improve clinical practices have found place in the national operational and training guidelines related to Quality Assurance’ and Skill lab.