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Fig 1.

Nepal Map with study sites.

(A) License: Creative Commons Attribution–ShareAlike 4.0 International License. Caption Credit: geoBoundaries-NPL-ADM2-PREVIEW.png (640×480) (raw.githubusercontent.com). (Accessed March 26, 2023), and Runfola, D. et al. (2020) geoBoundaries: A global database of political administrative boundaries. PLoS ONE 15(4): e0231866. https://doi.org/10.1371/journal.pone.0231866. (Accessed March 23, 2023) [13, 14].

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Fig 2.

Flow diagram depicting a timeline of training and assessments of SBAs.

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Fig 3.

Flow chart depicting the analysis framework of the study.

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Table 1.

Pre-post analysis of differences in knowledge, clinical skills, and enabling environment scores.

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Table 2.

Pre-post analysis of differences in deliveries between sbas who had pre-assessment in 2016 and post-assessment in 2017.

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Table 3.

Differences in knowledge, clinical skills, enabling environment, and deliveries between SBAs who were post-FEP in 2017 compared to SBAs that were yet to undergo FEP in 2017.

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Table 4.

Differences in knowledge, clinical skills, enabling environment, and deliveries for non-FEP SBAs in 2017 compared to non-FEP SBAs that worked at FEP facility in 2017.

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Fig 4.

Positive aspects of the follow up and enhancement program (FEP) from the perspective of skilled birth attendants, the health management committee, district level managers, and trainers.

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Fig 5.

Improvements for the follow-up and enhancement program (FEP) from the perspective of skilled birth attendants, the health management committee, district level managers, and trainers.

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