Abstract: Background: Postpartum hemorrhage (PPH) remains a leading cause of maternal mortality in low-resource settings, where the effectiveness of emergency response depends not only on individual provider skills but also on the strength of supportive systems. While Skilled Birth Attendant (SBA) training improves theoretical knowledge, sustained clinical readiness requires continuous supervision, guidance, and reinforcement. Nurse mentoring has emerged as a health-system strengthening strategy to enhance clinical performance, teamwork, and adherence to PPH management protocols at facility level. Objectives: To examine the role of nurse mentoring as a capacity-building approach for improving preparedness and system responsiveness to PPH emergencies among SBA-trained nurses in public healthcare facilities of Kanpur Division, Uttar Pradesh. Methods: A descriptive evaluation was conducted among 62 SBA-trained staff nurses posted at PHC, CHC, CHC-FRU, and District Women Hospital facilities. Data were collected using a structured demographic form, knowledge questionnaire, practice checklist, and Objective Structured Clinical Examination (OSCE). Descriptive statistics were used. The analysis emphasised how mentoring exposure, frequency, and facility context influenced competency and emergency readiness rather than only individual scores. Results: Although mean knowledge (76.6%), practice (72.6%), and skill scores (63.1%) indicated moderate overall competency (70.8%), mentoring exposure contributed significantly to better adherence to PPH protocols, timely uterotonic use, improved team coordination, and more systematic emergency response practices. Facilities reporting regular mentoring visits demonstrated higher consistency in OSCE performance and fewer procedural gaps. Demographic and facility-level patterns further highlighted mentoring as an enabling factor for competency retention and institutional readiness. Conclusion: Nurse mentoring strengthens PPH management not merely by improving individual competencies but by enhancing broader health-system functions such as supervision, teamwork, clinical decision-making, and continuity of quality care. Integrating structured mentoring into routine maternal health programs can improve institutional preparedness and support the sustainability of training outcomes in low-resource settings. Keywords: Nurse Mentoring; Skilled Birth Attendant; Postpartum Hemorrhage; Capacity Building; Maternal Health. Title: Nurse Mentoring as a Capacity Building Approach to Strengthen PPH Management in Low-Resource Settings Author: Ivanshi Verma, Dr Sumer Singh, Dr. Jagveer Singh Yadav, Dr Paayas Raj Verma International Journal of Novel Research in Healthcare and Nursing ISSN 2394-7330 Vol. 13, Issue 1, January 2026 - April 2026 Page No: 22-25 Novelty Journals Website: www.noveltyjournals.com Published Date: 27-January-2026 DOI: https://doi.org/10.5281/zenodo.18389114 Paper Download Link (Source) https://www.noveltyjournals.com/upload/paper/The%20Impact%20of%20Community%20Physiotherapy-26012026-3.pdf
Verma et al. (Tue,) studied this question.