We have known for a while that didactic training alone can not lead to sustainable improvements. There is growing evidence in practice (and the literature) that on-site mentoring or coaching can help ensure that knowledge from these trainings is converted into skills and even more importantly into action. Colleagues in Rwanda have recently published papers on the effectiveness and acceptability of a mentoring program focusing on individual providers and systems needed to ensure quality of IMCI care. It would be great to have others share experience in coaching or mentoring to ensure and sustain improvement?
Magge et al: http://www.ncbi.nlm.nih.gov/pubmed/24819369
Anatole et al: http://www.biomedcentral.com/1472-6963/14/275