Abstract Description A program to scale-up improvements in maternal and newborn health in India confronted the challenges of providing quality improvement training to leaders and front-line clinicians and staff in 38 district hospitals in the state of Bihar, India. Virtual training programs, while not entirely new to the participants, was something that had not been done before on this scale. Results showed exciting improvements in quality improvement understanding and skills, as well as confidence to use and apply new-found knowledge.
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