Table 2

Knowledge and competencies (from simulations) before and after HMS BAB

	Providers	Pretraining score mean/median	Providers	Post-training score mean/median	Adjusted change in score* (pre-post)
	n	%	n	%	% (95% CI)
Knowledge	326	74/80	301	87/93	13 (10 to 16)
AMTSL simulation	317	32/33	284	83/87	49 (41 to 57)
Recognition of retained placenta	281	47/50	268	90/100	42 (34 to 50)
PPH management	284	35/33	268	79/83	44 (39 to 48)

*Derived from a multilevel mixed methods model with fixed effects specified for the district and the hospital level, adjusted for the health work cadre. A total of 268 out of 331 providers included in the training completed the HMS BAB training. Providers left the training to attend emergencies or other duties.
AMTSL, active management of the third stage of labour; HMS BAB, Helping Mothers Survive Bleeding after Birth; PPH, postpartum haemorrhage.