Strengthening Clinical Practice in Madinani

Improving the quality of care requires more than expanding access to health services. It also means ensuring that healthcare providers have the skills and practical experience to deliver quality care when patients need it. In Côte d’Ivoire, Muso is working with government health authorities to strengthen clinical practice through a training approach that brings learning closer to the realities of frontline care.

ProCHW supervisors Fanta Mariko and a colleague during a training session.

From August 31 to September 11, Muso and the Madinani District Health Directorate conducted two training sessions for over 60 healthcare providers and site mentors serving communities in Madinani and Séguélon, covering over 90,000 patients. The sessions covered maternal and obstetric care, childhood illnesses, rational prescribing, and other essential clinical practices, with simulation-based exercises allowing providers to practice clinical skills and apply protocols in realistic care scenarios. By working alongside our Ivorian government colleagues to put research on simulation-based learning into practice, Muso is helping bring a proven approach to clinical training directly into frontline health facilities. Participants demonstrated measurable gains in knowledge across both sessions (see figure below), highlighting the value of combining hands-on practice with training methods grounded in research.

The training model also brings learning directly into health facilities, allowing providers to develop and practice their skills in the environments where they deliver care every day. This decentralized approach reduces the need for travel, accommodation, and other costs associated with centralized training, making more efficient use of resources while keeping learning closely connected to clinical practice.

Together, these choices reflect Muso’s approach to strengthening health systems: translating evidence into practical improvements, making training more relevant to frontline needs, and using resources efficiently. By working alongside government health authorities to apply and refine these approaches, Muso aims to support stronger clinical practice across health facilities and generate lessons that can inform government-led efforts to improve care and extend effective approaches to more communities.