Figure 1. Adjusted1 incidence rate ratios for the diagnosis of postpartum hemorrhage with simulation counts or ratios of simulations performed relative to other activities in the AMANAT nurse-mentoring program in Bihar, India (2015 – 2017).

¹ Adjusted for weeks of nurse-mentoring, days per week of nurse-mentoring, total number of births per week, phase of program, availability of physicians, proportion of mentee-sessions attended, facility level practice. ^{2 3 5} These associations represent the added benefit of doing a simulation relative to doing a teamwork activity. Likewise, for a demonstration activity or a didactic session. ⁴ The decreased association for the ratio, simulation: bedside mentoring, shows that a proper mix of the two is more beneficial than just performing simulation. Note: The solid dots represent the associations, and the vertical bars represent the upper and the lower confidence intervals.