BACKGROUND:
Despite proven reductions in maternal and newborn mortality through midwife-led care, India still faces gaps in midwifery education and supervision. The Fernandez Foundation’s PROMISE App (2020) embeds ICM competencies, monitors clinical skill acquisition, and generates real-time dashboards to guide educators and policymakers.

OBJECTIVES:
a. Digitally embed ICM essential competencies in training. b. Create actionable quality-of-care dashboards. c. Correlate process indicators with maternal and newborn outcomes. d. Evaluate feasibility, efficiency, and scalability of digital mentorship across four states.

METHODS:
From December 2020 to May 2024 in Andhra Pradesh, Odisha, Telangana, and West Bengal, we conducted a mixed-methods evaluation. Quantitative data were captured via PROMISE App modules, logging 377,769 trainee and woman interactions. Key performance indicators aligned with INC/ICM curriculum were summarized descriptively. Qualitative data included structured interviews and focus groups with 30 midwifery educators and 70 NPM trainees, exploring user experience and mentorship benefits.

RESULTS:
Across four years, 97 educator trainees and 488 Midwife students logged antenatal, birthing, and postnatal interactions. Among 25,761 births, 92.5% of mothers received privacy and companionship; 98% were spontaneous; 64% of newborns received immediate skin-to-skin care. Maternal outcomes included a 97% live-birth rate and average Apgar scores of 8-9. Mentors reported a 40% reduction in administrative workload, and trainees rated the app 4.8/5, citing enhanced accountability and time savings ("The PROMISE App simplifies data capture.").

CONCLUSIONS:
The PROMISE App embeds ICM competencies, delivers real-time dashboards, and links process metrics to positive outcomes. Digital mentorship proved feasible, scalable, and aligned with WHO and Indian frameworks, reducing paperwork and improving clinical learning. Widespread adoption can accelerate progress toward SDG 3.1.

KEY MESSAGE:
Real-time digital mentorship like PROMISE strengthens midwifery education quality and accountability in resource-limited settings. Poster session 3 (Group B)