SimBegin Course and the Simulation-Based Learning: How is it Perceived and its Potential Impact. The Lesson from SaferBirths Bundle of Care Implementation Project

Background: The SimBegin® course prepares facilitators to deliver simulation-based training, which was key in the SaferBirths Bundle of Care (SBBC) implementation program in Tanzania. Despite SBBC’s success in reducing maternal and newborn mortality, facilitators’ perspectives on SimBegin® and its scalability remain underexplored Methods: The study, conducted from April to September 2025 in five regions of Tanzania, used a convergent parallel mixed-methods design. Quantitative data were collected via a validated questionnaire, and qualitative data through key informant interviews. Participants were SimBegin®-trained doctors and nurses. Quantitative data were analyzed in Excel, while qualitative data followed Braun and Clarke’s six-phase thematic approach. Results: A total of 71 Respondents completed the survey and 16 participated in interview. The median age was 35 years, with most being diploma-level nurses. Face-to-face training was perceived as most effective. Nearly all respondents (99%) considered SimBegin® course essential for facilitator preparation and scaling simulation-based learning. Effective facilitator preparation and repeated training were considered critical for strengthening competence. Conclusion: The findings suggest that SimBegin® course is key to enhance facilitators skills and confidence to facilitate simulation-based learning. SimBegin® course is critical for scale up of simulation-based lerning.