Effect of Skill Birth Attendant Training to Improve the Competency of Service Providers

This clinical trial's primary goal is to compare birth attendants' competencies. It aims to answer the questions: * Does the new modular training package enhance the competencies of skilled birth attendants? * Does the competencies of skilled birth attendants relates to improving maternal and neonatal health outcomes in Nepal? * Is this training module a cost-effective intervention? Participants' knowledge, attitude, and skills will be assessed and it will be compared with standard training groups: Researchers will compare the competencies of birth attendants who receive modular training versus standard training to see if an increment in competencies is associated with maternal and neonatal health outcomes.