The Uttar Pradesh Health Department, Government of Uttar Pradesh, launched Navjat Shishu Suraksha Karyakram (NSSK) to reduce neonatal mortality from birth asphyxia by training Staff Nurses and ANMs. The evaluation revealed gaps like inconsistent knowledge transfer and limited practical exposure. The program was revised to integrate adult learning principles, hands-on training, and better facilitator-to-participant ratios, ensuring uniform skill acquisition and improved newborn care.