I using PEM too. They sent me an experienced nanny, whom managed to work around my health condition (high BP for 2-3 weeks post partum), and nursed me well before we started confinement food. Extended her service so that I can recuperate well into the second month. Understand from my nanny that PEM has structured training and post assignment debrief to help with their learning and knowledge, which helps their staff be trained. Will definitely recommend PEM.