Table 1
Family Planning services extract from the Integrated Service Delivery Packages.
| AHC | ||||||
|---|---|---|---|---|---|---|
| CMTY | RHC | L1 | L2 | UHC | GH | |
| Education, counselling and motivation to adopt appropriate family planning methods | X | X | X | X | X | X |
| Provision of hormonal and barrier family planning methods | X | X | X | X | X | X |
| Birth planning | X | X | X | X | X | X |
| IUCD insertion | X | X | X | X | ||
| Non-scalpel vasectomy and bilateral tubal ligation | X | X | X | |||
CMTY = Community, RHC = Rural Health Centre, AHC = Area Health Centre, L1 = Level 1, L2 = Level 2, UHC = Urban Health Centre, GH = General Hospital.
Table 2
Antenatal care services extract from the Integrated Service Delivery Packages.
| AHC | ||||||
|---|---|---|---|---|---|---|
| CMTY | RHC | L1 | L2 | UHC | GH | |
| Birth and emergency planning | X | X | X | X | X | X |
| Screening: History taking, physical examination, HB, syphilis test, urinalysis, malaria RDT, blood pressure, weight | X | X | X | X | X | |
| Respond to problems (observed and/or reported) | X | X | X | X | X | |
| Preventative measures: deworming, tetanus toxoid vaccination, iron and folic acid tablets, malaria prophylaxis and long-lasting insecticide-treated bednet distribution | X | X | X | X | X | |
| Stabilisation and referral of complicated pregnancies such as pre-eclampsia and breech | X | X | X | X | X | |
| Treatment of maternal anaemia and infection | X | X | X | X | X | |
| Ultrasound services | X | X | ||||
CMTY = Community, RHC = Rural Health Centre, AHC = Area Health Centre, L1 = Level 1, L2 = Level 2, UHC = Urban Health Centre, GH = General Hospital.
Table 3
Intra-Partum Care services extract from the Integrated Service Delivery Packages.
| AHC | ||||||
|---|---|---|---|---|---|---|
| CMTY | RHC | L1 | L2 | UHC | GH | |
| Skilled care during childbirth for clean and safe normal delivery | X | X | X | X | X | |
| Labour monitoring with obstetric wheel | X | X | X | X | X | |
| Essential newborn care: basic newborn resuscitation + immediate and thorough drying + warmth (Kandora Mother Care) + eye prophylaxis + clean cord care + early and exclusive breastfeeding | X | X | X | X | X | |
| Basic emergency obstetric care: parenteral antibiotics + oxytocic/anticonvulsant drugs + manual removal of placenta + removal of retained products with manual vacuum aspiration + assisted vaginal delivery 24/24 7/7 | X | X | X | X | X | |
| Appropriate and prompt referral for cases needing specialised care | X | X | X | X | X | |
| Stabilisation and referral of obstetric emergencies | X | X | X | X | X | |
| IEC on nutrition, hygiene, contraception and essential newborn care | X | X | X | X | X | |
| All routine birth dose immunisations and vitamins | X | X | X | X | X | |
| Ventouse deliveries | X | X | X | X | ||
| Midwife management of labour | X | X | X | X | ||
| Augmentation of labour with medical indication | X | |||||
| Comprehensive emergency obstetric care: basic emergency obstetric care + caesarean section + safe blood transfusion | X | |||||
| Presumptive antibiotic therapy for newborns at risk of bacterial infection | X | X | X | |||
| Continuous positive airway pressure to manage babies with respiratory distress syndrome | X | |||||
| Case management of neonatal sepsis, meningitis and pneumonia | X | X | X | |||
| Detection and management of postpartum sepsis | X | X | X | |||
CMTY = Community, RHC = Rural Health Centre, AHC = Area Health Centre, L1 = Level 1, L2 = Level 2, UHC = Urban Health Centre, GH = General Hospital.
Table 4
Post-Partum Care services extract from the Integrated Service Delivery Packages.
| AHC | ||||||
|---|---|---|---|---|---|---|
| CMTY | RHC | L1 | L2 | UHC | GH | |
| Examination of mother and newborn (up to 6 weeks) | X | X | X | X | X | X |
| Respond to observed signs | X | X | X | X | X | X |
| Support breastfeeding | X | X | X | X | X | X |
| Promote family planning | X | X | X | X | X | X |
CMTY = Community, RHC = Rural Health Centre, AHC = Area Health Centre, L1 = Level 1, L2 = Level 2, UHC = Urban Health Centre, GH = General Hospital.
Figure 1
Integrated service delivery policy development.