Human Resources for Health in Maternal, Neonatal and - HRH ...
Human Resources for Health in Maternal, Neonatal and - HRH ...
Human Resources for Health in Maternal, Neonatal and - HRH ...
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Table 2 Levels of community health practice, possible care <strong>and</strong> services <strong>and</strong> staff <strong>in</strong>volved<br />
Level Possible care <strong>and</strong> service <strong>in</strong> the community Staff<br />
Home-based Normal delivery by skilled birth attendant <strong>in</strong>clud<strong>in</strong>g basic<br />
obstetric <strong>and</strong> newborn care, <strong>and</strong> referral if needed<br />
Family plann<strong>in</strong>g<br />
Commodity distribution (e.g. condoms, other<br />
contraceptives, <strong>in</strong>secticide-treated bednets (ITNs)<br />
<strong>Health</strong> education dur<strong>in</strong>g pregnancy (<strong>in</strong>clud<strong>in</strong>g sexual &<br />
reproductive health education) & birth preparation<br />
Postpartum/postnatal care <strong>for</strong> mother & baby<br />
Identify<strong>in</strong>g/referr<strong>in</strong>g newborn illness<br />
Resident <strong>in</strong> community<br />
Outreach<br />
Normal delivery by skilled birth attendant <strong>in</strong>clud<strong>in</strong>g basic<br />
obstetric <strong>and</strong> newborn care, <strong>and</strong> referral if needed<br />
Antenatal care, vacc<strong>in</strong>ation<br />
Family plann<strong>in</strong>g<br />
Diagnosis <strong>and</strong> treatment of sexually transmitted <strong>in</strong>fections<br />
(STIs)<br />
Commodity distribution (e.g. condoms, other<br />
contraceptives, ITNs)<br />
<strong>Health</strong> education dur<strong>in</strong>g pregnancy (<strong>in</strong>clud<strong>in</strong>g sexual &<br />
reproductive health education)& birth preparation<br />
Postpartum/postnatal care <strong>for</strong> mother & baby<br />
Identify<strong>in</strong>g/referr<strong>in</strong>g newborn illness<br />
Visit<strong>in</strong>g<br />
Public, private & NGO<br />
With the possible addition of:<br />
<strong>Health</strong> facility<br />
(Aid Post or<br />
Cl<strong>in</strong>ic)<br />
Normal delivery by skilled birth attendant <strong>in</strong>clud<strong>in</strong>g basic<br />
obstetric <strong>and</strong> newborn care<br />
Basic emergency obstetric care <strong>and</strong> referral<br />
Basic emergency newborn care <strong>and</strong> referral<br />
Voluntary counsell<strong>in</strong>g <strong>and</strong> test<strong>in</strong>g <strong>for</strong> HIV <strong>and</strong> prevention<br />
of parent to child transmission (PPTCT)<br />
Antenatal care<br />
Postpartum/postnatal care <strong>for</strong> mother & baby<br />
Community-Managed <strong>Maternal</strong> <strong>and</strong> Newborn Care<br />
CMMNC<br />
Referral <strong>for</strong> abortion if legal<br />
*See Glossary <strong>for</strong> def<strong>in</strong>itions of all acronyms<br />
Facility based<br />
Public , private, NGO,<br />
franchise<br />
Service availability is dependent on size of the community, its location <strong>and</strong> status. Table 3<br />
outl<strong>in</strong>es different types of health facilities <strong>and</strong> their features that have relevance <strong>for</strong><br />
community health.<br />
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