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Table 2 Services offered by the community midwives

From: The effect of the community midwifery model on maternal and newborn health service utilization and outcomes in Busia County of Kenya: a quasi-experimental study

Period

Services offered

Antenatal

Dissemination of key messages on danger signs in pregnancy, birth planning and emergency preparedness to support safe pregnancy and delivery of a healthy newborn and early childhood care; monitoring and assessment of pregnancy through focused antenatal care (FANC) model; intermittent preventive treatment for malaria in pregnant women (IPT); tetanus toxoid vaccination; referral for antenatal profile; counselling and testing for HIV among pregnant womena

Childbirth

Childbirth care in uncomplicated labour and delivery (Essential Obstetric Care); provision of EmONC signal functionsb; stabilizing women and/or their newborns who have complications prior to referral;

Newborn

Provision of essential newborn care – warmth, resuscitation, early initiation of breast feeding, nutritional counselling & hygiene

Postnatal

Targeted health education/information on danger signs, early detection and treatment of problems, care of breasts, advise on caring for the newborn; immunizations as per the Kenya Expanded Program on Immunization schedule, counselling and testing for HIV among the pregnant and postnatal mothers and provision of family planning counselling and services

Family planning

Provision of family planning counselling and methods – pills, injectables, implants and intra-uterine contraceptive devices

  1. aHIV counselling available but testing not available in all the clinics
  2. bEmONC signal functions provided include administration of parenteral oxytocics, administration of parenteral antibiotics, administration of parenteral anticonvulsants, manual removal of placenta and newborn resuscitation