Area | Criteria |
---|---|
Catchment area | • Sufficient throughput of pregnant women (number of deliveries and high burden of perinatal mortality) • Baseline data for perinatal and maternal morbidity and mortality and causes of death • Maternity birth register that records pregnancy outcomes • Familiarity with collecting data and using PPIP |
Clinics in catchment area | • PHC clinics with healthcare professionals offering ANC • Antenatal clinics with a working environment and clinic floor plan that make CWDU examinations feasible |
Referral | • Established system of referral to the next level of care for women identified as high risk or as having an abnormal RI |
Next level of care (referral hospital) | • Nursing and medical professionals with sufficient knowledge and experience of obstetrics and neonatal care • Pulsed-wave Doppler ultrasound and familiarity with antenatal care for high-risk women • Referral hospital should have - the ability and equipment to take special care of small newborns weighing ≥ 1000 g - facilities to perform caesarean sections - a blood bank and laboratory |