Signal function | Required in Basic or Comp-rehensive facilities? | Infrastructural needs | ||||
---|---|---|---|---|---|---|
Electricity | Clean water | Human resources | Enabling medical environment (drugs/supplies/equipment) | Road/vehicular access | ||
1. Administer parenteral antibiotics for maternal infection | B and C | Lighting | Â | HW with midwifery competencies | Drugs | Yes |
Lab tests | ||||||
2. Administer uterotonic drugs for haemorrhage | B and C | Lighting | Clean blood spills | HW with midwifery competencies | Drugs | Yes |
Supplies | ||||||
3. Administer parenteral anticonvulsants for pre-eclampsia and eclampsia (e.g. magnesium sulphate) | B and C | Lighting | Â | HW with midwifery competencies | Drugs | Yes |
Lab tests | Lab equipment | |||||
4. Perform manual removal of placenta for retained placenta | B and C | Lighting | Wash hands/equipment | HW with midwifery competencies | Equipment | Yes |
5. Perform removal of retained products of conception (e.g. manual vacuum aspiration, dilation and curettage) | B and C | Lighting | Wash hands/equipment | HW with midwifery competencies | Equipment | Yes |
6. Perform assisted or instrumental vaginal delivery (e.g. vacuum extractor) | B and C | Lighting | Wash hands/equipment | HW with midwifery competencies | Equipment | Yes |
Vacuum extractor | ||||||
7. Perform neonatal resuscitation (with bag and mask) | B and C | Lighting | Wash hands/equipment | HW with midwifery competencies | Equipment | Yes |
8. Perform surgery (e.g. caesarean section) | C only | Lighting | Wash hands/equipment | Team inc MW and obgyn | Equipment | Emergency referral ambulance |
Surgery equipment | Drugs | |||||
Supplies | ||||||
9. Perform blood transfusion | C only | Lighting | Wash hands/equipment | Team inc MW and obgyn | Equipment | Emergency referral ambulance |
Refrigerator for storage of blood | Drugs | |||||
Supplies | ||||||
Blood |