Table 1 Summary of the implementation strategy for PAC
Activities | Main themes | Responsible party | Target | Training materials |
|---|---|---|---|---|
Train providers (6 days of training of trainers followed by training of providers in the facilities) | Overview of PAC Learning objectives: How to conduct counseling after an abortion? How to assess the patient for complications? How to treat complications How to ensure preventive measures against infections | NPRH | Providers in health facilities with obstetric and gynecologic services | Trainer and participant PAC manual, demonstration tools (materials and drugs), and video screenings |
Community sensitization | Affix PAC wall posters in health facilities Provide PAC advice cards at all health-related activity (prenatal consultations days, vaccination, …) | Staff of health facilities | All visitors of health facilities | Wall posters and PAC boards |
Evaluation of patients | Inform the patient about her PAC rights Perform initial assessment to identify emergency conditions Perform a complete clinical examination Request additional examinations | Midwives, doctors | Patients seeking care for complications of abortions | PAC procedures manual, EONC wall charts, consultation form, blood request and delivery note, transfusion monitoring sheet, educational materials (image boxes, advisory boards and others), and patient register |
Treatment of patients | Stabilize the patient’s condition Deal urgently with the complications of abortions | Midwives, doctors | ||
Provide postabortion counseling | Explain to the patient how to take care of her health Psychologically support the patient Provide FP and HIV counseling Advise during follow-up consultations | Midwives, doctors |