Table 1.
Baseline intervention coverage based and achievable levels for LiST interventions as adapted and modified by provincial experts (July 2014)
| Intervention | Baseline reviewed by experts (KZN) | Achievable scale up by 2019 estimate |
|---|---|---|
| 2014 (%) | ||
| Preconceptual options | ||
| Folic acid supplementation/fortification | 90 | 93 |
| Safe abortion services | 20 | 60 |
| Post abortion case management | 0 | 20 |
| Ectopic pregnancy case management | 0 | 0 |
| Pregnancy interventions | ||
| Antenatal care | 53.9 | 65 |
| TT - Tetanus toxoid vaccination | 60 | 90 |
| Syphilis detection and treatment | 50 | 85 |
| Nutritional | ||
| Calcium supplementation | 50 | 80 |
| Micronutrient supplementation (multiple micronutrients + iron folate) | ||
| Iron folate supplementation | 80 | 90 |
| Multiple micronutrient supplementation | 60 | 75 |
| Balanced energy supplementation | 2 | 20 |
| Case management | ||
| Hypertensive disease case management | 60 | 80 |
| Diabetes case management | 10 | 20 |
| MgSO4 - Management of pre-eclampsia | 70 | 90 |
| FGR - Fetal growth restriction detection and management | 10 | 25 |
| Child birth | ||
| Skilled birth attendance (SBA) | 84.5 | 90 |
| Facility delivery (clinic and hospital) | 84.5 | 90 |
| Level of delivery | ||
| Home deliveries | 7.2 | 5 |
| Unassisted deliveries | 7.2 | 5 |
| Assisted deliveries at home (SBA) | 0 | 0 |
| Facility deliveries | ||
| Essential care | 55 | 33 |
| BEmOC (Basic Emergency Obstetric Care) | 2 | 10 |
| CEmOC (Comprehensive Emergency Obstetric Care) | 28 | 45 |
| All deliveries | ||
| Clean birth practices | 80 | 90 |
| Immediate assessment and stimulation | 90 | 98 |
| Labor and delivery management | 93 | 98 |
| Neonatal resuscitation | 40 | 95 |
| Antenatal corticosteroids for preterm labor | 40 | 60 |
| Antibiotics for pPRoM | 75 | 90 |
| MgSO4 management of eclampsia | 90 | 95 |
| AMTSL--active management of the third stage of labor | 90 | 95 |
| Induction of labor for pregnancies lasting 41+ weeks | 20 | 45 |
| Promotion of breastfeeding | 80 | 90 |
| Preventive options | ||
| Postnatal care | ||
| Preventive postnatal care | 72 | 95 |
| Thermal care | 72 | 95 |
| Clean postnatal practices | 72 | 95 |
| Chlorhexidine | 0 | 0 |
| Feeding and supplements | ||
| Complementary feeding--education only | 30 | 50 |
| Complementary feeding--supplementation and education | 30 | 50 |
| Vitamin A supplementation | 39 | 51 |
| Zinc supplementation | 0 | 0 |
| WASH | ||
| Improved water source | 86 | 93.8 |
| Water connection in the home | 63.6 | 72.6 |
| Improved sanitation - Utilization of latrines or toilets | 53.2 | 57.6 |
| Hand washing with soap | 17 | 40 |
| Hygienic disposal of children’s stools | 40.5 | 50 |
| Vaccines | ||
| BCG | 78 | 90 |
| Polio | 73 | 90 |
| DPT | 72 | 90 |
| Hib | 72 | 90 |
| HepB | 76 | 90 |
| Pneumococcal | 72 | 90 |
| Rotavirus | 72 | 90 |
| Measles | 78 | 90 |
| Curative options | ||
| Neonatal | ||
| Maternal Sepsis case management | 15 | 60 |
| KMC - Kangaroo mother care | 10 | 66 |
| Case management of severe neonatal infection | 50 | 90 |
| Oral antibiotics | 0 | 0 |
| Injectable antibiotics | 50 | 20 |
| Full supportive care | 50 | 80 |
| Diarrhoea | ||
| ORS - oral rehydration solution | 40 | 70 |
| Antibiotics - for treatment of dysentery | 58 | 80 |
| Zinc - for treatment of diarrhoea | 0 | 0 |
| Other infectious diseases | ||
| Oral antibiotics: case management of pneumonia in children | 73 | 90 |
| Vitamin A - for treatment of measles | 75 | 90 |
| Antimalarials - Artemesin compounds for malaria | 0 | 90 |
| Therapeutic feeding - for severe wasting | 0 | 50 |
| Treatment for moderate acute malnutrition | 0 | 10 |