Risk Factor | Check correct box | Points |
---|---|---|
Education level | ||
Secondary or tertiary | ▭ | 0 |
Primary or none | ▭ | 3 |
Employment status | ||
Employed or student | ▭ | 0 |
Housewife or unemployed | ▭ | 4 |
WHO clinical stage (at entry into ANC) | ||
3 or 4 | ▭ | 0 |
1 or 2 | ▭ | 5 |
Duration of cART before delivery (current pregnancy) | ||
<4 weeks | ▭ | 0 |
1–4 weeks | ▭ | 5 |
Number of ANC visits (current pregnancy) | ||
>3 | ▭ | 0 |
1 or 2 | ▭ | 3 |
Parity (number of previous deliveries) | ||
>2 | ▭ | 0 |
2 | ▭ | 3 |
1 | ▭ | 3 |
0 | ▭ | 6 |
Sum points for all checked boxes | ||
RISK SCORE | ▭ |