Table 5.
Postnatal care indicator summary results by country*
| Indicator |
Kenya |
Swaziland |
||
|---|---|---|---|---|
|
AUC |
IF |
AUC |
IF |
|
| Blood pressure check |
Y |
Y |
Y |
|
| Breast exam |
Y |
Y |
Y |
Y |
| Examine abdomen |
Y |
Y |
Y |
Y |
| Examine vagina |
Y |
Y |
Y |
|
| Screen for cervical cancer |
NA |
NA |
||
| Check anemia† |
Y |
Y |
Y |
|
| Ask about excessive bleeding |
Y |
Y |
Y |
|
| Discuss danger signs after birth‡ |
Y |
Y |
Y |
|
| Discuss STIs or HIV/AIDS |
Y |
Y |
Y |
|
| Discuss how soon after delivery a woman can get pregnant |
Y |
Y |
||
| Discuss return to fertility |
Y |
|||
| Discuss benefits of birth spacing |
Y |
Y |
||
| Discuss return to sexual activity |
Y |
Y |
||
| Discuss family planning (FP) method (incl. natural methods)§ |
Y |
Y |
Y |
|
| Receive any modern FP method|| |
NA |
NA |
Y |
Y |
| Explains advantages/disadvantages of chosen FP method |
NA |
NA |
Y |
|
| Discuss breastfeeding/feeding for baby |
Y |
Y |
NA |
NA |
| Examine baby (undressed) |
Y |
Y |
||
| Weigh the baby |
Y |
NA |
NA |
|
| Immunize baby |
Y |
Y |
Y |
|
| Gave information on baby’s sickness signs¶ | Y | Y | ||
AUC – area under receiver operating curve, IF – inflation factor
*Y – indicates validity criteria were met, NA – insufficient sample size in country to assess indicator. Blank indicates there was sufficient sample size and the criterion were not met.
†Anemia checked by referral for blood test or by checking woman’s pallor (examine finger nails or lower eyelid).
‡Danger signs for mother include: foul smelling discharge, fever, bleeding, broken scars, painful nipples, painful breasts.
§Natural family planning methods include abstinence and lactational amenorrhea.
||Modern methods include: injectables, pill, IUD, implant, progestin-only (breastfeeding mothers), condom use and sterilization.
¶Danger signs for baby include: difficulties feeding, difficulties breathing, body feels hot/cold or jaundice.