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. 2021 Apr 7;18:76. doi: 10.1186/s12978-021-01130-x

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

PAC postabortion care, NPRH National Program for Reproductive Health, EONC emergency obstetric and newborn care, FP family planning, HIV human immunodeficiency virus