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