WHO recommendations on antenatal care for a positive pregnancy experience

<strong>WHO</strong> <strong>recommendations</strong> on antenatal care for a positive pregnancy experience
Implementation considerations for ANC guideline <strong>recommendations</strong>
Need to know Need to do Need to have Consider
E.5. Task shifting components of
ANC delivery
• Task shifting allows flexibility
in certain contexts, but policymakers
need to work towards
MLCC for all women
• Give health workers involved in
task shifting a clear mandate
• Ensure that lay health workers
are integrated into the health
system and given appropriate
supervision
• Ongoing supervision and monitoring
• Commodities management
• Refer to specific <strong>WHO</strong> guideline on
task shifting i
E.6. Recruitment and retention of
staff in rural and remote areas
• Refer to specific <strong>WHO</strong> guideline on recruitment and retention j • Many pregnant women prefer receiving
care from women health workers
• Personal safety can impact a woman
health worker’s decision to apply for,
and remain in, rural positions
• Rotation of health workers from urban
to rural areas and vice versa
• Agreeing the terms and period of rural
deployment upfront
E.7. ANC contact schedules • Timing and content and of
ANC contacts
• How to adapt to local settings,
e.g. which context-specific
<strong>recommendations</strong> apply?,
what can be task shifted?
• Secure national support for
increased number of ANC
contacts
• Conduct community
sensitizing activities
• Involve pre-service training
institutions and professional
bodies
• Assess context-specific
implications for resources,
including staff, infrastructure,
equipment, etc.
• Long-term planning and resource
generation
• Provider training and supervision for
newly introduced interventions
• Updated “job aids” (e.g. ANC case
notes) that reflect changes
• Updated ANC training curricula and
clinical manuals
• Ongoing supervision and monitoring
• Reorganizing services to reduce waiting
times
• Other considerations can be found
in Chapter 4 of the ANC guideline
(Implementation of the ANC guideline
and <strong>recommendations</strong>)
i. <strong>WHO</strong> <strong>recommendations</strong>: optimizing health worker roles to improve access to key maternal and newborn health interventions through task shifting. Geneva: World Health Organization; 2012 (www.optimizemnh.
org, accessed 10 October 2016).
j. Increasing access to health workers in remote and rural areas through improved retention: global policy <strong>recommendations</strong>. Geneva: World Health Organization; 2010 (http://www.who.int/hrh/retention/
guidelines/en/, accessed 10 October 2016).
152