Table 3 Maternal health services across PRIME districts

Level of integration of maternal health services with general health services

ANC & PNC integrated in PHC; usually a separate antenatal clinic, run by midwife when present, otherwise by nursing staff

Integrated, provided at both primary and community health centres; facility within centres for examination and safe delivery

Antenatal care, delivery and postnatal services are major services provided within the PHC centres and health posts

ANC & PNC at all clinics with referral systems to general health care; deliveries at district level & some community health centres

Maternity units, run by midwives, are within primary health centre compound, but separate from general health clinics

Attendance for at least one antenatal care (ANC) visit

42.5 % [72]^c

79.5 % [128]^d

84.8 % [75]^c

95.9 % [73]^d

92.7 % [129]^d

At least four ANC visits

19.1 % [72]^c

40.7 % have at least 3 ANC visits [128]^d

50.1 % [75]^c

Average 3.5 visits [73]^d

47.9 % [129]^d

Average gestation at first ANC visit

5.2 months [72]^c

3.8 months [128]^c

3.7 months [75]^c

40.2 % attend before 20 weeks gestation [130]^c

5.1 months [131]^c

Delivery in health facility

5.6 % [72]^d

26.2 % [128]^d

35.3 % [75]^c

84.6 % [73]^c

86.8 % [129]; 34 % [132]^a

Attendance of postnatal care (PNC)

5.5 % within 2 days [72]^d

28.5 % within 2 days [128]^d

44.5 % within 2 days [75]^c

52.5 % within 6 days [73]^c

35.5 % within 2 days [131]^d

Location of postnatal care

Health centres

Hospitals, primary and community health centres; also provided during home visits

District hospital, primary health clinics, health posts and sub-health posts; home visits also performed

Mostly health-facilities; Limited home visits by CHW for immunization, nutrition and general health information

Health facility

Staff involved in delivery of antenatal care

Health centre: midwives, health officers and trained nurses; Health posts: health extension workers (HEWs)

Health facility: medical officer, auxiliary nurse midwives (ANM) & ASHA^b; Community: community health workers (CHW)

Health facilities: doctors, nurses and ANM; Community: female community health volunteers (FCHV)

Doctor (at least one visit), nurses and midwives

Doctors, midwives, nursing assistants

Staff involved in delivery of postnatal care

Health centre: nurses;

Health posts and community: HEWs

Health facility: medical officer, auxiliary nurse midwives and ASHA^b; Community: CHW

Health facilities: doctors, nurses and ANM; Community: FCHV

Nurses

Health facilities: doctors, nurses and midwife; community: traditional birth attendant [131]^d