Table 3 Maternal health services across PRIME districts
| Ethiopia | India | Nepal | South Africa | Uganda | |
|---|---|---|---|---|---|
| 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) & ASHAb; 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 ASHAb; Community: CHW | Health facilities: doctors, nurses and ANM; Community: FCHV | Nurses | Health facilities: doctors, nurses and midwife; community: traditional birth attendant [131]d |