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Table 1 Criteria used to classify facilities as having full SAC or PAC capability

From: The infrastructural capacity of Ghanaian health facilities to provide safe abortion and post-abortion care: a cross-sectional study

Capability to Provide Basic SAC

Functions expected of Primary-level Health Facilities

Capability to Provide Comprehensive SAC

Functions expected of Referral-level Health Facilities

Capability to Provide Basic PAC

Functions expected of Primary-level Health Facilities

Capability to Provide Comprehensive PAC

Functions expected of Referral-level Health Facilities

1. Performed vacuum aspiration for women obtaining SAC in the 3 months before the survey1

2. Provided medication abortion to women obtaining SAC in the 3 months before the survey2

3. Offers family planning during at least one day a week

4. Reported offering at least one modern, short-acting family planning method to post-abortion or abortion patients during the survey4

5. 1 or more health professionals on duty at least once a week

6. For facilities without comprehensive PAC, reported capacity to communicate5 and/or refer to other facilities

1. Removed retained products of conception in PAC patients in the 3 months before survey3

2. Administered parenteral antibiotics to PAC patients in the 3 months before survey

3. Administered parenteral uterotonics to PAC patients in the 3 months before survey

4. Administered intravenous fluids to PAC patients in the 3 months before survey

5. Offers family planning 7 days each week

6. Reported offering at least one modern, short-acting family planning method to post-abortion or abortion patients during the survey4

7. Has staff trained in PAC on duty or on call 24 h, 7 days a week

 

7. Performed dilatation and evacuation for women obtaining SAC in the 3 months before the survey.

8. Reported offering at least one long-acting reversible method or permanent method to post-abortion or abortion patients during the survey6

8. Reported a functional and available means of communication for referring emergencies in the 3 months before the survey5

9. Reported a functional and available ambulance or other vehicle with fuel (owned by facility of shared with other persons) that could be used to transport referred patients in the 3 months before the survey

10. Administered blood transfusions to PAC patients in the 3 months before survey

11. Reported having a functional operating room PAC in the 3 months before survey

12. Reported offering at least one long-acting reversible method or permanent method during the survey6

  1. 1Vacuum aspiration included-manual vacuum aspiration and electric vacuum aspiration
  2. 2Medication abortion included- mifepristone and misoprostol combination or misoprostol alone
  3. 3Methods included in removal of retained products included- misoprostol and mifepristone, misoprostol alone, manual vacuum aspiration (MVA), electric vacuum aspiration (EVA)
  4. 4Modern short-acting methods included- fertility awareness based methods, male condom, female condom, pills, injectables, emergency contraception
  5. 5Means of communication included- landlines, mobile phones (including staff personal phones), and radios
  6. 6Long acting reversible methods or permanent methods included- Implants, intrauterine devices
  7. Female sterilization, Male sterilization