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Table 1 Summary of the implementation strategy for PAC

From: Effects of implementing a postabortion care strategy in Kinshasa referral hospitals, Democratic Republic of the Congo

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
  1. PAC postabortion care, NPRH National Program for Reproductive Health, EONC emergency obstetric and newborn care, FP family planning, HIV human immunodeficiency virus