Recommended PAC Service Delivery Guidelines

Allocate Model Thumbnail

Allocate Model 
Policy Project 

The Allocate model offers a new mechanism whereby planners can examine and manipulate various assumptions and explore alternative uses of resources while developing a comprehensive Reproductive Health Policy. The Allocate model is intended to:

  • Support priority-setting dialogue by supporting improved reproductive health action plans, with increased efficiency in the use of funding resources; and 
  • Create a better dialogue between all stakeholders regarding reproductive health priorities.
The Allocate model can:
  • Assist planners in understanding the effects of funding levels and allocation patterns on program impact; and
  • Help planners understand how funding levels and patterns can lead to reductions in maternal mortality, abortion related deaths, and unwanted pregnancies and increases in contraceptive prevalence.
    It does not, however, calculate the “optimum” allocation pattern or recommend a specific allocation of resources between interventions.

National Reproductive Health Service Delivery Guidelines 
Ministry of Health, Malawi 
October 2001

This document provides the most current up-to-date knowledge and direction on the various components of reproductive health, including: quality of care, counseling, client assessment, infection prevention, family planning, reproductive health/family planning for special groups, postabortion care, adolescent reproductive health, men reproductive health, STIs, HIV/AIDS, maternal and neonatal health, prevention and management of cervical and breast cancers, infertility and harmful RH practices. It also forms a solid foundation from which service providers at all health facility in both the public and private sectors, as well as non-governmental organizations, can launch comprehensive, high quality and standardized reproductive healthcare.

Emergency Obstetric Care: Quick Reference Guide for Frontline Providers 

This pocket-sized booklet is designed to help the health care provider in a Type 1 health post recognize and respond to obstetric emergencies. The goal of emergency obstetric care at the health post level is to diagnose the problem, stabilize the woman, and arrange for transport to the nearest facility capable of managing and treating the complication.

Clinical Management of Abortion Complications: A Practical Guide image

Clinical Management of Abortion Complications: A Practical Guide 

This manual is intended to assist health workers in preventing death and serious injury from abortion complications. It outlines the full range of steps in addressing life-threatening complications. It is essential to know what the steps are and to take all possible actions. This document indicates only the general direction of treatment. The guidelines should be adapted on the basis of local conditions, availability of drugs, instruments, training, national standards and regulations (e.g. which category of health workers is authorized to start IV perfusion). This manual is based on WHO's Complications of Abortion: Technical and Managerial Guidelines for Prevention and Treatment.

Managing Complications in Pregnancy and Childbirth: A Guide for Midwives and Doctors image

Managing Complications in Pregnancy and Childbirth: A Guide for Midwives and Doctors 

A woman presenting with a life-threatening obstetric complication is in an emergency situation requiring immediate diagnosis and management. Therefore, the main text of the manual is arranged by symptom (e.g. vaginal bleeding in early pregnancy). Because this symptom-based approach is different than most medical texts which are arranged by disease, a list of diagnoses with the page number of the corresponding diagnosis table is provided.

Manual of Norms, Rules, Protocols, and Technical Procedures for Management of Hemorrhage in the First Half of Pregnancy 
Ministry of Health, Bolivia 

This consensus document includes definition of terms; responsibilities for PAC at each level of care in the health system; objectives of PAC; and protocols and procedures in the delivery of quality PAC services, including infection prevention and recordkeeping forms.


Postabortion Care: A Reference Manual for Improving Quality of Care 
Postabortion Care Consortium 

The purpose of this manual is to provide clinicians (physicians, nurses and midwives) with essential information on the provision of comprehensive postabortion care services. It is intended to assist clinicians in treating incomplete abortion and its life-threatening complications. The manual outlines the full range of activities needed to provide appropriate, high-quality postabortion care, including family planning and referral to health care services needed after emergency treatment.

Reproductive Health/Family Planning Policy Guidelines and Standards for Service Providers 
Ministry of Health, Kenya 
June 1997 

These guidelines provide the most current up-to-date knowledge on the methods of contraception currently approved by the Ministry of Health and other aspects of reproductive health. They also provide direction on the following topics: quality of care; components of Family Planning services; method counseling; advantages and limitations; eligibility; use; management of common side effects; and where and from whom the method can be provided. Selected broader elements of reproductive health such as Maternal Health/Safe Motherhood; Postabortion Care; adolescents and youth; infertility; breastfeeding; cervical cancer screening; pap smears; and integration of STIs/HIV/AIDS are also covered. This document is designed to assist the service provider in maintaining comprehensive care for her/his clients and patients who may seek family planning or medical attention.

National PAC Taskforce Action Plan: Clinical Training Network & Expansion of PAC Services 
Ministry of Health, Zambia and JHPIEGO 
November 2002 

This PowerPoint presentation describes the key elements of quality PAC services and helps managers understand their role in the PAC expansion program. It also assists in identifying, preparing, and initiating potential PAC service sites. 

PowerPoint presentation

Infection Prevention Guidelines for Healthcare Facilities with Limited Resources image

Infection Prevention Guidelines for Healthcare Facilities with Limited Resources 

The manual features infection prevention guidelines for outpatient settings as well as hospitals providing general medical, surgical, and obstetric services. To facilitate the manual’s adaptation and use, each chapter has a set of learning objectives and is fully referenced. This allows the manual to be used in a variety of ways—as a text for preservice education, group-based training, on-the-job learning programs, or as content for developing teaching, job, or behavior aids.

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Practical Guide for Selection of MVA Instruments 

In an effort to help buyers assess the various MVA instruments on the market, EngenderHealth and the Program for Appropriate Technology in Health (PATH) conducted the first-ever comparative evaluation of MVA instruments in 2001, testing the durability, quality, safety, and usability of all instruments available at the time. In addition, for each product evaluated, information was compiled about the product, its distribution, and the manufacturer’s contact information. As no widely known standards existed for evaluating MVA instruments under field conditions, innovative laboratory tests were created for this evaluation.