Table 2 Integrated HIV and ANC services in Tanzania
Focused antenatal care checklist | ||||
|---|---|---|---|---|
Parameter | First visit <16 weeks | Second visit 20–24 weeks | Third visit 28–32 weeks | Fourth visit 36 weeks |
Laboratory investigations, blood | ||||
Haemoglobin | ✓ | ✓ | ✓ | ✓ |
Grouping and rhesus factor | ✓ | |||
RPR | ✓ | |||
HIV testing | ✓ | |||
Client education and counselling (for the couple) | ||||
Process of pregnancy and complications | ✓ | ✓ | ✓ | ✓ |
Diet and nutrition | ✓ | ✓ | ✓ | ✓ |
Rest and exercise in pregnancy | ✓ | ✓ | ✓ | ✓ |
Personal hygiene | ✓ | |||
Danger signs in pregnancy | ✓ | ✓ | ✓ | ✓ |
Use of drugs in pregnancy | ✓ | ✓ | ✓ | ✓ |
Effects of STI/HIV/AIDS | ✓ | ✓ | ✓ | ✓ |
Voluntary counselling and testing for HIV | ✓ | |||
Care of breasts and breast feeding | ✓ | ✓ | ||
Symptoms/signs of labour | ✓ | ✓ | ||
Plans of delivery (emergency preparedness, place of delivery, transportation, financial arrangements) | ✓ | ✓ | ✓ | ✓ |
Plans for postpartum care | ✓ | ✓ | ||
Family planning | ✓ | ✓ | ||
Harmful habits (e.g. smoking, drug abuse, alcoholism) | ✓ | ✓ | ✓ | ✓ |
Schedule of return visit | ✓ | ✓ | ✓ | ✓ |