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Table 1 Baseline intervention coverage based and achievable levels for LiST interventions as adapted and modified by provincial experts (July 2014)

From: Strategic planning for saving the lives of mothers, newborns and children and preventing stillbirths in KwaZulu-Natal province South Africa: modelling using the Lives Saved Tool (LiST)

Intervention

Baseline reviewed by experts (KZN)

Achievable scale up by 2019 estimate

 

2014 (%)

 

Preconceptual options

  

 Folic acid supplementation/fortification

90

93

 Safe abortion services

20

60

 Post abortion case management

0

20

 Ectopic pregnancy case management

0

0

Pregnancy interventions

  

 Antenatal care

53.9

65

 TT - Tetanus toxoid vaccination

60

90

 Syphilis detection and treatment

50

85

Nutritional

  

 Calcium supplementation

50

80

 Micronutrient supplementation (multiple micronutrients + iron folate)

  

 Iron folate supplementation

80

90

 Multiple micronutrient supplementation

60

75

 Balanced energy supplementation

2

20

Case management

  

 Hypertensive disease case management

60

80

 Diabetes case management

10

20

 MgSO4 - Management of pre-eclampsia

70

90

 FGR - Fetal growth restriction detection and management

10

25

Child birth

  

 Skilled birth attendance (SBA)

84.5

90

 Facility delivery (clinic and hospital)

84.5

90

Level of delivery

  

 Home deliveries

7.2

5

 Unassisted deliveries

7.2

5

 Assisted deliveries at home (SBA)

0

0

 Facility deliveries

  

 Essential care

55

33

 BEmOC (Basic Emergency Obstetric Care)

2

10

 CEmOC (Comprehensive Emergency Obstetric Care)

28

45

All deliveries

  

 Clean birth practices

80

90

 Immediate assessment and stimulation

90

98

 Labor and delivery management

93

98

 Neonatal resuscitation

40

95

 Antenatal corticosteroids for preterm labor

40

60

 Antibiotics for pPRoM

75

90

 MgSO4 management of eclampsia

90

95

 AMTSL--active management of the third stage of labor

90

95

 Induction of labor for pregnancies lasting 41+ weeks

20

45

Promotion of breastfeeding

80

90

Preventive options

  

 Postnatal care

  

 Preventive postnatal care

72

95

 Thermal care

72

95

 Clean postnatal practices

72

95

 Chlorhexidine

0

0

Feeding and supplements

  

 Complementary feeding--education only

30

50

 Complementary feeding--supplementation and education

30

50

 Vitamin A supplementation

39

51

 Zinc supplementation

0

0

WASH

  

 Improved water source

86

93.8

 Water connection in the home

63.6

72.6

 Improved sanitation - Utilization of latrines or toilets

53.2

57.6

 Hand washing with soap

17

40

 Hygienic disposal of children’s stools

40.5

50

Vaccines

  

 BCG

78

90

 Polio

73

90

 DPT

72

90

 Hib

72

90

 HepB

76

90

 Pneumococcal

72

90

 Rotavirus

72

90

 Measles

78

90

Curative options

  

Neonatal

  

 Maternal Sepsis case management

15

60

 KMC - Kangaroo mother care

10

66

 Case management of severe neonatal infection

50

90

 Oral antibiotics

0

0

 Injectable antibiotics

50

20

 Full supportive care

50

80

Diarrhoea

  

 ORS - oral rehydration solution

40

70

 Antibiotics - for treatment of dysentery

58

80

 Zinc - for treatment of diarrhoea

0

0

 Other infectious diseases

  

 Oral antibiotics: case management of pneumonia in children

73

90

 Vitamin A - for treatment of measles

75

90

 Antimalarials - Artemesin compounds for malaria

0

90

 Therapeutic feeding - for severe wasting

0

50

 Treatment for moderate acute malnutrition

0

10