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Table 5 Selected WHO policy guidance recommendationsa for ANC compared to country policy guidance

From: Keeping essential reproductive, maternal and child health services available during COVID-19 in Kenya, Mozambique, Uganda and Zimbabwe: analysis of early-pandemic policy guidelines

WHO Recommendation Related Guidance in Country Policies
Kenya Mozambique Uganda Zimbabwe
Prioritize ANC services for women in third trimester and high-risk women Not mentioned Not mentioned Not mentioned Facilities to keep register of high-risk ANC clients for follow up via telephone
Ensure birth preparedness / complication readiness plans are adapted to COVID-19 services Not mentioned Not mentioned Not mentioned Not mentioned
Offer 2–3 months of recommended micronutrient supplements and ITNs Women attending ANC should be provided up to 3 months of supplements or medication, including ARVs (ITNs not mentioned) Not mentioned Not mentioned Not mentioned
Where feasible, use digital platforms for counseling and screening ANC schedule to include phone-based consultations Pregnant women advised to call health care provider for minor complaints rather than visit health facility Not mentioned Phone consultations should be done as possible, either at nearby health facility or using a call center
Where feasible, book ANC visits Not mentioned Not mentioned Not mentioned Not mentioned
Plan to provide all relevant ANC care in a single visit Not mentioned Not mentioned Not mentioned Not mentioned
Prioritize risk assessments for conditions known to be increased in COVID-19 context (tobacco, alcohol, other substance use; anxiety and depression; and gender-based violence [GBV]) Conduct screening for GBV (other risk assessments not mentioned) Not mentioned Not mentioned Not mentioned
  1. a Maintaining essential health services: operational guidance for the COVID-19 context (WHO, June 2020)