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Table 1 Signal function classification system: criteria for termination of pregnancy (TOP) and post-abortion care (PAC) in comparison to previously suggested SAC criteria

From: Signal functions for measuring the ability of health facilities to provide abortion services: an illustrative analysis using a health facility census in Zambia

 

TOP capability

PAC capability

SAC capabilitya

 

Basic

Comp

Basic

Comp

Basic (≤12 weeks)

Comp (>12 weeks)

Vacuum aspiration

X

X

  

X

X

Medication abortion

X

X

  

X

X

Dilation & Curettage (D&C)

     

X

Dilation & Evacuation (D&E)

 

X

    

Removal of retained products

  

X

X

X

X

Parenteral antibiotics

  

X

X

X

X

Uterotonics

  

X

X

X

X

Intravenous fluids

  

X

X

X

X

Blood transfusion

   

X

 

X

Surgical/laparotomy capability

   

X

 

X

Contraceptives (condoms + pills + injectables)

X

X

X

X

  

Long-acting reversible contraceptives (LARCs): implants or IUDs

 

X

 

X

  

Family planning at least once per week

X

X

    

Family planning 7 days a week

  

X

X

X

X

Facility open 24 h per day, 7 days a week (24/7)

  

X

X

X

X

1+ health professionals on duty

X

X

X

 

a

a

3+ health professionals registered (needed for 24/7 PAC service)

  

X

 

a

a

1+ medical doctors on duty

   

X

 

a

3+ medical doctors registered (needed for 24/7 PAC service)

   

X

 

a

Communication means or referral capacity (for facilities without comprehensive PAC)

X

X

X

   
  1. comp comprehensive, iv intravenous, IUD intrauterine device
  2. aCriteria for safe abortion care (SAC) as defined by Healy and colleagues [8] are shown for comparison. In their classification system, staffing is implied by having service provision 24/7 but not stated explicitly