Lay health worker

Any health worker who performs functions related to healthcare delivery; was trained in some way in the context of the intervention; but has received no formal professional or paraprofessional certificate or tertiary education degree (Lewin 2005)

Traditional birth attendant (TBA): A person who assists the mother during childbirth and who initially acquired their skills by delivering babies themselves or through an apprenticeship to other TBAs (WHO 1992). Trained traditional birth attendants have received some level of biomedical training in pregnancy and childbirth care.3 In this guidance, trained TBAs are considered within the category of lay health workers.

Auxiliary nurse

Have some training in secondary school. A period of on-the-job training may be included, and sometimes formalised in apprenticeships. An auxiliary nurse has basic nursing skills and no training in nursing decision-making. However, in different countries the level of training may vary between few months to 2- 3 years. (WHO 2010)

Auxiliary nurse midwife

Have some training in secondary school. A period of on-the-job training may be included, and sometimes formalised in apprenticeships. Like an auxiliary nurse, an auxiliary nurse midwife has basic nursing skills and no training in nursing decision-making. Auxiliary nurse midwives assist in the provision of maternal and newborn health care, particularly during childbirth but also in the prenatal and postpartum periods. They possess some of the competencies in midwifery but are not fully qualified as midwives (UNFPA 2011, WHO 2010)

Nurse

A graduate who has been legally authorised (registered) to practice after examination by a state board of nurse examiners or similar regulatory authority. Education includes three, four or more years in nursing school, and leads to a university or postgraduate university degree or the equivalent. A registered nurse has the full range of nursing skills (WHO 2010).

Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well, and in all settings. Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people. Advocacy, promotion of a safe environment, research, participation in shaping policy and in patient and health systems management, and education are also key nursing roles.

Midwife

A person who has been assessed and registered by a state midwifery regulatory authority or similar regulatory authority. They offer care to childbearing women during pregnancy, labour and birth, and during the postpartum period. They also care for the newborn and assist the mother with breastfeeding. Their education lasts three, four or more years in nursing school, and leads to a university or postgraduate university degree, or the equivalent. A registered midwife has the full range of midwifery skills (WHO 2010).

Associate clinician

A professional clinician with basic competencies to diagnose and manage common medical, maternal, child health and surgical conditions. They may also perform minor surgery. The prerequisites and training can be different from country to country. However, associate clinicians are generally trained for 3 to 4 years post-secondary education in established higher education institutions. The clinicians are registered and their practice is regulated by their national or subnational regulatory authority.

Advanced level associate clinician

A professional clinician with advanced competencies to diagnose and manage the most common medical, maternal, child health and surgical conditions, including obstetric and gynaecological surgery (e.g. caesarian sections). Advanced level associate clinicians are generally trained for 4 to 5 years post-secondary education in established higher education institutions and/or 3 years post initial associate clinician training. The clinicians are registered and their practice is regulated by their national or subnational regulatory authority.

Non specialist doctor

A legally qualified and licensed practitioner of medicine, concerned with maintaining or restoring human health through the study, diagnosis and treatment of disease and injury, through the science of medicine and the applied practice of that science. A medical doctor requires training in a medical school. Depending on the jurisdiction and on the university providing the training, these may be either undergraduate-entry or graduate-entry courses. Gaining a basic medical degree may take from five to nine years, depending on the jurisdiction and the university providing the training.

Contraceptive delivery

1.1-1.13 Promotion of maternal, newborn and reproductive health interventions
Recommend
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
12.2 Initiation and maintenance of injectable contraceptives - standard syringe
Recommend with monitoring and evaluation
Recommend
Recommend
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
12.3 Insertion and removal of intrauterine devices
Recommend against
Consider in context of rigorous research
Recommend
Recommend
Recommend
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
12.4 Insertion and removal of contraceptive implants
Consider in context of rigorous research
Recommend with monitoring and evaluation
Recommend with monitoring and evaluation
Recommend
Recommend
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
12.5 Tubal ligation
Scoped out (Recommend against)
Recommend against
Recommend against
Consider in context of rigorous research
Consider in context of rigorous research
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
12.6 Vasectomy
Scoped out (Recommend against)
Consider in context of rigorous research
Consider in context of rigorous research
Consider in context of rigorous research
Consider in context of rigorous research
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
12.1 Initiation and maintenance of injectable contraceptives - CPAD
Because the product is still in development and studies are ongoing, no recommendation was made by the panel.
 

During pregnancy (Antenatal care)

2.7 Misoprostol distribution to pregnant women for self-administration after childbirth
Research about the effectiveness of the practice is needed before considering the cadres. Therefore no recommendation is made.
 
3.1, 3.3, 3,4 and 3.5 Oral supplement distribution to pregnant women
Recommend with monitoring and evaluation
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
3.2 Low dose aspirin distribution to pregnant women at high risk of pre-eclampsia/ eclampsia
Consider in context of rigorous research
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
4.1 Diagnosis and initial treatment of pPROM using injectable antibiotics
Scoped out (Recommend against)
Consider in context of rigorous research
Consider in context of rigorous research
Recommend with monitoring and evaluation
Recommend with monitoring and evaluation
Not considered by the guideline panel
Scoped out (Recommend)
Scoped out (Recommend)
 
10.1 External cephalic version for breech presentation at term
Scoped out (Recommend against)
Scoped out (Recommend against)
Scoped out (Recommend against)
Recommend against
Consider in context of rigorous research
Recommend against
Consider in context of rigorous research
Recommend with monitoring and evaluation
 
11.4 Antihypertensives for severe high blood pressure in pregnancy
Scoped out (Recommend against)
Consider in context of rigorous research
Recommend with monitoring and evaluation
Scoped out (Recommend)
Scoped out (Recommend)
Not considered by the guideline panel
Scoped out (Recommend)
Scoped out (Recommend)
 
11.5 Corticosteroids to pregnant women in preterm labour to improve neonatal outcomes
Scoped out (Recommend against)
Recommend against
Consider in context of rigorous research
Recommend against
Consider in context of rigorous research
Not considered by the guideline panel
Scoped out (Recommend)
Scoped out (Recommend)
 
11.8 Loading dose of magnesium sulphate to prevent eclampsia
Scoped out (Recommend against)
Scoped out (Recommend against)
Not considered by the guideline panel
Recommend with monitoring and evaluation
Recommend with monitoring and evaluation
Recommend with monitoring and evaluation
Recommend with monitoring and evaluation
Scoped out (Recommend)
 
11.9 Maintenance dose of magnesium sulphate to prevent eclampsia
Scoped out (Recommend against)
Not considered by the guideline panel
Not considered by the guideline panel
Recommend against
Recommend with monitoring and evaluation
Recommend against
Recommend with monitoring and evaluation
Scoped out (Recommend)
 
11.10 Loading dose of magnesium sulphate to treat eclampsia
Scoped out (Recommend against)
Scoped out (Recommend against)
Not considered by the guideline panel
Recommend with monitoring and evaluation
Recommend with monitoring and evaluation
Recommend with monitoring and evaluation
Recommend with monitoring and evaluation
Scoped out (Recommend)
 
11.11 Maintenance dose of magnesium sulphate to treat eclampsia
Scoped out (Recommend against)
Scoped out (Recommend against)
Scoped out (Recommend against)
Recommend against
Recommend with monitoring and evaluation
Recommend against
Recommend with monitoring and evaluation
Scoped out (Recommend)
 
11.12 Magnesium sulphate to women in preterm labour as a neuroprotective for the fetus
Scoped out (Recommend against)
Scoped out (Recommend against)
Consider in context of rigorous research
Recommend against
Consider in context of rigorous research
Not considered by the guideline panel
Scoped out (Recommend)
Scoped out (Recommend)
 
1.1-1.13 Promotion of maternal, newborn and reproductive health interventions
Recommend
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 

Giving birth (Intrapartum care)

2.7 Misoprostol distribution to pregnant women for self-administration after childbirth
Research about the effectiveness of the practice is needed before considering the cadres. Therefore no recommendation is made.
 
11.4 Antihypertensives for severe high blood pressure in pregnancy
Scoped out (Recommend against)
Consider in context of rigorous research
Recommend with monitoring and evaluation
Scoped out (Recommend)
Scoped out (Recommend)
Not considered by the guideline panel
Scoped out (Recommend)
Scoped out (Recommend)
 
11.5 Corticosteroids to pregnant women in preterm labour to improve neonatal outcomes
Scoped out (Recommend against)
Recommend against
Consider in context of rigorous research
Recommend against
Consider in context of rigorous research
Not considered by the guideline panel
Scoped out (Recommend)
Scoped out (Recommend)
 
11.12 Magnesium sulphate to women in preterm labour as a neuroprotective for the fetus
Scoped out (Recommend against)
Scoped out (Recommend against)
Consider in context of rigorous research
Recommend against
Consider in context of rigorous research
Not considered by the guideline panel
Scoped out (Recommend)
Scoped out (Recommend)
 
2.1 Oxytocin administration to prevent PPH - standard syringe
Consider in context of rigorous research
Recommend
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
2.2 Oxytocin administration to treat PPH - standard syringe
Consider in context of rigorous research
Recommend with monitoring and evaluation
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
2.3 Oxytocin administration to prevent PPH - CPAD
Consider in context of rigorous research
Recommend
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
2.4 Oxytocin administration to treat PPH - CPAD
Consider in context of rigorous research
Recommend with monitoring and evaluation
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
2.5 Misoprostol administration to prevent PPH
Recommend
Recommend
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
2.6 Misoprostol administration to treat PPH
Consider in context of rigorous research
Recommend
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
5.1 Continuous support for women during labour, in the presence of a skilled birth attendant
Recommend
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
6.1 Puerperal sepsis management with intramuscular antibiotics – standard syringe
Consider in context of rigorous research
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
6.2 Puerperal sepsis management with oral antibiotics
Consider in context of rigorous research
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
6.3 Puerperal sepsis management with intramuscular antibiotics – CPAD
Consider in context of rigorous research
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
9.1 Neonatal resuscitation
Consider in context of rigorous research
Consider in context of rigorous research
Recommend
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
11.1 Administration of intravenous fluid for resuscitation for PPH
Scoped out (Recommend against)
Recommend
Recommend
Scoped out (Recommend)
Scoped out (Recommend)
Not considered by the guideline panel
Scoped out (Recommend)
Scoped out (Recommend)
 
11.2 Internal bimanual uterine compression for PPH
Scoped out (Recommend against)
Recommend with monitoring and evaluation
Recommend
Scoped out (Recommend)
Scoped out (Recommend)
Not considered by the guideline panel
Scoped out (Recommend)
Scoped out (Recommend)
 
11.3 Suturing of minor perineal/genital lacerations
Scoped out (Recommend against)
Recommend
Recommend
Scoped out (Recommend)
Scoped out (Recommend)
Not considered by the guideline panel
Scoped out (Recommend)
Scoped out (Recommend)
 
11.6 Maternal intrapartum care
Scoped out (Recommend against)
Recommend against
Scoped out (Recommend)
Not considered by the guideline panel
Scoped out (Recommend)
Not considered by the guideline panel
Scoped out (Recommend)
Scoped out (Recommend)
 
11.7 Vacuum extraction during childbirth
Scoped out (Recommend against)
Scoped out (Recommend against)
Not considered by the guideline panel
Recommend against
Recommend with monitoring and evaluation
Recommend against
Recommend
Scoped out (Recommend)
 
11.13 Caesarean section
Scoped out (Recommend against)
Scoped out (Recommend against)
Scoped out (Recommend against)
Scoped out (Recommend against)
Not considered by the guideline panel
Recommend against
Recommend with monitoring and evaluation
Scoped out (Recommend)
 
11.14 Manual removal of the placenta
Scoped out (Recommend against)
Scoped out (Recommend against)
Scoped out (Recommend)
Not considered by the guideline panel
Recommend against
Recommend with monitoring and evaluation
Recommend
Scoped out (Recommend)
 

After delivery - Mother (Postpartum care)

1.1-1.13 Promotion of maternal, newborn and reproductive health interventions
Recommend
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
11.4 Antihypertensives for severe high blood pressure in pregnancy
Scoped out (Recommend against)
Consider in context of rigorous research
Recommend with monitoring and evaluation
Scoped out (Recommend)
Scoped out (Recommend)
Not considered by the guideline panel
Scoped out (Recommend)
Scoped out (Recommend)
 
6.1 Puerperal sepsis management with intramuscular antibiotics – standard syringe
Consider in context of rigorous research
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
6.2 Puerperal sepsis management with oral antibiotics
Consider in context of rigorous research
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
6.3 Puerperal sepsis management with intramuscular antibiotics – CPAD
Consider in context of rigorous research
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 

After delivery - Baby (Neonatal care)

7.1 Initiation of kangaroo mother care for low birth weight infants
Consider in context of rigorous research
Recommend with monitoring and evaluation
Recommend with monitoring and evaluation
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
7.2 Maintenance of kangaroo mother care for low birth weight infants
Consider in context of rigorous research
Recommend with monitoring and evaluation
Recommend with monitoring and evaluation
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
8.1 Injectable antibiotics for neonatal sepsis - standard syringe
Consider in context of rigorous research
Consider in context of rigorous research
Consider in context of rigorous research
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
8.2 Antibiotics for neonatal sepsis - CPAD
Consider in context of rigorous research
Consider in context of rigorous research
Consider in context of rigorous research
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
1.1-1.13 Promotion of maternal, newborn and reproductive health interventions
Recommend
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 
9.1 Neonatal resuscitation
Consider in context of rigorous research
Consider in context of rigorous research
Recommend
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
Scoped out (Recommend)
 

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