Table 1

Definitions

Antenatal visitVisit received by a woman at home from a CHW during the antenatal period. Visits are focused on health education and promotion. This includes counselling and referral to a health facility for care from a trained nurse or doctor. At least one of the following interventions by a CHW would be considered as antenatal visit: (a) screening and orienting on major complications, (b) supplying iron and folic acid tablets if applicable, (c) counselling balanced diet, (d) birth plan.
Antenatal careClinical care (including blood pressure measurement, urinalysis) received by a woman at a health facility during the antenatal period from a trained nurse or doctor.
Essential drugsDrugs that must be in a CHW kit: chloroquine, cotrimoxazole, oral contraceptives, oral rehydration solution, zinc tablets and vitamin A tablets.
Family health action groupsGroups of women selected by CHWs who provide: community mobilisation for antenatal and postnatal visits, advice about the need for antenatal and postnatal care, and transport of mothers to health posts and health clinics. There is one family health action group per CHW health post.
High security riskUse of armed force between warring parties in a conflict dyad, be it state based or non-state, resulting in deaths; 25 deaths or less in the previous 12 months is categorised as low intensity, 25–100 is categorised as moderate intensity and 100+ is categorised as high intensity.
Health Management Information SystemA system based on qualitative and quantitative indicators in which routine health information is collected, processed, analysed, interpreted, disseminated and used to improve the provision of health services according to the MoPH’s priorities and ultimately to improve the health of the population.
Mountainous districtsDistricts with access restricted by mountains that are >1800 km elevation at highest point of district.
Postnatal visitVisit received by a woman at home from a CHW during the first week postnatal. This includes counselling and referral to a health facility for care from a trained nurse or doctor. The CHW can assess for signs of illness, help the mother with breast feeding and prevent breastfeeding problems and advise on optimal care for the mother and her baby.
Postnatal careCare received by a woman at a health facility during the first 2 days postnatal from a trained nurse or doctor. A health professional would examine the mother and baby’s health. The mother would also get iron and folic acid tablets and advice on family planning, and the baby would receive necessary vaccinations.
Remote districtDistrict capital or centre >2 hours by any form of transport from provincial capital.
Status of stock of essential drugsRecording of the availability of any essential drugs in the previous month—using a stock tally sheet to record, for each drug, recording the number of health providers that reported that the drug was not present 1 day or more in the last month or the drug was present every single day of the last month.
  • Definitions modified from the WHO ‘Community Health Worker Manual’16 and the MoPH’s Procedures Manual.17

  • CHW, community health worker; MoPH, Ministry of Public Health.