ACS Use by Country: Level of Care, Indications for Use, and Pre-Referral Dose Authorization
| Country | Level of Care Approved for ACS Use | Level of Care Where ACS Actually in Use | Indications for Use | Pre-Referral Dose Allowed |
|---|---|---|---|---|
| DRC | Tertiary and maternity hospitals | Tertiary and maternity hospital in capital only | pPROM, eclampsia, preterm labor | No |
| Ethiopia | Referral, general, primary hospitals, and health centers | Tertiary and secondary hospitals | Preterm labor | Yes |
| Malawi | Central and district hospitals | Central and district hospitals | Preterm labor | No |
| Nigeria | Tertiary hospitals | Tertiary hospitals | Preterm labor | No |
| Sierra Leone | Tertiary hospitals including district referral hospitals | Tertiary and district referral hospitals | None | No |
| Tanzania | Hospitals, health centers | Hospitals | Preterm labor | Yes |
| Uganda | Hospitals, health centers IV, III, and II | Hospitals, health center IV | pPROM and “risk of preterm delivery” | Yes |
Abbreviations: ACS, antenatal corticosteroids; DRC, Democratic Republic of the Congo; pPROM, preterm premature rupture of the membranes.