Effectiveness of Capacity-Building and Quality Improvement Interventions to Improve Day-of-Birth Care in Kinshasa, Democratic Republic of the Congo

Module 1:

Care for mothers and newborns around the day of birth

• Support for normal labor and birth (respectful maternity care, infection prevention, use of partograph, active management of the third stage of labor, immediate newborn care, postnatal care)

• Treatment of postpartum hemorrhage

• Treatment of severe pre-eclampsia/eclampsia with magnesium sulfate

• Newborn resuscitation

• Consistent recordkeeping, use of data for decision-making and quality monitoring

Module 2:

Immediate postpartum FP counseling and clinical skills

• FP counseling in the antenatal and postpartum periods on all methods available for immediate postpartum use

• Clinical skills for postpartum FP provision, including side effect management and removal (of intrauterine devices and implants)

• Youth-friendly FP services for postpartum and postabortion clients

Module 3:

Postabortion care

• Treatment of incomplete abortion using manual vacuum aspiration and misoprostol

• Postabortion FP counseling

• Clinical skills for postabortion FP provision, including side effect management and removal

• Identification and/or referral for additional reproductive health services

• Youth-friendly postabortion care services

Module 4:

Management of the low birthweight newborn and management of newborn sepsis

• Recall of newborn danger signs and their management

• Basic management of low birthweight newborns, including kangaroo mother care

• Antibiotic regimens for women with infection and newborns with possible severe bacterial infections

• How to establish and manage kangaroo mother care units

• Respectful maternity care

• Infection prevention and control

• Clinical decision-making

• Consistent recordkeeping, use of data for decision-making and quality monitoring using dashboards