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Bibliographic Info

GuidelineWHO recommendations on maternal health: guidelines approved by the WHO Guidelines Review Committee, second edition. Geneva: World Health Organization; 2025
Year of Publication2023
Issuing InstitutionWorld Health Organization

Recommendation

Status
Updated

The use of lay health workers including trained TBAs to deliver the following interventions is recommended, with targeted monitoring and evaluation: distribution of some oral supplementtype interventions to pregnant women (calcium supplementation for women living in areas with known low levels of calcium intake, routine iron and folate supplementation for pregnant women, intermittent presumptive therapy for malaria for pregnant women living in endemic areas and vitamin A supplementation for pregnant women living in areas where severe vitamin A deficiency is a serious public health problem); and initiation and maintenance of injectable contraceptives using a standard syringe

Notes and Remarks

Planners need to consider a number of issues related to task sharing and the expansion of LHW responsibilities. These include the distribution of roles among cadres, regulatory issues, stakeholder involvement, training and supervision, systems for referral, supply chains, and possible changes to payments or other incentives

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