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Table 1
Framework for the classification of level of ANC provision in Zambian health facilities
WHO quality of care dimension	Process attributes	Minimum requirements for optimum level	Minimum requirements for adequate level
Access to care	ANC days per week	3+	1
Responsiveness & Appropriateness	ANC outreach	No requirement	No requirement
	IPT of malaria	Yes	No requirement
	Folate/iron supplement	Yes	No requirement
	VCT for HIV	Yes	No requirement
	Pre-eclampsia screening	Yes	No requirement
Continuity of care	PMTCT service	Yes	No requirement
	Delivery service	Yes	No requirement
	Postnatal service	No requirement	No requirement
	Routine FP information	No requirement	No requirement
Patient safety	Skilled health workers registered ^a	3+	1
Patient safety	EmOC or EmOC referral capacity	Yes	No requirement
Effectiveness & Efficiency	Screening tests: Hemoglobin, Syphilis, Urine protein, Urine sugar, Blood group + Rhesus factor	Any 3+ tests (including urine protein)	Any 1 test
Effectiveness & Efficiency	ANC functions: Folate/iron supplement, Tetanus vaccine, VCT for HIV, PMTCT of HIV, IPT of malaria	All 5 functions	Any 3 functions

^a Doctor, nurse/midwife, clinical officer.

VCT, voluntary counseling and testing; IPT, intermittent preventive treatment; PMTCT, prevention of mother to child transmission.

Kyei et al. BMC Pregnancy and Childbirth 2012 12:151 doi:10.1186/1471-2393-12-151

Table 1