Table 4 Workload components and standards for midwives
Workload Group 1: Health Service Activities | Activity standard |
|---|---|
 Antenatal visits | 39 min/client |
 Family planning—male condoms | 24 min/client |
 Family planning—injectables | 23 min/client |
 Family planning—intrauterine device (IUD) | 53 min/client |
 Family planning—natural | 33 min/client |
 Family planning—implants | 44 min/client |
 Family planning—pills | 12 min/client |
 Normal spontaneous delivery | 99 min/patient |
 Newborn care | 120 min/patient |
 Labor management | 168 min/patient |
 Post-natal care | 35 min/patient |
 Childcare/well baby clinic | 18 min/patient |
 Integrated management of childhood illness | 22 min/patient |
 Visual inspection with acetic acid (VIA) | 25 min/patient |
 Pap smear | 20 min/patient |
 Rehabilitation of malnourished children | 20 min/patient |
 Caesarean section (pre-operative care) | 14 min/patient |
Workload Group 2: Support Activities | Activity standard |
|---|---|
 Health education | 30 min/day |
 Home visits | 8 h/month |
 Staff meetings | 2 h/month |
 Continuous professional development | 48 h/year |
 Medical missions | 16 h/month |
 Housekeeping (5S) practice | 40 min/day |
 Mentoring of students | 12 h/week |
Workload Group 3: Additional Activities | Activity standard Number of staff per additional activity varied per facility |
|---|---|
 Supervision of BHWs | I hour/day |
 Management meetings | I hour/month |
 Mass circumcision | 8 h/year |