Table 1 The specific health services under maternal, sexual and reproductive health domains as defined in HeRAMS Mali, 2013

Family planning

Antenatal care: problems (assess pregnancy, birth and emergency plan, respond to problems (observed and/or reported), advise/counsel on nutrition & breastfeeding, self-care and family planning, preventive treatment(s) as appropriate.

Skilled care during childbirth: for clean and safe normal delivery

Essential newborn care: basic newborn resuscitation + warmth (recommended method: Kangaroo mother care) + eye prophylaxis + clean cord care + early and exclusive breastfeeding

Basic EmOC: parenteral antibiotics + oxytocic/anticonvulsant drugs + manual removal of placenta + removal of retained products with manual vacuum aspiration (MVA) + assisted vaginal delivery, 24 h 7 days a week

Comprehensive EmOC: Basic EmOC + ability to perform C-sections and blood transfusions

Postpartum care: examination of mother and newborn (up to 6 weeks), respond to observed signs, support breastfeeding, promote family planning

Comprehensive abortion care: safe induced abortion for all legal indications, uterine evacuation using MVA or medical methods, antibiotic prophylaxis, treatment of abortion complications, counselling for abortion and post-abortion contraception

Sexual Violence

Clinical management of rape survivors (including psychological support)

Emergency contraception

Post-exposure prophylaxis for STI & HIV infections

STI & HIV/AIDS

Syndromic management of STIs

Standard precautions: disposable needles & syringes, safety sharp disposal containers, personal protective equipment, sterilizer

Availability of free condoms

Prophylaxis and treatment of opportunistic infections (HIV/AIDS)

HIV counseling and testing

Prevention of maternal-to-child transmission of HIV (PMTCT)

Anti-retroviral treatment for HIV (ARV)