WHO Antenatal Care Guideline Implementation Guide
0.3.0 - CI Build
WHO Antenatal Care Guideline Implementation Guide
0.3.0 - CI Build
WHO Antenatal Care Guideline Implementation Guide, published by World Health Organization (WHO). This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-anc/ and changes regularly. See the Directory of published versions
| Active as of 2025-06-24 |
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<div>
<table class="grid dict">
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">ANCDT26</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-ANCDT26.html">ANC.DT.26 Calcium and vitamin A supplementation</a></td>
</tr>
<tr>
<th scope="row"><b>Version: </b></th>
<td style="padding-left: 4px;">0.3.0</td>
</tr>
<tr>
<th scope="row">
<b>
Official
</b>
</th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<span>ANC.DT.26</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">ANC.DT.26 Calcium and vitamin A supplementation</td>
</tr>
<tr>
<th scope="row"><b>Type: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<b>system: </b> <span><a href="http://terminology.hl7.org/6.4.0/CodeSystem-plan-definition-type.html">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>
</p>
<p style="margin-bottom: 5px;">
<b>code: </b> <span>eca-rule</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Date: </b></th>
<td style="padding-left: 4px;">2025-06-24 13:58:48-0600</td>
</tr>
<tr>
<th scope="row"><b>Publisher: </b></th>
<td style="padding-left: 4px;">World Health Organization (WHO)</td>
</tr>
<tr>
<th scope="row"><b>Description: </b></th>
<td style="padding-left: 4px;"><div><p>Depending on the population, additional calcium and/or vitamin A supplements maybe required</p>
</div></td>
</tr>
<tr>
<th scope="row"><b>Use Context: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr>
<th><b>code</b></th>
<th><b>value</b></th>
</tr>
<tr>
<td>task</td>
<td/>
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<th scope="row"><b>Jurisdiction: </b></th>
<td style="padding-left: 4px;">001</td>
</tr>
<tr>
<th scope="row"><b>Libraries: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr>
<td><a href="Library-ANCDT26.html">ANC.DT.26 Calcium and vitamin A supplementation</a></td>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Actions: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr>
<td>
<b> ANC.DT.26 Calcium and vitamin A supplementation:</b>
<br/>
<b>When:</b>
<i>Named Event:</i> IF "Population with low dietary calcium intake" = TRUE AND/OR IF "Population with vitamin A deficiency" = TRUE
<br/>
<b>Then:</b>
<table class="grid-dict">
<tr>
<td>
In populations with low dietary calcium intake, daily calcium supplementation (1.5–2.0 g oral elemental calcium) is recommended for pregnant women to reduce the risk of pre-eclampsia.
Dietary counselling of pregnant women should promote adequate calcium intake through locally available, calcium-rich foods.
– Divide the total dose into three doses, preferably taken at meal-time.
– Iron and calcium should preferably be administered several hours apart rather than concomitantly.
Please refer to calcium sources listed below for additional guidance that can be provided.
<br/>
<b>If:</b>
<i>Applicability:</i>
IF "Population with low dietary calcium intake" = TRUE
<i>(Should Provide calcium supplementation)</i>
<br/>
<b>Then:</b> <i>Additional sub-actions not displayed</i>
</td>
</tr>
<tr>
<td>
Dietary counselling of pregnant women should promote adequate calcium intake through locally available, calcium-rich foods.
Please refer to calcium sources listed below for additional guidance that can be provided.
<br/>
<b>If:</b>
<i>Applicability:</i>
IF "Population with low dietary calcium intake" = FALSE
<i>(Should Do not provide calcium supplementation)</i>
<br/>
</td>
</tr>
<tr>
<td>
Give a dose of up to 10,000 IU vitamin A per day, or a weekly dose of up to 25,000 IU.
A single dose of a vitamin A supplement greater than 25,000 IU is not recommended as its safety is uncertain. Furthermore, a single dose of a vitamin A supplement greater than 25,000 IU might be teratogenic if consumed between day 15 and day 60 from conception.
Please refer to vitaminA sources listed below for additional guidance that can be provided.
<br/>
<b>If:</b>
<i>Applicability:</i>
IF "Population with vitamin A deficiency" = TRUE
<i>(Should Provide vitamin A supplementation)</i>
<br/>
<b>Then:</b> <i>Additional sub-actions not displayed</i>
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
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Description: Women in the population are likely to have low dietary
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*/
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Description: Vitamin A deficiency is a severe public health problem
if 5% or more of women in a population have a history of night
blindness in their most recent pregnancy in the previous 3–5 years
that ended in a live birth, or if 20% or more of pregnant women
have a serum retinol level below 0.70 µmol/L
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<valueReference>🔗
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<name value="ANCDT26"/>
<title value="ANC.DT.26 Calcium and vitamin A supplementation"/>
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Dietary counselling of pregnant women should promote adequate calcium intake through locally available, calcium-rich foods.
– Divide the total dose into three doses, preferably taken at meal-time.
– Iron and calcium should preferably be administered several hours apart rather than concomitantly.
Please refer to calcium sources listed below for additional guidance that can be provided. "/>
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Please refer to calcium sources listed below for additional guidance that can be provided. "/>
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A single dose of a vitamin A supplement greater than 25,000 IU is not recommended as its safety is uncertain. Furthermore, a single dose of a vitamin A supplement greater than 25,000 IU might be teratogenic if consumed between day 15 and day 60 from conception.
Please refer to vitaminA sources listed below for additional guidance that can be provided. "/>
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