WHO Antenatal Care Guideline Implementation Guide
0.3.0 - CI Build International flag

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

PlanDefinition: ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment

Official URL: http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT37 Version: 0.3.0
Active as of 2021-06-11 Computable Name: ANCDT37
Other Identifiers: ANC.DT.37 (use: official, )

Usage:Workflow Task: Counselling, in-facility management & treatment

Woman has been subjected to IPV

Id: ANCDT37
Url: ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment
Version: 0.3.0
Identifier:

value: ANC.DT.37

Name: ANCDT37
Title: ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment
Status: active
Experimental: false
Type:

system: http://terminology.hl7.org/CodeSystem/plan-definition-type

code: eca-rule

Date: 2021-06-11 23:49:11-0600
Publisher: World Health Organization (WHO)
Description: Woman has been subjected to IPV
Use Context:
codevaluedisplay
task ANC.B10. Counselling, in-facility management & treatment
Jurisdiction: 001
Libraries:
ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment
Actions:
ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment:
When: Named Event: ANC.B10. Counselling, in-facility management & treatment – 8. IPV first-line support and care
Then:
Conduct the following 5 tasks: – Listen to the woman closely, with empathy, and without judging – Inquire about needs and concerns: assess and respond to her various needs and concerns – emotional, physical, social and practical (e.g. childcare) – Validate: show her that you understand and believe her; assure her that she is not to blame – Enhance saftey: discuss a plan to protect herself from further harm if violence occurs again – Support her by helping her connect to information, services and social support.
If: Applicability: "Has the woman been subjected to intimate partner violence"=TRUE (Should Provide first-line support. Four (4) kinds of needs deserve attention:– Immediate emotional/psychological health needs– Immediate physical health needs– Ongoing safety needs– Ongoing support and mental health needs.)
If woman answers "yes" to at least 3 of the questions, the woman may be at high risk of violence /danger
If: Applicability: "Safety assessement conducted"=TRUE (Should Ask the following questions: -Has the physical violence happened more often or gotten worse over the past 6 months? - Has he ever used a weapon or threatened you with a weapon? - Has he ever tried to strangle you? - Do you believe he could kill you? - Has he ever beaten you when you were pregnant? - Is he violently and constantly jealous of you? )
If it is not safe for the woman to return home, make appropriate referrals for shelter or safe housing, or work with her to identify a safe place she can go to (such as a friend’s home or church).
If: Applicability: ("Has the physical violence happened more often or gotten worse over the past 6 months?" = TRUE ) AND ("Has he ever used a weapon or threatened you with a weapon?" = TRUE ) AND ("Has he ever tried to strangle you?" = TRUE ) (Should If it is not safe for the woman to return home, make appropriate referrals for shelter or safe housing, or work with her to identify a safe place she can go to (such as a friend’s home or church).)