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/costateixeira/smart-anc/ and changes regularly. See the Directory of published versions
ANC.DT.10 Hepatitis C testing: When:Named Event: ANC.B9. Conduct laboratory tests and imaging
Then:
In settings where the proportion of HCV antibody seroprevalence in the general population is 2% or higher, then a hepatitis C test is required.
Anti-HCV laboratory-based immunoassay is the preferred method for testing for Hep C infection in pregnancy; if immunoassay is not available, anti-HCV rapid diagnostic test (RDT) is recommended over dried blood spot (DBS) anti-HCV testing.
If:Applicability:
"Population prevalence of hepatitis C" ≥ 2%
(Should Conduct hepatitis C test)
If the woman is HIV positive, then a hepatitis C test is required.
Anti-HCV laboratory-based immunoassay is the preferred method for testing for Hep C infection in pregnancy; if immunoassay is not available, anti-HCV rapid diagnostic test (RDT) is recommended over dried blood spot (DBS) anti-HCV testing
If:Applicability:
"HIV status" = "HIV positive"
(Should Conduct hepatitis C test 2)
If the woman injects drugs, then a hepatitis C test is required.
Anti-HCV laboratory-based immunoassay is the preferred method for testing for Hep C infection in pregnancy; if immunoassay is not available, anti-HCV rapid diagnostic test (RDT) is recommended over dried blood spot (DBS) anti-HCV testing.
If:Applicability:
"Current alcohol and/or other substance use" = "Injectable drugs"
(Should Conduct hepatitis C test 3)
If a woman is a sex worker, then a hepatitis C test is required.
Anti-HCV laboratory-based immunoassay is the preferred method for testing for Hep C infection in pregnancy; if immunoassay is not available, anti-HCV rapid diagnostic test (RDT) is recommended over dried blood spot (DBS) anti-HCV testing.
If:Applicability:
"Occupation" = "Informal employment (sex worker)"
(Should Conduct hepatitis C test 4)