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Table 1 Content of prenatal and postnatal home visits by HSAs

From: Contribution of community-based newborn health promotion to reducing inequities in healthy newborn care practices and knowledge: evidence of improvement from a three-district pilot program in Malawi

Pregnant women
Visit 1 (1 st trimester, if possible) Visit 2 (2 nd trimester) Visit 3 (3 rd trimester)
Counseling on: Counseling on: Counseling on:
• Early ANC including IPTp, ITN, TTV • Early recognition of danger signs and prompt care seeking among pregnant women • Skilled attendance at birth
• Minor ailments of pregnancy & management/care seeking • Birth preparedness and complication readiness • Clean delivery/Clean delivery kit
• Good nutrition • Subsequent visits for ANC including IPTp, ITN, TT • Early initiation and exclusive breastfeeding
• Hygiene and rest • Prevention of mother-to-child HIV transmission (PMTCT) • Newborn warmth, asphyxia management, skin-to-skin, delaying first bath
• Danger signs of pregnancy   • PMTCT and feeding options
• Ascertaining HIV status • Family planning
• Common newborn and maternal danger signs
Postnatal visits
Day 1 visit Day 3 visit Day 7 visit
(Home delivery) (Both facility and home delivery) (Both facility and home delivery)
Counseling on newborn care: Counseling on newborn care: Counseling on newborn care:
• Attachment and positioning • Attachment and positioning • Attachment and positioning
• Early initiation and exclusive breastfeeding • Exclusive breastfeeding • Exclusive breastfeeding
• Warmth/skin to skin/delay first bath • Vaccinations • Vaccinations
• Hygiene, cord care/skin care • Hygiene, cord care and skin care • Hygiene, cord care and skin care
• Support PMTCT when necessary • Warmth, skin-to-skin care • Warmth, skin-to-skin care
Activities: Activities: Activities:
• Examine newborn & identify: danger signs or low birth weight babies & refer • Examine newborn & identify: danger signs or low birth weight babies & refer • Examine newborn & identify: danger signs or low birth weight babies & refer
  • Encourage postnatal check at a health facility on day 7 • Subsequent weekly visits for low birth weight babies
Counseling on maternal care: Counseling on maternal care: Counseling on maternal care:
• Identify maternal danger signs and refer • Identify maternal danger signs and refer • Identify maternal danger signs and refer
• Good nutrition • Good nutrition • Good nutrition
• Hygiene • Hygiene • Hygiene
• Rest • Rest • Rest
   • Encourage under-five visits and family planning at 6 weeks