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 |