Table 3.
Encouraging healthy behaviours by promotion of/training in | |
Prevention of tetanus | Tetanus coverage for every pregnant woman in TBAs' areas |
Encouraging TBAs to get to know all pregnant women in her area and inform them about TT vaccination | |
Preventing delays | Planning transport to facility and other emergency arrangements ahead of time, in case complications arise |
Clean delivery | Washing hands of attendant(s) with soap before and after delivery |
Using a new or clean blade and surface to cut the umbilical cord | |
Inform on the importance of the ‘5 cleans’ to emphasize the importance of cleanliness during delivery in the home | |
Proper use of clean delivery-kit, educate on intended use of every item in the kit | |
Thermal care | Immediate drying and wrapping of the baby, even if the cord has not been cut |
Handing the newborn to the mother or another family member immediately after birth | |
Encouraging skin-to-skin care with the mother | |
Delayed bathing until at least 6 hours after birth, preferably waiting until second day: inform on the possibility of negative | |
consequences of early bathing | |
Cord care | Clean cord-cutting instrument and surface |
Application of antiseptic (chlorhexidine) to the umbilical cord | |
Not applying substance other than antiseptic to the cord | |
Breastfeeding | Early (within 1 hour) and exclusive breastfeeding, avoiding prelacteal feeds |
Feeding of colostrums | |
Not feeding foods in addition to breastmilk for the first 6 months of life | |
Oil massage | Use of oil with protective properties, such as sunflower oil, promote as ‘hot’ oil |
Not using mustard oil for massage, providing information on harmful characteristics of mustard oil | |
Post-delivery care | Use of postnatal visit to mother and child to advise on proper neonatal care, hygiene, breastfeeding, and information on immunizations and reproductive health |
TBAs=Traditional birth attendants; TT=Tetanus toxoid