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. 2009 Feb;27(1):53–61. doi: 10.3329/jhpn.v27i1.3317

Table 3.

List of potential interventions for improving neonatal health involving TBAs

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