Table 1.
Content of prenatal and postnatal home visits by HSAs
|
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 | ||