Table 1.
Point in continuum of care | ||||
---|---|---|---|---|
Pregnancy |
Delivery (normal) |
Postpartum (woman) |
Postpartum (newborn) |
Child |
Preparation for safe birth and newborn care; emergency planning |
Management of labor and delivery and referral of complications |
Promotion of breastfeeding |
Neonatal resuscitation |
Promote breastfeeding and complementary feeding |
Micronutrient supplementation* |
Breastfeeding |
Provide vitamin A, zinc, and food supplementation |
||
Nutrition education |
Thermal care for preterm newborns |
Immunizations |
||
Intermittent preventive treatment of malaria during pregnancy) |
Promote care–seeking |
Co–trimoxazole for HIV–positive children |
||
Food supplementation |
Assess for danger signs and refer |
Education on safe disposal of children’s stools and handwashing |
||
Promotion of HIV testing |
Oral antibiotics for pneumonia |
Distribute and promote use of ITNs† or IRS‡, or both |
||
Assess for danger signs and refer |
||||
Detect and refer children with severe acute malnutrition |
||||
Detect and treat serious infections without danger signs (iCCM§), refer if danger signs present |
*Because of some evidence of risk and gaps in the evidence, the WHO does not at this time recommend multiple micronutrient supplementation for pregnant women to improve maternal and perinatal outcomes [24].
†Insecticide–treated bednet.
‡Indoor residual spraying.
§Integrated community case management (the components include treatments for diarrhea, pneumonia, malaria).