Signal Function | Components | Essential equipment, drugs and consumablesa |
---|---|---|
1.Screening for (pre-)Eclampsia | Measure BP | BP machine and stethoscope |
Test urine for proteinuria | Urine dip-stix, urine containers | |
2.Prevention and management of Anaemia in the mother | Measure Haemoglobin (Hb) | HemoCue® machine and cuvettes, or laboratory measurement of HB e.g. Coulter counter |
Provide ferrous sulphate with folic acid Nutritional advice | Ferrous sulphate tablets (preferably combined with folic acid) | |
3.Prevention and management of Malaria in mother and baby | Provide bed nets | Bed nets (preferably insecticide-treated) |
Test for malaria in case of fever and provide treatment for malaria positive women and babies | Thermometer Malaria rapid test, or, malaria microscopy done in lab Drugs for treatment of malaria.b including; artemisinin-based combination therapy (ACT) or artesunate inj or Arthemeter inj for treatment (or as specified in national guidelines) | |
4.Prevention and management of HIV in mother and baby | Test for HIV | HIV rapid diagnostic test (RDT) (single or combined with syphilis RDT) and/or laboratory |
Provide Prevention of Mother to Child Transmission Care (PMTC) Provide anti-retroviral drugs (ARV) for mother and baby | Drugsb for treatment of HIV positive women and babies pregnancy and prevention of maternal to child transmission (PMTCT) | |
5.Prevention and management of Tuberculosis (TB) in mother and baby | Test for TB (sputum Ziehl–Neelsen stain or Gen expert point of care testing) | Sputum pots, Lab for sputum Ziehl–Neelsen staining or Gen expert point-of-care testing |
First line TB drugs (preferred) | Drugsb for treatment of tuberculosis (TB) in women and children | |
BCG vaccination for newborn | BCG vaccination | |
6.Screening and counselling for mental health and domestic violence in the mother | Screening tools Counselling services | EPDS, WHO or other self-reporting questionnaire or other tool for mental health screening Screening tool for domestic violence/intimate partner violence Referral pathway for counselling and support |
7.Assessment of growth and development of the baby | Assess growth—weight and length | Weighing scale, length measurement table |
Care of the low-birth weight baby | Provide Kangaroo Mother Care (KMC) | |
Examination of the new-born baby for congenital abnormalities | Consultation area including for examination and environment facilitating respectful personalised care | |
8. Cord Care in the baby | Inspection and protection of cord | Chloorhexidine (4%) applied to the cord in areas of high neonatal mortality (≥ 30 per 1000) |
9. Vaccination of the baby | Including e.g. Polio, Hepatitis B and BCG at birth and Polio, Rotavirus, Pentavelant at 6 weeks ( subsequent vaccinations at 8, 12 and 16 weeks including Measles Diptheria, Tetanus, Whooping cough) | Vaccins (BCG, Polio-drops, Hepatitis B) BCG and Hepatitis B in areas of high incidence or high risk populations or as per national protocol |
10. Clinical examination of the mother | Examination of fundal height and check for lochia Check perineum and any wounds (e.g. Caesarean Section scar) Examination of the legs to check for Deep Vein Thrombosis (DVT) | Examination area with couch b Antibiotics |
11. Counselling for and support to exclusive breastfeeding of the baby | Consultation Examination of the breasts | Consultation area including for examination and environment facilitating respectful personalised care |
12. Offer contraception/family planning | Consultation | IUD, progesterone only pill, Depo Provera, condoms IUD insertion kit |
13. Health promotion and advice for the mother | Advise on perineal care, bladder care, pelvic exercises, resumption of sexual activity | Consultation area including environment facilitating respectful personalised care |
14. Debriefing following birth for the mother and counselling for danger signs in mother and baby | Consultation | Consultation area including environment facilitating respectful personalised care |