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Table 7 Visits schedule for CHWs Counselling on Maternal, Infant and Young Child Nutrition

From: Effectiveness of home-based nutritional counselling and support on exclusive breastfeeding in urban poor settings in Nairobi: a cluster randomized controlled trial

Visit Gestation in weeks (months) What to do/check Messages to be given
PREGNANCY
1 8–18 wks (2- 4th mo) Recruitment • Value of attending ANC for initial evaluation
• Ask if attended 1st ANC visit
• Start counselling on adequate diet for mother
• Value of taking the iron and folate supplements given at the clinic
• Value of tetanus vaccine during pregnancy
2 19–22 wks (5th mo) Remind mother to go for 2nd ANC visit • Continue counselling on mother’s diet
• Value of attending ANC
3 23–27 wks (6th mo) Ask if attended 2nd ANC visit (24 -28wks) Start counselling on
• Infant feeding
• Birth plan
• Value of attending ANC
• Continue couseling on maternal nutrition
4 28–32 wks (7th mo) Remind mother to go for 3rd ANC visit (32wks) • Value of attending ANC
• Value of early initiation of breastfeeding
• Continue counselling on mother’s diet
5 33–35 wks (8th mo) Ask if mother attended 3rd ANC visit; Check birth plan • Value and duration of exclusive breastfeeding
• Give messages on child spacing
• Continue counselling on mother’s diet
• Birth plan
6 36–37 wks (8th -9th mo) Remind mother to go for 4th ANC visit at 36 wks Review
• early initiation of breastfeeding,
• exclusive breastfeeding
• Birth plans
• How to care for the baby’s cord
• Counsel on maternal nutrition during lactation
7 38–40 wks (9th mo)   If not delivered do as in visit 6
  1. All throughout pregnancy encourage mother to eat well and emphasize value of attending ANC and making birth plans. Refer if unwell at any time