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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