Table 8 Visits schedule for CHWs Counselling on Maternal, Infant and Young Child Nutrition
Visit | Age of baby | What to do/check | Messages to be given and action |
|---|---|---|---|
MOTHER AND BABY | |||
1 | 2–3 days | How mother and baby are doing is baby breastfeeding well? Did mother get vitamin A supplementation? Did child get polio and BCG vaccination? | • Counsel on exclusive breastfeeding • Positioning and attachment if mother having difficulty • Importance of hygiene for mother and baby • Keep cord clean and dry • Mother’s diet during breastfeeding |
2 | 7 days | Condition of baby and cord. Baby is now fully breastfeeding Mother’s health and condition of breasts | • To continue exclusive breastfeeding • Keep cord clean and dry • Mother’s hygiene and diet • If baby or mother unwell refer for care at health facility |
3 | 14 days |  | • Give message on expressing breastmilk • Review message on child spacing |
4 | 21Â days | ||
5 | 1 month | Baby and mother’s health | • How to maintain exclusive breastfeeding • Give mother message on expressing breastmilk • Importance of the 6 week check up for mother and baby • Immunization |
6 | 2 months | Check mother baby book for immunization (Polio, Pentavalent, Pneumococcal at 6, 10 & 14 weeks) and growth monitoring. Has mother started attending a family planning clinic? | • Counsel on how to combine work with exclusive breastfeeding • Show mother how to express and store breastmilk |
7 | 3Â months | ||
8 | 4Â months | ||
9 | 5 months |  | • Start discussing complementary feeding |
10 | 5.5 months | Check immunisation – if no missed doses; is baby growing well? | • Continue counselling on complementary feeding: the foods to give, food hygiene, frequency and amounts in the 6th month • Vitamin A supplementation |
11 | 6 months | Is baby growing well? Baby due for vitamin A supplementation | • Encourage to continue breastfeeding on demand. Start small amounts of complementary feeds 2 times per day |
12 | 7 months | Continue checking baby’s growth and health Remind mother to take baby for measles immunisation (9 months); vitamin A (12 months) | • Continue breastfeeding on demand • Gradually increase amounts and frequency; give a variety to meet baby’s needs for adequate growth |
13 | 8Â months | ||
14 | 9 | ||
15 | 10 | ||
16 | 11 | ||
17 | 12 | ||