Table 4 Selected interventions in each study district

Burkina Faso – Kaya district

1. Female community health worker support mother and infant during the postpartum period by:

• conducting home visits

• providing individual counselling and group health education on danger signs (for mother and infant)

• identification of danger signs and referral if needed

• providing counselling on FP

2. Upgrade the delivery of immediate postpartum care in the health facilities with focus on the prevention, detection and management of postpartum haemorrhage and sepsis (in mother and newborn) and immediate postpartum FP

3. Integration of PPC (including FP counselling and provision) for the mother and newborn/infant in the child vaccination clinic

Kenya – Kwale district

1. Strengthening immediate postpartum care for mother and newborn by upgrading knowledge and skills of facility and community health workers on detection and management of common maternal and neonatal complications (danger signs counselling, detection and management), promotion of early breastfeeding, counselling and provision of family planning, and by providing postpartum home visits (conducted by the community health worker)

2. Increase knowledge on and uptake of postpartum family planning during the first year after childbirth using the dialogue model approach at community and facility level.

Malawi - Ntchisi district

1. Strengthen clinical management of postpartum care during the postpartum period in the district hospital and health centres (using clinical mentorship and quality of care reviews) with focus on anaemia, sepsis, HIV screening and management, FP and nutrition for the mother and sepsis, pneumonia, feeding and growth monitoring for the infant

2. Increase utilization of postpartum family planning through awareness raising by providing FP counselling at health facility and community level and by involving males

3. Strengthen community postpartum care management through home visits conducted by community volunteers and through the establishment and use of men’s, women’s and youth groups. Community volunteers will promote facility-based delivery and provide counselling on nutrition, hygiene, danger signs and FP for the mother and nutrition, immunisation, hygiene and danger signs for the infant.

Mozambique - Chiúta district

1. Mother and newborn/infant postpartum risk assessment and management at community and facility level upgraded during the postpartum period through early detection, treatment and referral of postpartum complication cases in health facilities and communities by using a risk assessment checklist. The assessment will focus on following risks, complications and conditions: for mother: sepsis, postpartum haemorrhage, mental/emotional status, anaemia, FP, exclusive breastfeeding and HIV/STI counselling and testing or follow-up, and for infant: sepsis, immunization and growth monitoring, exclusive breastfeeding and HIV/STI exposure.

2. Scale-up access to and use of family planning through making immediate postpartum IUD insertion available at all district health facilities

3. Improve access to and use of maternal PPC and services by integrating maternal PPC in child clinics (growth monitoring and immunisation clinics) and by organising quarterly maternal and child health community outreach activities