Timing and recommended service content for routine postpartum care visits | |
1. ≤24 h after delivery:  • Clinical assessment of mothers and newborns within an hour after birth; | |
 • Infant feeding practices, skin-to-skin contact, and identification of danger signs for both mother and baby; | |
 • Prior to facility discharge providers to give counseling on danger signs, nutrition, family planning, self-care for the mother and child at home, as well as preventive measures such as bed nets and a supply of iron and vitamin A to the mother. | |
2. ≤7 days after birth: provider follow up with mother and baby about danger signs and continue health education. | |
3. 28Â days after the birth: child immunization and examinations to check for continued recovery of mother and healthy development of child. | |
4. 42Â days after the birth: child immunization and examinations to check for continued recovery of mother and healthy development of child. | |
5. Reproductive Child Health follow-up care for 1Â year postpartum | |
6. Maternal and/or baby consultations as needed in event of complications | |
Basic PPC Care Package in Tanzania | |
Providers should: | |
 • Discuss breastfeeding, breast care or alternate infant feeding options for HIV-positive women; | |
 • Emphasize the Lactational Amenorrhoea Method (LAM) and later transition to other family planning methods; | |
 • Provide nutritional support; | |
 • Counsel on self-care and other healthy practices; | |
 • Discuss mother and baby danger signs; | |
 • Make complication readiness plans; | |
 • Offer HIV counseling and testing; | |
 • Provide immunizations; | |
 • Offer preventive measures (i.e., iron/folate supplements); | |
 • Provide antiretroviral medicine and cotrimoxazole prophylaxis as needed. |