About Essential Nutrition Actions at Critical Stages in the Life Cycle of Women and Children
| Recommended ENAs for mothers during pregnancy |
Rating* |
Discuss and identify key gaps in the performance of recommended behaviours |
Maternal Iron Deficiency Anaemia (IDA) control: |
| 1. Malaria prevention and control: All pregnant women:
- Receive 2 doses of IPT during ANC:
- First dose = 3 tablets SP once during 4th to 6th months of pregnancy. - Second dose = 3 tablets SP once during 7th to 9th months of pregnancy.
- Treat fever promptly.
- Sleep under insecticide treated mosquito nets (ITN).
- Ensure that nets are treated at least twice a year.
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Total 1: ….. |
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| 2. Maternal nutrition improvement: All pregnant women:
- Increase energy intake through one additional meal a day.
- Have a varied diet (cereal/starchy roots plus animal foods/legumes/nuts plus fruit and strong coloured vegetable).
- Reduce their workload.
- Use daily iodized salt for all family members.
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Total 2: ….. |
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| 3. Iron/Folic Acid or multiple micronutrient supplementation: All pregnant women:
- Take Iron/Folic Acid tablets on a daily base for six months (30 tablets/month x 6 months = 180 tablets in total).
- Have enough supplies of Iron/Folic Acid to last to the next visit.
- If found with pallor, they are treated with 2-3 tablets of Iron/Folic Acid per day for three months.
Note: Supplementation can continue even after delivery if the 6 months are not completed.
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Total 3: ….. |
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4. De-worming:
- All pregnant women receive one Mebendazole 500 mg two times during pregnancy at the same time as SP.
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Total 4: ….. |
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Prevention of Mother To Child Transmission of HIV/AIDS: |
- All pregnant women go for HIV testing.
- All HIV+ mothers are able to access PMTCT counselling on appropriate infant feeding options within an affordable distance according to
AFASS criteria (Acceptable, Feasible, Affordable, Sustainable and Safe).
- All HIV+ mothers are able to bring their partner for HIV testing and PMTCT counselling.
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Total 5: ..... |
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Overall Score (Total 1 + 2 + 3 + 4 + 5) |
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