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Table 1 Newhints visit schedule and content.

From: NEWHINTS cluster randomised trial to evaluate the impact on neonatal mortality in rural Ghana of routine home visits to provide a package of essential newborn care interventions in the third trimester of pregnancy and the first week of life: trial protocol

Early pregnancy

Key messages:

 

   - Promote and plan for a facility delivery

 

   - Plan for a clean home delivery

 

   - Plan for emergencies

 

   - Sleep under a treated bed net

 

Supporting messages:

 

   - Encourage antenatal care attendance

 

   - Seek care for maternal danger signs

3 rd trimester

   - Dry, wrap & breastfeed immediately after delivery (plus 2nd assistant during home delivery to facilitate this)

 

   - Delay bathing for at least a day

Day of birth

   - Weigh and assess the baby for danger signs

 

   - Refer very low birth weight (LBW) & potentially sick babies to hospital

 

   - Encourage exclusive breastfeeding (EBF)

 

   - Encourage good thermal care (bath with warm water, dry immediately and wrap well)

 

   - Encourage special care for LBW babies (Skin to skin contact, delay bathing at least 3 days, hygiene, frequent breastfeeding)

Day 3

   - Assess baby for danger signs & refer sick babies

 

   - Reinforce EBF, thermal care

 

   - Teach newborn danger signs & encourage prompt care-seeking

Day 7

   - Assess baby for danger signs & refer sick babies

 

   - Reinforce EBF, thermal care, prompt care-seeking

 

   - Encourage bed net use, immunisations

Other visits

   - Follow-up visits within 24 hours for referred babies

 

   - Visit at 14 days for LBW babies