Table 3.87Main resource requirements for home visits for postnatal care contacts compared with routine outpatient postnatal care

ResourceDescription
Staff

Designated, trained, motivated staff for postnatal care of women and newborns in facilities/clinics/office or at home

Additional personnel might be required to conduct home visits

Training

Same as regular practice-based training for health workers

Might require additional personnel and education or training sessions for staff conducting home visits

Supplies

Same medical supplies (e.g. painkillers, iron tablets, contraceptives, anthelminthics, gloves, mosquito nets)

For postnatal home visits, community/household registers to record findings of the home visits and referral slips, counselling cards or flip chart

Staff supplies (e.g. boots, umbrella and bag, mobile phone)

Home-based records

Information/counselling cards for women/parents/caregivers, with home visitor contact information

Equipment and infrastructure

Functional birth notification for staff performing the home visits or scheduling outpatient contacts

For outpatient contacts, a clean, comfortable waiting room for women and their companions, and a clean, private examination room

For postnatal home visits, portable equipment to conduct home visits (e.g. weighing scales, thermometer, clock/timer, bag and mask)

Access to transport to conduct postnatal home visits (e.g. bicycles, motor vehicles)

Time

Same time as for postnatal care in facilities/clinics/office or at home for both women and newborns, or additional time for postnatal home visits (e.g. to carry out a general assessment of the home environment and mother–infant interaction)

For outpatient contacts, 10–20 minutes per contact

Transport time to facility/office for outpatient contact

For postnatal home visits, transport time to client’s home

Supervision and monitoring

Trained supervisors, and regular coordination meetings between health facilities/districts and staff conducting the home visits

Systems to report stock-outs of supplies for postnatal home visits

From: 3, Evidence and recommendations

Cover of WHO recommendations on maternal and newborn care for a positive postnatal experience
WHO recommendations on maternal and newborn care for a positive postnatal experience [Internet].
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