Interventions for Neonatal Jaundice

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Age Cohort: < 5 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Health Education to pregnant women to create awareness on neonatal jaundice Health education to pregnant women on the need for regular ANC and skilled birth attendance Promote early health seeking behaviour Strengthen health workers knowledge on Neonatal Jaundice	Education of mothers on importance of facility delivery, exclusive breastfeeding good hygienic practices		History and physical examination Basic laboratory test Blood film microscopy, Blood group and cross-match, Feeding or supplementation Light therapy (phototherapy) Intravenous immunoglobulin Exchange transfusion		Psychological support to parents of babies with birth-related complications Follow up neonates treated for birth trauma to detect any signs of neurologic dysfunction such as delayed developmental milestones Linkage with rehabilitation centres for physical rehabilitation, speech, etc
Primary Care
Health Education to pregnant women to create awareness on neonatal jaundice Health education to pregnant women on the need for regular ANC and skilled birth attendance Promote early health seeking behaviour Strengthen health workers knowledge on Neonatal Jaundice	Education of mothers on importance of facility delivery, exclusive breastfeeding good hygienic practices		Refer neonates with confirmed jaundice to next level Kangaroo father care and/or Kangaroo mother care Breastfeeding/nutritional support Sunlight		Psychological support to parents of babies with birth-related complications Follow up neonates treated for birth trauma to detect any signs of neurologic dysfunction such as delayed developmental milestones
Referral Facility: General
Education of mothers on importance of facility delivery, exclusive breastfeeding good hygienic practices	Education of mothers on importance of facility delivery, exclusive breastfeeding good hygienic practices		History and physical examination Basic laboratory test Blood film microscopy, Blood group and cross-match, Feeding or supplementation Light therapy (phototherapy) Intravenous immunoglobulin
Referral Facility: Specialist
Education of mothers on importance of facility delivery, exclusive breastfeeding good hygienic practices	Education of mothers on importance of facility delivery, exclusive breastfeeding good hygienic practices

Age Cohort: Pregnancy and newborn

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community awareness on the importance of regular ANC, skilled birth attendance and adequate breast feeding in preventing neonatal jaundice	Adequate intake of exclusive breast feeding in the first days	Recognition of jaundice signs and symptoms	Refer neonates with jaundice to next level for further assessment Adequate exclusive breastfeeding Exposure to sunlight	Linkage with rehabilitation centres for physical, speech rehabilitation,	Psychological support to parents of babies with birth-related complications
Primary Care
Health education to parents on adequate intake of exclusive breast feeding in the first days	Adequate intake of exclusive breast feeding in the first days	History Physical examination	Refer neonates with confirmed jaundice to next level Kangaroo father care and/or Kangaroo mother care Adequate breastfeeding/nutritional support Exposure to sunlight	Linkage with rehabilitation centres for physical, speech rehabilitation	Psychological support to parents of babies with birth-related complications
Referral Facility: General
Health education to parents on adequate intake of exclusive breast feeding in the first days	Optimal exclusive breast feeding in the first days Prophylactic Rh immunoglobulin for Rh-negative women Routine neonate monitoring for the development of jaundice	History Physical examination Maternal/neonatal blood type Coombs test Complete blood count Blood smear Bilirubin level	Adequate hydration, Optimal breastfeeding Light therapy (phototherapy) intravenous immunoglobulin	Linkage with rehabilitation centres for physical, speech rehabilitation,	Psychological support to parents of babies with birth-related complications
Referral Facility: Specialist
Health education to parents on adequate intake of exclusive breast feeding in the first days	Optimal exclusive breast feeding in the first days Prophylactic Rh immunoglobulin for Rh-negative women Routine neonate monitoring for the development of jaundice	History Physical examination Maternal/neonatal blood type Coombs test Serum Bilirubin level Transcutaneous bilirubin level Complete blood count Blood smear Glucose-6-phosphate dehydrogenase (G6PD) screening	Adequate hydration Optimal breastfeeding Light therapy (phototherapy) Intravenous immunoglobulin Exchange transfusion	Linkage with rehabilitation centres for physical, speech rehabilitation	Psychological support to parents of babies with birth-related complications