1. MODULE 5 LECTURE 1 DANGER SIGNS OF POST-PARTUM PERIOD Ministry of Health Ethiopia/HAPCO

2. Danger signs : Mother Excessive bleeding Fever Abdominal pain Foul smelling vaginal discharge (Abnormal Lochia) Convulsion (seizure)

3. What to do Manage according to the National Safe Motherhood Guideline

4. Danger signs: Baby Difficulty in establishing regular breathing Difficult breathing Severe chest-indrawing Lethargy and unconscious Bulging fontanel Poor feeding/sucking

5. Danger signs: Baby Fever >38 C Hypothermia <35 C Convulsion (seizure) Persistent vomiting Severe jaundice Cyanosis

6. Danger signs: Baby No stool by third day Imperforate anus Profuse eye discharge with or without swelling Pallor Bleeding from umbilical stump

7. Opportunistic Infection (OI) in HIV positive mother Pulmonary tuberculosis Pneumocystis Jeroveci Pneumonia (PCP) Toxoplasmosis Cryptococcus meningitis

8. Opportunistic Infection (OI) in HIV positive mother Refer to page and show the table for Dosage and Route of administration

9. Peer/Mother Support Groups Information and education Skills building Empowerment Follow-up of medical care Initiation of ARV Adherence

10. Peer/Mother Support Groups Sharing experience Problem solving Palliative care Self care

11. MODULE 5 LECTURE 2 Summary of Module 5

12. POST PARTUM CARE FOR PMTCT Postpartum period is critical Danger signs need to be communicated to mothers, partners and family PMTCT service using a four pronged approach

13. POST PARTUM CARE FOR PMTCT Linkages, intra and inter facility referral network Eligibility screening Adherence counseling

14. POST PARTUM CARE FOR PMTCT Drug-drug interaction, anti-TB and Contraceptives Role of peer and mother support group -care and treatment -reduction of stigma and discrimination -adherence to ART

15. Thank you