NHIF ‘LINDAMAMA’ SERVICES OVERVIEW & REGISTRATION- kENYA

September 21, 2018

Overview

Linda Mama provides a package of basic health services accessed by all in the targeted population on the basis of need and not ability to pay, positioning Kenya on the pathway to Universal Health Coverage ( UHC). A public funded health scheme that will ensure that pregnant women and infants have access to quality and affordable health services. Linda mama’s goal is to “Achieve universal cases to maternal and child health services and contribute to the country’s progress towards UHC”. Download Linda Mama Bochure

Why NHIF?

Assist in waiving user fee at National Level and Improving access to Healthcare and giving social protection to all Kenyans. NHIF has an expanded provider network to include not only the public but both private and faith based facilities. Provision of a registration platform to track beneficiaries of the cover through a mobile platform.

ANTE NATAL CARE PACKAGE

Antenatal profile

Hemoglobin levels (Hb)
Blood group
Rhesus
Serology (VDRL/RPR)
Screening for tuberculosis (TB Screening)
HIV testing including counseling
Urinalysis

Preventive services

Tetanus toxoid
– T.T. 1- Given to primigravida or on first contact
– T.T. 2- Given not less than 4 weeks after T.T. 1
– T.T 3- Given during the second pregnancy any time before 32 weeks of gestation
– T. T. 4- Given during the third pregnancy any time before 32 weeks of gestation
– T. T. 5- Given during the fourth pregnancy and offers protection for life
Malaria prophylaxis
– Given at 4 weeks interval from 16 weeks to term in malaria endemic areas.
– Issue long lasting insecticidal net (LLIN)
Deworming
– Mebendazole 500 mg given once in the second trimester
Iron and Folate
– Ferrous fumarate (Combined Tablet-60mg iron and 400 µg folic acid) or any other available
– 1st visit- If below 16 weeks, give 90 tablets
– 2nd visit- At 28 weeks, give 90 tablets
– 3rd visit- At 32 weeks give 60 tablets
– 4th visit- At 36 weeks give 30 tablets

Prevention of Mother to Child transmission (PMTCT)

For mothers who have tested HIV positive, administer ARVs to mother and baby as recommended

POST NATAL CARE

Postpartum period- From the time of expulsion of the placenta up to 42 days (6 weeks). Comprises of at least four focused personalized visits or assessments after birth to at least 6 months post-natal. Recommended as follows:-

Within 48 hours after birth

Mother
– Analgesics
– Vitamin A (200,000 iu)
– Iron and folate supplements
– Issue long lasting insecticidal net (LLIN)
– Appropriate Family Planning method
– If HIV positive, treat as appropriate
– Treat or refer any complications
Newborn
– Tetracycline eye ointment (1%)
– Vitamin K
– Immunization (Immunization and birth polio)
– Infant prophylaxis for HIV if indicated
– Treat or refer any complications

Within 1- 2 weeks after birth

Mother and baby
– Screen for cervical cancer, Sexually transmitted infections, Tuberculosis,
– Give treatment/ preventive measures if not previously administered
– Treat or refer any complications

Within 4- 6 weeks after birth

Mother
– Family Planning method of choice
– Screen for cervical cancer, Sexually transmitted infections, Tuberculosis,
– Treat any complications as detected
Infant
– Immunizations as per schedule
– Early infant diagnosis if mother is HIV positive
– Treat any complications as detected

Within 4- 6 months after birth

Mother
– Offer Family Planning method of choice
– Screen for cervical cancer, Sexually transmitted infections, Tuberculosis
– Treat any complications as detected
Infant
– Immunizations as per schedule
– Vitamin A supplementation

How To Register