Simple low cost interventions to overcome the big problem : Even a small mouse can release the entrapped lion. If the following simple (may be too simple) tasks are performed regularly by health workers most deaths among pregnant women and under-5 children will be prevented.
Visit pregnant women and young children at home along with TBAs.
Organise regular ANC & PNC camps.
Give at least 2 doses of Tetanus Toxoid, consult in case of danger signs; prompt referral to public hospitals if required.
Check blood pressure and nutritional status.
Record Blood Group and Random Blood Sugar (RBS)
Regularly vaccinate young children DPT, HIV and measles.
Stop smoking in front of pregnant women and children.
Treat anaemia and malaria and look for tuberculosis.
Convince mothers-in-law to allow pregnant daughters-in-law to take mid day rest and allow her eat first and make more food available,. Also encourage her to eat more local citrus fruits and vegetables. Such generous motherly behaviour will guarantee a healthy grand child.
Mosquito net for pregnant woman. Later on, for new born as well.
Value of early (first) milk (colostrum) and exclusive breastfeeding; complementary feeding later on.
Plant a fruit tree and prepare a clean delivery room.