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D/Health education

-Nutrition

Yes                                                               No

If No, why?

-Immunization and vaccination

Yes                                                               No

If No, why?

2/ Supervisory checklists for

Postnatal care

A/post natal care service

1/Observation

-Weight (mother and child)

-Height

-Blood pressure

-Temperature

2/Post natal profile

-HB (mother and child)

Yes                                                                       No

If No, why?

-Blood group (mother and child)

Yes                                                                        No

If No, why?

-Urine analysis

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