Roadmap for the Provision of a Maternal and Child Health Package of Care for the First 1000 Days

The 1000 Days Roadmap outlines a strategic approach to ensure the health and well-being of mothers and children during the first 1,000 days of life — from conception to a child’s second birthday. This period is critical for physical growth, brain development, and long-term health outcomes. The roadmap focuses on integrated, high-impact interventions across maternal nutrition, antenatal care, safe delivery, breastfeeding, immunizations, and early childhood development. It serves as a guiding resource for policymakers, healthcare providers, and communities to deliver coordinated, evidence-based care that supports both mother and child during this foundational window.

Integrated Maternal and Perinatal Care Guideline

The Integrated Maternal and Perinatal Care Guideline provides a unified framework for delivering quality, evidence-based care to women and newborns across the continuum—from pregnancy through childbirth and the postnatal period. It emphasizes early detection, timely interventions, and coordinated care to reduce maternal and perinatal morbidity and mortality. This guideline supports healthcare providers in offering person-centered, respectful care that meets the diverse needs of mothers and babies throughout this critical period.

One-Stop-Shop for Mom and Baby!

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Post-natal Integration Wheel

The Postnatal Care Wheel is a practical tool that helps healthcare providers deliver timely, comprehensive care to mothers and newborns during the critical postnatal period. It outlines key checkups, danger signs, and care milestones from birth through the early weeks postpartum. For broader context and long-term planning, the wheel aligns with the 1000 Day Roadmap, a vital resource that emphasizes the importance of care from conception to a child’s second birthday, guiding interventions that support optimal health, nutrition, and development.

Hypertension Pregnancy Wheel

The Hypertension Pregnancy Wheel is a clinical aid designed to support healthcare providers in managing hypertensive disorders in pregnancy. It offers a visual, at-a-glance guide for classifying hypertension types (chronic, gestational, preeclampsia, etc.), assessing severity, and guiding treatment timelines across gestation. For accurate and up-to-date clinical decision-making, this tool should always be used in conjunction with the Hypertension in Pregnancy Guideline, a comprehensive resource that outlines evidence-based recommendations on diagnosis, monitoring, and management strategies for hypertensive disorders during pregnancy.

Sihamba Kunye

The Sihamba Kunye Project is a 2-year funded implementation science project in Tshwane District, Gauteng Province with the aim of implementing a structured and integrated postnatal care package (‘First 1000-day Roadmap’) for the mother after delivery, located at the same service delivery point as care for her infant.