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  3. Who to Contact for Urgent Help in Newborn Jaundice
Course Content
Lesson 1: Introduction to Newborn Jaundice
• What is jaundice? • Normal vs. pathological jaundice • Why it matters for African families • 🌍 Real-life case vignette from Nigeria
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Lesson 2: Causes of Jaundice in African Babies
• Immature liver function • Blood type incompatibility (ABO, Rh) • G6PD deficiency & common African genetic factors • Prematurity, sepsis, and birth trauma
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Lesson 3: Signs & Symptoms to Watch Out For
• Yellowing of eyes, palms, skin • Poor feeding, fever, sleepiness • When jaundice starts and how long it lasts • 📥 Printable "Jaundice Home Monitoring Card"
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Lesson 4: Myths vs. Medical Truths
• Debunking common African beliefs: "Jaundice is from bad breastmilk" "She must have looked at the sun!" "Rub with herbs or charcoal water" • What science actually says
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Lesson 5: Diagnosis and Tests
• Bilirubin testing and why it matters • Skin testing vs. blood tests • Where to access reliable testing
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Lesson 6: Home Care & What to Avoid
• Safe sun exposure: timing, position, dangers • Breastfeeding guidance • Dangerous practices (herbs, delay in care, sugar water)
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Lesson 7: Medical Treatment Options
• What is phototherapy? • When blood transfusion is needed • Hospital referral process in Africa • 🌐 Links to verified jaundice treatment centres
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Lesson 8: When to Go to Hospital or Call a CHW
• Red flag symptoms • Who to contact • 📞 Emergency hotline list by region
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Lesson 9: Follow-Up and Long-Term Care
• Monitoring for brain damage (kernicterus) • How jaundice may affect feeding, hearing, learning • Ensuring child development support
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Lesson 10: African Community Stories & Case Studies
• Testimonies from mothers in Ghana, Kenya, Nigeria, Uganda • CHW experiences: Early detection saves lives • What worked in low-resource rural areas
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Understanding and Managing Newborn Jaundice: A Guide for African Mothers

🎯 Learning Objectives

By the end of this lesson, learners will be able to:
✅ Know who to contact when a newborn shows red flag signs of jaundice
✅ Use available hotlines, CHW networks, and local health contacts
✅ Understand the importance of speed and clarity in communication
✅ Help caregivers remain calm but act quickly


📞 Why Contacting the Right Person Matters

When a baby shows danger signs, minutes can save a brain. Knowing who to call, text, or send to can be the difference between:

  • Full recovery vs. brain damage

  • Life vs. death

  • Long hospital stay vs. quick discharge


🧑‍⚕️ Who to Contact – Priority List by Context

1. Local Community Health Worker (CHW) / Village Health Team (VHT)

  • Trained to assess jaundice and refer quickly

  • Often closest to families

  • Can help with transport, call ahead, or escort

🗂 How to find them:

  • CHW/VHT directory at local facility

  • Ask at village church, mosque, or chief’s compound

  • Posters at rural health posts


2. Nearest Health Facility or Maternity Centre

  • Nurse-midwife can assess and refer

  • Small clinics may not have phototherapy but can start warm care and communicate with higher centres

📱 Tip: Save facility nurse or matron’s number on caregiver’s phone or write in child’s health card.


3. District or Regional Referral Hospital (with NICU)

  • These centres have phototherapy, testing, or blood banks

  • CHWs may already have referral contact sheets or WhatsApp groups

🌐 Example resources:


4. National or Regional Emergency Hotlines

Country Hotline Purpose
🇰🇪 Kenya 1195 (Free) Maternal, newborn, GBV emergencies
🇳🇬 Nigeria 112 General health emergency response
🇺🇬 Uganda VHTs via Local Council 1 Community newborn emergency action
🇬🇭 Ghana 311 (MoH Call Line) Health info, referrals, CHW contact help

5. OneWomb CHW Network (if available)

  • Community-verified, trained CHWs with access to:

    • Printed and digital referral tools

    • WhatsApp voice referral scripts

    • Tracking and follow-up system

📩 Contact your local OneWomb partner nurse or CHW to connect.


💬 CHW/Clinician Call Script (Sample)

“Hello, my name is [NAME]. I have a newborn baby with yellow eyes and palms, not feeding, very sleepy. We are in [LOCATION]. The baby is 2 days old. Please advise where we can come immediately for testing and phototherapy.”


🌍 Real Case – Nigeria

In Calabar, a mother noticed her baby had yellow eyes on Day 1. The family called a TBA, who contacted the local CHW. The CHW called UCTH directly and shared a referral note via WhatsApp. The baby received phototherapy within 3 hours. Brain damage was prevented.


📌 Keep These Numbers Handy (Fillable Template)

Name Role Phone Location
CHW/VHT      
Nearest Clinic      
Referral Hospital      
Emergency Hotline      
OneWomb Nurse (optional)      

👉 Print this in the Jaundice Home Monitoring Card (Lesson 3).


📝 Mini Quiz – Who to Contact

Q1. Who is the FIRST person a rural family should contact for a jaundiced baby?
A. Traditional healer
B. Community Health Worker (CHW)
C. School teacher
D. Taxi driver

Answer: B
Rationale: CHWs are trained to assess and refer newborns quickly and appropriately.


Q2. Which hotline is used in Kenya for newborn and maternal emergencies?
A. 911
B. 112
C. 1195
D. 0800-CARE

Answer: C
Rationale: 1195 is a national, toll-free maternal/newborn care line.


Q3. Why is it important to call ahead to the hospital before bringing the baby?
A. To see if there’s food
B. To avoid being chased away
C. To make sure care is ready and avoid delays
D. To make sure the nurse is friendly

Answer: C
Rationale: Calling ahead prepares the hospital to act fast and avoids long waiting times.

MamaTotoBot - Maternal & Child Health Assistant