MAMA Triage Screening Tool

Select Type of Feeding:

Breastfeeding Observation

Check all observed criteria:

C: Chin touches mother's breast A: Areola visible above mouth L: Lower lip everted M: Mouth wide open

Observation Follow-up

CHW to provide immediate positioning/latch education.

Does the problem persist?

Maternal Assessment

Select any presenting issues:

Lesions Painful, red breast Swollen breast Cracked nipples Leaking

Maternal Assessment

Is there decreased breastfeeding?

Paediatric Assessment

Select if any conditions apply:

MUAC: Children 6–59 months < 11.5 cm Clinical IMCI Danger Signs: Lethargy, vomiting continuously, high temperature, unable to feed, or convulsing

Mixed Feeding Assessment

Is there a valid reason for mixed feeding?

Unable to produce enough milk Infant requires additional nutrition (advised by healthcare professional) Mother is temporarily separated from child Advised by healthcare professional

Mixed Feeding Follow-up

CHW to provide structured education and coordinate follow-up.

Does the problem persist?

Formula Feeding Assessment

Is there a valid reason for formula feeding?

Infant has galactosemia Infant has genetic metabolic disorders Mother has a chronic condition Mother has to take medication impacting milk supply Infant is abandoned Mother is unable to breastfeed (after informed counselling)

Formula Feeding Follow-up

CHW to provide structured education and coordinate follow-up.

Does the problem persist?

Screening Outcome

OUTCOME TEXT

Action Plan / Summary Notes: