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Mother, Infant and Young Child Nutrition and Malnutrition |
Healthy Nutrition
About Essential Nutrition Actions at Critical Stages in the Life Cycle of Women and Children
Practices and Behaviours Self Assessment Tools for Young Children between 6-59 Months
| Recommended ENAs for young children between 6-59 months |
Rating* |
Discuss and identify key gaps key gaps in the performance of recommended behaviours |
Complementary feeding for children between 6-24 months: |
All mothers:
- Continue breastfeeding until two years (if not HIV+).
- Provide child with frequent small feeds throughout the day because young children have small stomachs.
- Increase frequency as the child gets older (2-3 times per day at 6-8 months and 3-4 times a day after 9 months with additional snacks offered between meals).
- Increase the amount of food as the child gets older.
- Use a separate bowl for each child.
- Improve the energy content of the foods and offer a variety.
- Increase the density of food as the child gets older (from soft porridge and mashed food at 6-8 months to finely chopped or mashed family food after 9 months). [ view consistency of porridge ]
- Increase the variety of food as the child gets older (cereal/starchy roots plus animal foods/legumes/nuts plus fruit and strong colored vegetables).
- Interact with the child during feeding (active feeding)
- Prepare and store the food safely.
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Total 1: …. |
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Early detection and referral of children with malnutrition: |
- All mothers/caregivers bring their child for monthly weighing up to the age of 24 months.
- All mothers bring their child to the clinic immediately if they see that the child is not gaining weight or is losing weight.
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Total 2: …. |
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Child Vitamin and Mineral Deficiencies (VMD) control: |
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1. Child Iron Deficiency Anaemia (IDA) control:
All mothers/caregivers:
- Bring their children between 1-5 years for bi-annual de-worming
- Ensure that all family members sleep under an ITN
- Apply correct hygiene practices:
1) Wash hands with soap or ash after the toilet, before eating, before preparing food and feeding their child;
2) Keep nails shorts;
3) Wear slippers or shoes and
4) Wash/peel fruits before eating.
- Help the child to apply correct hygiene practices:
1) Wash hands after using the toilet and before eating;
2) Keep nails short;
3) Wear slippers or shoes and
4) Wash fruits before eating.
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Total 3: …. |
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2. Vitamin A supplementation:
- All mothers/caregivers bring the child to receive one 100,000 IU dose of Vitamin A starting from 6 months to 1 year and one 200,000 IU dose of Vitamin A from1 to 5 years.
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Total 4: …. |
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Overall Score (Total 1 + 2 + 3 + 4): |
..... |
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Rating: 0 = insufficient; 1 = fair; 2 = good; 3 = very good; 4 = excellent
02 January, 2009 |