Protection, Promotion and Support of Healthy Maternal, Infant and Young Child Feeding
The Essential Nutrition Actions (ENAs) Approach
Control of Vitamin A Deficiency
Post-partum Vitamin A supplementation
- All mothers should receive one 200,000 IU dose of Vitamin A after delivery or within 8 weeks from delivery.
Vitamin A supplementation
- All children aged 6-12 months should receive one 100,000 IU dose of Vitamin.
- Children aged 1-5 years should receive 200,000IU dose of Vitamin A every six months
- All infant under 6 months not on breast milk should be given 50,000 IU of Vitamin A.
- All adults with impaired immune system and children suffering from measles, persistent diarrhoea, acute respiratory infection, chickenpox, severe malnutrition and xerophtalmia should receive treatment dose of Vitamin A according to the VAD Management Protocol.
Adequate micro-nutrient intake
- Infants should be exclusively breastfed for the first six months and continue to be breastfed up to twenty-four months.
At six months, infants need to be given locally available Vitamin A-rich sources in addition to breast milk.
- All women should be counselled on how to increase Vitamin A-intake through locally available Vitamin A-rich sources. Because Vitamin A is fat-soluble, the diet needs to have a little amount of fats (ghee, sunflower oil, nuts and seeds, peanut butter and avocado).
Children 6-35 months from low-income families that can not access the minimum required diet should be supported by means of fortified food supplementation and sprinkles.
For a comprehensive overview, check the Message Booklet for nutrition actions at critical life stages of women and children
11 April, 2013