INFANT AND CHILD NUTRITION
Proper nutrition is crucial to optimal growth and development
Rapid growth rates in children are accompanied by high maintenance needs
I. GUIDELINES ON INFANT AND YOUNG CHILD FEEDING
UNICEF and WHO recommend that infants be exclusively breastfed on demand for the first 6
months of life.
Early introduction of food and other liquids leads to:
o Reduced breastmilk intake
o Decreased full absorption of nutrients from breastmilk
o Increased risk of diarrhea and upper respiratory infections
A. Feeding the 6-12 Month Old
Complementary feeding:
o Introduction of solid and liquid food other than breastmilk or formula
o Begin at 6 months
o Introduce new food one at a time
o Additional new food spaced 3 days to detect adverse reactions
Encourage cup rather than bottle
Give iron-containing food/supplement (meat, iron-fortified cereals)
Encourage zinc intake (eg. Meat, dairy products, wheat, rice)
Discourage fluids other than formula or water ( maximum of 4-6 oz/day for fruit juice)
B. Feeding the 2 year-old
3 meals/day with 2-3 snacks
Reduced food intake is expected due to decrease in growth rate ( do not force-feed and
understand that lack of interest in food is only temporary)
Allow for self-selection of diet and respect likes and dislikes)
II. MICRONUTRIENT SUPPLEMENTATION
AGE PREPARATION DOSE/DURATION
IRON SUPPLEMENTATION
For low birth weight (1, 500- 2, Drops with 15 mg 0.3 mL once a day to
499 grams) elemental iron per 0.6 start at 2 months old
mL until 6 months old
Infants 6-11 months old Drops with 15 mg 0.6 mL once a day for 3
elemental iron per 0.6 months
mL
1-5 years old Syrup with 30 mg 5 mL once a day for 3
elemental iron per 5 mL months or 30 mg once a
week for 6 months with
supervised
administration
Adolescent females 10-19 years Tablet with 60 mg One tablet once a day
old elemental iron with 400
mcg folic acid (coated)
2) Vitamin A supplementation
Infants 6-11 months old 100,000 IU One dose only ( one
capsule is given anytime
between 6-11 months
old, but usually given at
9 months old during the
measles immunization)
Children 12-71 months old 200,000 IU One tablet once day
DEWORMING
I. INDICATIONS AND CONTRAINDICATIONS
INDICATIONS CONTRAINDICATIONS
Deworming for children 1-12 years old Severe malnutrition
High grade fever
Profuse diarrhea
Abdominal pain
Serious illness
Previous hypersensitivity to anti-
helminthic drug
II. REGIMENS
DRUG AGE GROUP DOSE FREQUENCY
Albendazole 12-23 months 200 mg Single dose,
old every 6 months
24 months and 400 mg Single dose,
above every 6 months
Mebendazole 12 months and 500 mg Single dose,
above every 6 months
Shall be taken on full stomach
DOH National Filariasis Elimination Program implemented in municipalities endemic for
filariasis: mass treatment with DEC and albendazole is given to children 2 years old and above