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Infant and Child Nutrition

This document provides guidelines on infant and child nutrition, including recommendations for breastfeeding, complementary feeding, micronutrient supplementation, and deworming. It recommends exclusive breastfeeding for the first 6 months, followed by continued breastfeeding and introducing complementary foods between 6-12 months. It also provides dosing guidelines for iron and vitamin A supplementation from 6 months to 5 years old. Deworming medications including albendazole and mebendazole are recommended every 6 months for children 1-12 years old.
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0% found this document useful (0 votes)
73 views2 pages

Infant and Child Nutrition

This document provides guidelines on infant and child nutrition, including recommendations for breastfeeding, complementary feeding, micronutrient supplementation, and deworming. It recommends exclusive breastfeeding for the first 6 months, followed by continued breastfeeding and introducing complementary foods between 6-12 months. It also provides dosing guidelines for iron and vitamin A supplementation from 6 months to 5 years old. Deworming medications including albendazole and mebendazole are recommended every 6 months for children 1-12 years old.
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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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

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