(6 Early initiation Complementary Increased Diversified diet Delayed cord Iodized salt, One of feeding starting at frequency of with vitamin clamping. when additional six months with breastfeeding rich foods (e.g. available. meal daily Diversified diet one mashed foods. during and ripe orange and during with iron-rich hour of birth. after illness. yellow pregnancy. Continued foods (red meat vegetables and Keep newborn breastfeeding to Increased and dark green, Two fruits, liver) and warm and dry 24 months or frequency of leafy vegetables) additional fortified foods. (skin to skin). beyond. complementary and fortified meals daily feeding during Vitamin A foods. during Exclusive Increased feeding and after illness lactation. breastfeeding frequency with for children for after during first six age. with IFA Breast aged 6 up to 24 delivery (as per months. for six months health months. national Increased amount for pregnant during protocol). of food with age. Zinc women and lactation. Vitamin A continuing after Increased density Less for children delivery, if or thickness of workload with diarrhea. twice a year needed. foods with age. and more for children Vitamin A Deworming for rest during Enriched diet with between 6 and pregnant pregnancy. a variety of foods 59 months of as women and for and fortified age. recommended. children foods. between 12 and Special care for Active feeding. 59 months of malnourished (Encourage and age, twice a child, play with the baby year. depending on while eating. severity. In Hand washing endemic areas: Kangaroo care before feeding. sleep under ITN, for low IPT for pregnant Food hygiene. weight women. newborns. In areas where malaria is not but anemia prevalence is > 50 percent: IFA daily for children aged six months and above. KEY CONCEPTS OF ESSENTIAL NUTRITION ACTIONS of first pregnancy. Child spacing. Immunization. Clean water, hygiene, and sanitation. Developed by Guyon, Victoria Quinn, and Robert Mwadime. Revised 2013.
(6 Early initiation of one hour of birth. Keep newborn warm and dry (skin to skin). Exclusive breastfeeding during first six months. Complementary feeding starting at six months with mashed foods. Continued breastfeeding to 24 months or beyond. Increased feeding frequency with age. Increased amount of food with age. Increased density or thickness of foods with age. Enriched diet with a variety of foods and fortified foods. Active feeding. (Encourage and play with the baby while eating. Hand washing before feeding. Food hygiene. Increased frequency of breastfeeding during and after illness. Increased frequency of complementary feeding during and after illness for children aged 6 up to 24 months. Zinc for children with diarrhea. Vitamin A as recommended. Special care for malnourished child, depending on severity. Kangaroo care for low weight newborns. Diversified diet with vitamin foods (e.g. ripe orange and yellow vegetables and fruits, liver) and fortified foods. Vitamin A for after delivery (as per national protocol). Vitamin A twice a year for children between 6 and 59 months of age. Delayed cord clamping. Diversified diet with iron-rich foods (red meat and dark green, leafy vegetables) and fortified foods. with IFA for six months for pregnant women and continuing after delivery, if needed. Deworming for pregnant women and for children between 12 and 59 months of age, twice a year. In areas: sleep under ITN, IPT for pregnant women. In areas where malaria is not endemic but anemia prevalence is > 50 percent: IFA daily for children aged six months and above. Iodized salt, when available. One additional meal daily during pregnancy. Two additional meals daily during lactation. Breast health during lactation. Less workload and more rest during pregnancy. KEY CONCEPTS OF ESSENTIAL NUTRITION ACTIONS of first pregnancy. Child spacing. Immunization. Clean water, hygiene, and sanitation. Developed by Guyon, Victoria Quinn, and Robert Mwadime. Revised 2013. rich
ENA_EHA_Reference_Manual_Health_Workers_Nutrition__090115.docx