Postnatal care Two meals per day Lactating mother Family planning Micronutrient supplements/treatment Community support Vitamin A supplementation (from birth to 6 weeks Groups according to national protocol) Care Groups WASH Good positioning and attachment Infant 0 up to Postnatal visits 6 months Exclusive breastfeeding from birth up to 6 months Immunization Sessions Breastfeeding on demand up to 12 day and night Growth Monitoring – Promotion (GMP) Ensure mother knows how to express her breast milk Family planning Breastfeeding difficulties (plugged ducts which can lead to sessions mastitis, and not enough breast milk) Sick Child clinic Increase breast milk supply Community follow-up Maintain breast milk supply Continue to breastfeed when infant or mother is ill WASH GMP BF + FADDUA: Frequency, Amount, Density, Diversity, Infant & Utilization, Active or Responsive feeding young child Sick child Clinic from 6 up to At 6 months, begin to offer foods 2 to 3 times a day - Community follow-up 24 months gradually introduce different types of foods (animal foods, staple, legumes, vegetables, and fruits) and continue breastfeeding WASH Health facility Screen for MAM and SAM Infant & young child IMAM program Refer to in-patient if necessary Community outreach WASH Discussion groups Safe Family Community Support Hand washing Groups Sanitation Care groups Clean environment Homestead Food Production for dietary diversity
Lactating mother Postnatal care Family planning Community support Groups Care Groups Two meals per day Micronutrient supplements/treatment Vitamin A supplementation (from birth to 6 weeks according to national protocol) WASH Infant 0 up to 6 months Postnatal visits Immunization Sessions Growth Monitoring Promotion (GMP) Family planning sessions Sick Child clinic Community follow-up Good positioning and attachment Exclusive breastfeeding from birth up to 6 months Breastfeeding on demand – up to 12 day and night Ensure mother knows how to express her breast milk Breastfeeding difficulties (plugged ducts which can lead to mastitis, and not enough breast milk) Increase breast milk supply Maintain breast milk supply Continue to breastfeed when infant or mother is ill WASH Infant & young child from 6 up to 24 months GMP Sick child Clinic Community follow-up BF + FADDUA: Frequency, Amount, Density, Diversity, Utilization, Active or Responsive feeding At 6 months, begin to offer foods 2 to 3 times a day - gradually introduce different types of foods (animal foods, staple, legumes, vegetables, and fruits) and continue breastfeeding WASH Infant & young child Health facility IMAM program Community outreach Screen for MAM and SAM Refer to in-patient if necessary WASH Family Discussion groups Community Support Groups Care groups Homestead Food Production for dietary diversity Safe Hand washing Sanitation Clean environment
ENA_EHA_Reference_Manual_Health_Workers_Nutrition__090115.docx