Session VI

The seven
Essential
Nutrition
Actions:
 Federal MOH based on the ENA approach:
proven actions to prevent malnutrition
Optimal ComplementaryFeeding
Women’s
Breastfeeding Feeding to BF of the sick child
Nutrition

d
e of
a t
m
ti ea s e
s
E cr
e
d i l d l i ty :
ch orta
p t
, Se
io pia
E th

m 3% O H
g ,y M

> 2 rv i
Su
va
l S trate

ild Control of Iodine

Control of Ch 04 Control of
20 Anemia
Vitamin A deficiency Deficiency Disorders
ENA
Links with other health interventions

Child Survival Reproductive

Breastfeed Health

ing
Essential Nutrition Actions
 1. Promotion of Optimal
Breastfeeding
s e
ea
ecr ty:
d a li
ted ort
m a m
sti ild
E ch
of
%
Exclusive 4

Breastfeeding
for the first 6 6
months of life National Strategy for IYCF, Fed MOH, April
2004
 1. Promotion of Optimal Breastfeeding
Key Messages

 Eaarly Initiation of BF with in 1 hr of

berthe
 Exclusive Bf until 6 months
 BF day and night at least 10 times

 Correct positioning & attachement

 Empity one breast and switch to the

National Strategy for IYCF, Fed MOH, April
other 2004
2. Complementary Feeding to BF

at
6 months s e
ea
cr y:
d e lit
of age a
ed rta
t o
m m
sti ild
E ch
o f
8%
National Strategy for IYCF, Fed MOH, April
2004
 2. Complementary Feeding to BF
Key Messages
 Continue BF until 24 months and more

 Increase the number of feedings with age

 Increase density and quantity with age

 Diversify diet using variety of foods

 Responsive feeding

 Food hygiene National Strategy for IYCF, Fed MOH, April

2004
 3. Feeding of the sick child
Key Messages
 Increase breastfeeding &
complementary feeding during and after
illness
(IMCI- Integrated Management of Childhood
Illness)

for infants 6 months & older, feed 1

extra meal each day for two weeks
following the illness

National Strategy for IYCF, Fed MOH, April

Appropriate Therapeutic
2004
Feeding
4. Women’s Nutrition
Key Messages

 During pregnancy and lactation

-
Iron/Folic Acid Supplementation
-
Treatment & prevention of malaria
-
Increase food intake
 one extra meal each day during pregnancy

two extra meals each day during lactationase
cre y:
d e lit
 Deworming during pregnancy
ed rta
a t o
ti m ld m
Es chi
of
1%MN, Fed MOH, April
National Strategy for
2004
 5. Control of Vitamin A Deficiency
Key Messages

 Breastfeeding: source of Vitamin A

 Vitamin A rich foods

 Maternal supplementation s e
ea
cr y:
d e lit
 Child supplementation ed rta
a t o
m m
s ti ild
 Food fortification E for MN,
National Strategy c h Fed MOH, April
2004 of %
10
 6. Control of Anemia
Key Messages
Supplementation for women
and children (IMCI)

 Deworming for pregnant

women and children (twice/year)
s e
ea
 Malaria control cr y:
d e lit
ed rta
a t o
 Iron-rich foodsm m
sti ild
E ch
o f %Strategy for MN, Fed MOH, April
 Fortification2004 .4
National
0
 7. Control of Iodine Deficiency Disorders
Key Messages

 Access &
consumption
by all families
of iodized salt
National Strategy for MN, Fed MOH, April
2004
Critical contacts for infant feeding,
& women’s nutrition: life cycle
PREGNANCY : TT,
antenatal visits, BF, DELIVERY: safe delivery,
iron/folic acid, de- BF, Vitamin A, iron/folic
worming, anti- acid, diet, FP, STI
malarial, diet, risk prevention
signs, FP, STI
prevention, safe
delivery, iodized salt

IMMUNIZATION:
POSTNATAL AND vaccinations, vitamin
FAMILY PLANNING: A, BF, de-worming,
, diet, BF, assess and treat
iron/folic acid, infant’s anemia, FP,
diet, FP, STI and STI referral
prevention, child’s
vaccination
SICK CHILD: monitor
growth, assess and treat
WELL CHILD AND GMP: per IMCI, counsel on
monitor growth, assess infant feeding, BF,
and counsel on infant assess and treat for
feeding, iodized salt, anemia, check and
check and complete complete vitamin A
vaccination /immunization/ de-
worming
Thank You