Mother, Infant and Young Child Nutrition & Malnutrition Mother, Infant and Young Child Nutrition & Malnutrition - Feeding practices including micronutrient deficiencies prevention, control of wasting, stunting and underweight
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Protection, Promotion and Support of Healthy Maternal, Infant and Young Child Feeding

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Home  »  Nutrition Protection, Promotion & Support  »  The Essential Nutrition Actions (ENA) Approach  »  Service Quality Self Assessment Tools  »  Tool 1: Facility Based  »  Sick Child Contact (IMCI at facility and community level)

The Essential Nutrition Actions (ENAs) Approach

Service Quality Self Assessment Tools - Facility Based
Sick Child Contact (IMCI at facility and community level)

Performance self-assessment tool for use by Key Stakeholders at key contact points - The following Essential Nutrition Actions (ENAs) are recommended:

Recommended ENAs at Sick Child Contact (IMCI at facility and community level)

Key stakeholders: health-workers, supporting staff and VHT
 

Rating*Discuss and identify key gaps in provision and utilization of ENAs at Sick Child Contact (IMCI at facility and community level)
Exclusive breastfeeding (0-6 months):

All lactating mothers are encouraged to:

  • Increase the frequency of breastfeeding during and after illness to limit the weight loss and speed recovery.
  • Consult a health worker for all children not feeding well or with any condition (including oral thrush).
  • Not give other fluids, except prescribed medicines.
 Total 1: ….  
Infant feeding for HIV+ mothers/caregivers, who opt to use breast-milk substitute before the child is six months:

All HIV+ mothers/caregivers are encouraged to:

  • Increase the frequency of feeds during and after illness to limit the weight loss and speed recovery.
  • Give prescribed medicines only.
  • Not to breastfeed the baby (avoid mix feeding).
Total 2: ….  
Complementary feeding for children over 6 months:

All mothers are encouraged to:

  • Increase the frequency of breastfeeding (or replacement feedings for those not on breast milk) and offer additional food to limit the weight loss during illness.
  • Give one additional meal of foods with high energy and nutrient density each day for the following two weeks to improve child recovery after illness.
  • Give ORS for children over 6 months with diarrhoea.
Total 3: ….  
Early detection and referral of children with malnutrition:

1. Checking the growth of the child during and after illness

  • All mothers are alerted on the importance to check if the baby is loosing weight during illness and/or is not regaining weight after illness.
Total 4: ….  
2. Malnutrition screening for children using MUAC tape
  • Children over 6 months with length above 65 cm are screened using MUAC tape if they look malnourished and if they do not have a previous growth record.

    MUAC Resources - Sources for MUAC Straps

  • Children with moderate and severe malnutrition are promptly referred / treated.
Total 5: ….  
Infant Vitamin and Mineral Deficiencies (VMD) control:
1. Infant Iron Deficiency Anaemia (IDA) control:
  • All children are screened for Anaemia using pallor and are referred or treated according to protocol (WHO 1998 – Uganda Anaemia Policy 2002).

2. Zinc:

  • For children with diarrhoea, provide zinc supplementation for 10-14 days according to WHO protocol.

3. Vitamin A:

  • For children with measles, provide Vitamin A treatment according to WHO protocol.
Total 6: ….

 

OVERALL SCORE (TOTAL 1 + 2 + 3 + 4 + 5 + 6): .....  

Rating: 0 = insufficient; 1 = fair; 2 = good; 3 = very good; 4 = excellent



6 March, 2016
 


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