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GuidelinesIMCI

Feeding Assessment

IMCI - Counsel the Mother or Caregiver on Infant and Young Child Feeding

Assess the Child's Feeding

Recommended Physical Activity - Babies

Recommended Physical Activity - Toddlers

Recommended Physical Activity - Pre-Schooler


Assess the Child's Feeding

If the Child is classified as

  • NOT GROWING WELL
  • ANAEMIA
  • Under 2 years of age 

Ask questions about the child’s usual feeding and feeding during this illness. Compare the mother/caregiver’s answers to the Feeding Recommendations for the child’s age

Ask:

  • How are you feeding your child?
  • Are you breastfeeding?
    - How many times during the day?
    - Do you also breastfeed at night?
  • Are you giving any other milk?
    - What type of milk is it?
    - What do you use to give the milk?
    - How many times in 24 hours?
    - How much milk each time?
    - How is the milk prepared?
    - How are you cleaning the utensils?
  • What other food or fluids are you giving the child?
    - How often do you feed him/her?
    - What do you use to give other fluids?
  • How has the feeding changed during this illness?
  • If the child is not growing well, ASK:
    - How large are the servings?
    - Does the child receive his/her own serving?
    - Who feeds the child and how?

Recommended Physical Activity - Babies (Birth to 1 year old)

Moving

  • Being physically active several times a day in a variety of ways through interactive floor-based play, including crawling. For babies not yet mobile, this includes at least 30 minutes of tummy time spread throughout the day while awake, and other movements such as reaching and grasping

Sitting

  • Engaging in stimulating activities with a caregiver, such as playing with safe objects and toys, having baby conversations, singing, and storytelling. Babies should NOT be strapped in and unable to move for more than 1 hour at a time (e.g., in a pram, high chair, or on a caregiver’s back or chest) while awake. Screen time is NOT recommended

Recommended Physical Activity - Toddlers (1 and 2 year old)

Moving

  • At least 180 minutes spent in a variety of physical activities including energetic play, spread throughout the day; more is better

Sitting

  • Engaging in activities that promote development such as reading, singing, games with blocks, puzzles, and storytelling with a caregiver. Toddlers should NOT be strapped in and unable to move for more than 1 hour at a time (e.g., in a pram, high chair or strapped on a caregiver’s back or chest), and should not sit for extended periods. For toddlers younger than 2 years, screen time is NOT recommended. For toddlers aged 2 years, screen time should be no more than 1 hour; less is better

Recommended Physical Activity - Pre-Schoolers (3, 4 and 5 years old)

Moving

  • At least 180 minutes spent in a variety of physical activities, of which at least 60 minutes is energetic play that raises their heart rate and makes them ‘huff and puff’ (e.g. running, jumping, dancing), spread throughout the day; more is better.

Sitting

  • Engaging in activities such as reading, singing, puzzles, arts and crafts, and story-telling with a caregiver and other children. Pre-schoolers should NOT be strapped in and unable to move for more than 1 hour at a time and should not sit for extended periods. Screen time should be no more than 1 hour per day; less is better.

Integrated Management of Childhood Illness 2022; Young Infant (Birth up to 2 months);  Counsel the Mother or Caregiver on Infant and Young Child Feeding (Birth up to 2 months); Feeding Assessment


Last checked for updates: June 2023

NeoHealth® ID 20693 · updated 8/17/2023