TABLE 6-4 Consistency of the Revised Food Packages for Infants and Children Under 2 Years of Age with Established Dietary Recommendations (Criterion 3)

Established Recommendation (derived from Table 2-9)

How Revised Food Packages Meet the Established Recommendation


Breastfeeding is the preferred method of infant feeding because of the nutritional value and health benefits of human milk.

New policies, for which pilot testing and randomized, controlled trials are recommended, encourage full breastfeeding:

  • Delay the provision of formula for breast-fed infants during the crucial first month postpartum as mother/infants pairs initiate breastfeeding;a

  • For fully breastfeeding mother/infant pairs, the value of the revised food packages is increased substantially over the value of the current food packages; and,

  • Compared with formula-using pairs, and the relative value of food packages for fully breastfeeding mother/infant pairs is increased substantially.

Encourage breastfeeding with exclusion of other foods until infants are around 6 months of age.

Food Package II, which provides complementary foods, is now limited to infants ages 6–11.9 mo so that no complementary foods are provided for the first 6 mo after birth. Recent studies verify that foods introduced before the age of 6 mo serve to dilute the nutritional benefits of breast milk (Briefel et al., 2004a; Skinner et al., 2004).

Continue breastfeeding for first year after birth.

Food Package II-BF for fully breast-fed infantsb provides commercial baby food meats to support their need for iron and zinc (in forms with good bioavailability) from complementary foods during age 6–11.9 mo and to provide an incentive for continued breastfeeding.

Continue breastfeeding into second year after birth if mutually desired by the mother and child.

No specific changes in the food package address this recommendation. (Current policy is unchanged.)

Formula Feeding

For infants who are not currently breastfeeding, use infant formula throughout the first year after birth.

Infant formula is provided throughout the first year. (Current policy is unchanged.) Maximum formula allowances for infants 4–5.9 mo of age (Food Packages I-FF-B and

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