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2 Description of the Nutrition Algorithms of the Sick Child Initiative
Pages 5-8

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From page 5...
... The algorithms are intended for use in first-level health facilities that have minimal equipment, so that diagnosis depends primarily on the medical history and physical examination of the child by the health worker. The nutritional assessment uses simple techniques, and it is assumed to be possible with the level of technical expertise that reflects the current skills of clinical health workers when they are provided with some additional training.
From page 6...
... For the older infants, the mother is asked questions about breastteeding frequency and diurnal patterns; type, frequency, amounts, and providers of other foods and feeding techniques; and any changes in feeding as a result of illness. The mother's answers are compared with a set of"Feeding Recommendations during Sickness and Health" that are intended for all children up to 5 years, and referred to as the "Food Box." The "Food Box" provides basic information on how and what the child should be fed from the ages of 0 4 months, 4 6 months, 6-12 months, 12 months-2 years, and 2 years and older.
From page 7...
... This strategy recognizes that the composition of weaning foods often varies by country, and even within countries, and that for the health worker's advice on infant feeding to be relevant to the caretaker, examples of nutritionally appropriate, locally available foods must be developed. The "Counsel the Mother" chart also provides guidance to health workers on the most common feeding problems and potentially feasible, locally adapted, solutions.


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