State Nutrition Mission,

Government of Uttar Pradesh

  
How to know as if mother’s milk is sufficient for the infant?

  • The infant is required to urinate at least 6 times in the duration of 24 hours.
  • The infant should sleep & play properly and normally.
  • The weight of the infant should be towards increasing.

How the quantity of the milk of mother can be sufficiently maintained during breast feeding?

  • Mother is required to feed the infant again and again as and when required be it repeatedly day & night.
  • Infant should not be given anything extra to the milk of mother, even water is restricted.

How to know as if mother’s milk is sufficient for the infant?

  • The infant is required to urinate at least 6 times in the duration of 24 hours.
  • The infant should sleep & play properly and normally.
  • The weight of the infant should be towards increasing.

When the complementary diet for the infants should be started and why?

  • As soon as the infants complete the age of 6 months i.e. 180 days he should be given complementary diet. The infants grow swiftly as soon as he completes the age of 6 months and he requires additive nutrition which can’t be fulfilled only by breast feeding.
  • Cereals and Roots
  • Pulses, legumes & dry fruits
  • Milk & milk products
  • Meat eatables
  • Vitamin - A enriched yellow fruits and vegetables
  • Greenleaf vegetables & Other fruits
  • Egg

Include at least 4 food items out of the above 7 eatables.

What are the things to be taken care of at the time of giving complementary diet according to age?

For the infants from 6 to 8 months

  • Home prepared fresh, semi-solid & crushed food should be given and liquid food should not be given.
  • Egg, curd, groat/daliya, thick pulse, dark green leaf vegetable and yellow fruits should be given twice a day half bowl each time.
  • One extra tea spoon full ghee/oil should be poured in the food for extra energy. Ghee being provided at anganwari centers may also be used.

For the infants from 9 to 11 months

  • Spare the time for your infant and teach him the habit of taking his food on his own.
  • Egg, curd, groat/daliya, thick pulse, dark green leaf vegetable and yellow fruits should be given.
  • Food should be given half bowl thrice a day and nutritious breakfast (ripe papaya, ripe mango, curd, boiled egg and nutritious diet of anganwari) should be given once or twice a day. Add ghee in the complementary diet of anganwari centers.

For the infants from 12 to 23 months

  • Encourage the infants to take his food on his own in the separate plate or bowl.
  • Egg, curd, thick pulse, dark green leaf vegetable and yellow fruits should be given.
  • Food should be given full bowl thrice a day and nutritious breakfast (ripe papaya, ripe mango, curd, boiled egg and nutritious diet of anganwari) should be given once or twice a day.
What are the issues to be kept in mind regarding food of the sick infants?

  • Don’t reduce the food quantity of the sick infants or stop giving him the food. Continue to breast feeding should be kept continued.
  • Provide the diet to the infants according to his taste.
  • The infants become week during sickness; increase the quantity of his food after his recovery till he gains the weight as before.

How to develop the interest of the infants for taking the food?

  • Offer the food to infants when he gets hungry.
  • Change the variety of the food from time to time.
  • Don’t fill the stomach of the infant by water, juice, chocolate, chips, kurkure or shake.
  • Encourage the infant for every bite of food which he takes.
  • Spare the time for the infant, keep patience when he is taking the food and don’t force him during food.

Do you know as to when & why the infants should be given iron syrup?

Supplementation of iron syrup

  • Anemia is a severe problem among infants which affects the growth and development of his mind.
  • The deficiency of blood may be prevented in the infants by the supplementation of iron.
  • Start giving iron syrup to the infants as soon as he grows into 6 months. Acquire it (in 100ml bottle) from A.N.M. on the rural health nutrition day.
  • The iron is to be given to the infants from the age of 6 months till he acquires the age of 5 yrs.

Do you know as to when & why the infants should be given Vitamin A?

Supplementation of Vitamin A

  • Start giving Vitamin A Syrup to the infants as soon as he grows into 9 months. The disease – resistant capacity of the infant is increased by providing him Vitamin A syrup and more over he is prevented from the disease of the eyes.
  • Provide the Vitamin A syrup to the infants twice in a year starting from his age of 9 months till his age of 5 yrs(total 9 times on the 6 monthly interval).
  • First dose after the vaccination of measles, second dose after the booster dose of measles i.e. both the doses are given during the period of one and half year (1 & ½ yrs). From 3rd to 9th dose is given by stick at the interval of 6 months i.e. in June & December during child health nutrition month.
  • Get all the doses of Vitamin A entered on Jaccha-Baccha card (mother-child card)

Do you know as to why the infants should be given iodized salt?

Taking iodized salt

  • Iodine is a necessary element for mental development, its use is necessary during pregnancy and during first 2 years of infants’ development.
  • Iodized salt should be used in the food of the family and especially in the food of pregnant women & infants.
  • Iodine prevents the diseases like goiter.

Do you know as to when & why the infants should be given ORS & Zinc?

ORS & Zinc

  • Frequent diarrhea tends the infants towards malnutrition. ORS & Zinc are used to prevent diarrhea among infants.
  • Continue the regular breast feeding of the infants from 2 to 6 months, continue the ORS mixture till the diarrhea is cured and give him half tablet of zinc till 14 days.
  • During diarrhea continue the breast feeding and additional foods of the infants from their age of 6 months to 5 yrs. Along with it give him zinc pill 1 tab OD.
  • Get ORS and Zinc pills from ANM & Asha.

Method of preparing ORS mixture: Pour down ORS packet in clean utensil and mix 1 liter of filtered & pure water in the ORS. The mixture is ready to be given to the infants. Throw away the remaining mixture after 24 hours.

What is to be done for de-worming the infants?

  • Worms in the stomach are caused by malnutrition.
  • For preventing the infants getting worms in their stomach, get him treated by the dose of Albandazol, twice every year at the interval of 6 months available during the program of national de-worming program.

What is the monitoring of growth in infants and why it is necessary?

  • • The weight of the infants is measured at anganwari center on monthly basis for the infants of 0 to 3 yrs and on quarterly basis for the infants of 3 to 5 yrs. The measured weight is plotted in front of the age of the infant in the growth chart and thus the growth rate is known. Blue color chart is used in case of male infant and pink color chart is used in case of female infant.
  • • In case of infant of 0 to 3 yrs, get the information of vaccination recorded along with the weight record of the infant in the Jaccha-baccha card (MCP card)

What is required to be done when the infant is recorded in the yellow and red classification?

  • As soon as the malnutrition of the infant is known, get him to be observed by anganwari female agent (karykartri) and get her advice & services according to the age of the infants.
  • If the infant is classified in yellow color, take him to the nearest health center and get him checked up.
  • If the infant is classified in red color, get the double quantity of food from anganwari center, take the advice regarding appropriate diet and take him to the nearest health center and get him checked up.
  • At the time of any health problem in infants take him to the nearest health center.
  • As per the advice of the doctor, If the infant is found to be severely malnutrited (i.e. classified in red color), take him to the rehabilitation center of district hospital.

Nutrition rehabilitation center


Nutrition rehabilitation center has been established in the district hospitals for consulting the severely malnutrited infants suffering from variety of health problems. Here the advices regarding special type of nutritious diet and appropriate health care are provided for the remedy of the malnutrition in the infants.

Basis of hospitalization of infants from 6 months to 59 months

  • Ratio in the length and the weight of the infants-lesser than 3SD.
  • The measure of the mid upper arm of the infants not to be lesser than 11.50cm.
  • The disease of Pitting Edema in both the legs of the infants (Pitting Edema is a disease which is known by the mark of pit to be formed after pressing the lower portion of the infants’ legs till 10 seconds.

Basis of hospitalization of infants less than 6 months

  • Ratio in the length and the weight of the infants-lesser than 3SD (if the length of the infants is not more than 45cm).
  • The disease of Pitting Edema in both the legs of the infants.
  • If the infant is observed and found to be malnutrited.

Basis of discharge from nutrition rehabilitation center

  • Increase in the weight of the infants by 15%.
  • Increase in the weight of the infants continuously for 3days (at least 5 grms/kg/day)
  • Revival in the hunger of the infants.
  • Removal in the swelling of the legs of the infants.
  • Complete treatment of the epidemic condition and other health problems of the infants.
Why it is necessary to be careful with regard to hygiene & cleanliness?

  • Infected hands, infected flies, infected water & field & soil carrying bacteria and virus attack human body through the medium of food and water (Infection carrying agents may be symbolized by 5F-fingers, flies, food, fluid & field)
  • Infants are prone to catch frequent diarrhea & other diseases due to infectious and polluted atmosphere.
  • The infants grow very speedily after 6 months that is why he requires extra energy from external food other than the milk of mother. This is the time when he develops in himself the resistant capacity to fight against the diseases.
  • Due to diarrhea and other infections the energy is consumed in preventing infections. This is the reason due to which the speed of growth in infants becomes slower and there by retarded. As a result of continuation of this polluted atmosphere the digestion process also become slower due to which the body of the infant does not accept whatever food he takes.
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  • The polluted & unhygienic atmosphere and diseases continuing for long time affects the growth of infant and the infant remains dwarf. N.B.- The stool of the infants carrying most of the bacteria & virus is more polluted than that of adults.

What are the hygienic behavior/conduct?

  • The hands of the infants and mothers should be clean enough before the infant is being eaten any food item and after cleaning the stool of the infants hands must be washed by the soap.
  • After cleaning the stool of the infants, dispose it of securely and don’t through it away hither and thither.
  • Washed the hands by soap after potty, before and after taking the food, after cleaning the nose & after sneezing. Prepare the fresh food & don’t use stale food.
  • Don’t go to potty in the open field because as result of this behavior virus and bacteria carrying diseases are spread in the atmosphere and they pollute food and water.
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  • Food & water should be covered securely and water should be taken out from any utensil by the bowl of stick.
  • The bacteria and virus of the water are destroyed when it is boiled as a result of which the water becomes potable/drinkable.