HOLT INTERNATIONAL’S FEEDING AND POSITIONING MANUAL:
GUIDELINES FOR WORKING WITH BABIES AND CHILDREN

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WHAT IS THIS MANUAL ABOUT?

This manual is intended to support the caregivers of infants and children by providing information regarding safe feeding practices. Additionally, this manual provides:

  1. General information on infant and child development
  2. Critical milestones for caregivers to monitor
  3. Helpful strategies that support not only feeding but enrich the overall well-being of each and every child

Strong child development is the foundation of prosperous communities. When a caregiver supports the development of a child, he or she is contributing to the health of the entire community. Caregivers are vital to healthy, well-developed children. A well-developed child becomes a healthy, productive and independent adult. The work that caregivers do — the love and care that they provide — is powerful and essential for a child to thrive.

This manual is intended to be used by all caregivers within a child’s life. Some of the information in this manual may be of interest to other health care workers, family members of children and community members. Depending on the needs of the individual, some may benefit from reading an entire chapter or section, or some may find it useful to refer to only certain handouts, illustrations, charts or activities.

Check back for these manual versions coming soon: Amharic, Chinese, Kannada, Marathi, Mongolian Cyrillic, Tagalog, and Vietnamese.

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INTRODUCTION: MORE THAN A MEAL

  1. About this Manual
  2. How to Use this Manual
  3. Sharing this Manual with Others

PART 1: FEEDING FUNDAMENTALS: INFORMATION FOR SUPPORTING POSITIVE AND SAFE MEALTIMES

Chapter 1: Feeding Basics for Every Child and Caregiver

 

Section 1.1: Positioning Basics

Section 1.2: Swallowing Basics

Section 1.3: Sensory System Basics

Section 1.4: Breastfeeding Basics

Section 1.5: Bottle Feeding Basics

Section 1.6: Spoon Feeding Basics

Section 1.7: Cup Drinking Basics

Section 1.8: Self-Feeding Basics

Section 1.9: Food Texture and Liquid Consistency Basics

Section 1.10: Interaction Basics

PART 2: FEEDING ACROSS THE AGES: INFORMATION FOR SUPPORTING FEEDING DEVELOPMENT AND FINDING SOLUTIONS FOR FEEDING CHALLENGES

Chapter 2: The First Year of Life: 0-12 Months Old

Section 2.1: Important Developmental Milestones for Feeding: 0-12 Months

Section 2.2: Basic Feeding Guidelines for the Child 0-12 Months Old

Section 2.3: Feeding Positioning for the Child 0-12 Months Old

Section 2.4: Beyond the Meal: Tips for Supporting the Child 0-12 Months Old

Chapter 3: The Growing Child: 12-24 Months Old

Section 3.1: Important Developmental Milestones for Feeding: 12-24 Months Old

Section 3.2: Basic Feeding Guidelines for the Child 12-24 Months Old

Section 3.3: Feeding Positioning for the Child 12-24 Months Old

Section 3.4: Beyond the Meal: Tips for Supporting the Child 12-24 Months Old

Chapter 4: The Toddler Years: 24-36 Months Old

Section 4.1: Important Developmental Milestones for Feeding: 24-36 Months

Section 4.2: Basic Feeding Guidelines for the Child 24-36 Months Old

Section 4.3: Feeding Positioning for the Child 24-36 Months Old

Section 4.4: Beyond the Meal: Tips for Supporting the Child 24-36 Months Old

Chapter 5: The Older Child: 36 Months and Older

Section 5.1: Important Developmental Milestones: 36 Months and Older

Section 5.2: Basic Feeding Guidelines for the Child 36 Months and Older

Section 5.3: Feeding Positioning for the Child 36 Months and Older

Section 5.4: Beyond the Meal: Tips for Supporting the Child 36 Months and Older

PART 3: SPECIAL POPULATIONS AND TOPICS: INFORMATION FOR SUPPORTING POSITIVE FEEDING DEVELOPMENT ACROSS COMMON DISABILITIES

Chapter 6: The Child with Disabilities or Special Needs

Section 6.1: General Considerations for the Child with Special Needs

Section 6.2: Common Conditions with Feeding Challenges

Section 6.3: Beyond the Meal: Tips for Supporting the Child with Special Needs

Chapter 7: Common Feeding Challenges and Solutions Across the Ages

Section 7.1: General Considerations for Feeding Challenges

Section 7.2: Final Thoughts for Supporting Feeding Challenges

Chapter 8: Make Mealtimes Matter: Growing Children with Relationships

Section 8.1: Growing Healthy Brains and Bodies

Section 8.2: Supporting Interaction Across the Ages

PART 4: APPENDIX: STRATEGIES, HANDOUTS, AND INFORMATION FOR CAREGIVERS AND COMMUNITIES

Chapter 9: Appendix

 

Section 9A: Feeding Skills Timeline: Eating and Drinking From Birth to 36 Months Old

Section 9B: Typical Child Motor Development Milestones and Red Flags

Section 9C: Food Texture and Liquid Consistency Visual Chart

Section 9D: Specialized Food and Liquid Example Lists

Section 9E: Modifying Food and Liquid

Section 9F: Diet Advancement Guide

Section 9G: Common Items for Supporting Feeding

Section 9H: Spoon Chart

Section 9I: Getting Creative with Seating and Supplies

Section 9J: Feeding Strategies Techniques

Section 9K: Activities for Calming and Waking Babies and Children

Section 9L: Handouts for Caregivers and Communities

9L-1: Breastfeeding tips

9L-2: Feeding and Interaction Cues

9L-3: Bite and Sip Sizes

9L-4: Positioning Checklists

9L-5: Dental (Oral) Care and Toothbrushing

Section 9M: Common Feeding Issues and Solutions Quick Charts

Section 9N: How Much Should Babies Eat?

Chapter 10: Definitions (List of Special Words Used in this Manual)

Chapter 11: Citations

Chapter 12: Index

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