Lecture No.

03 HND-SP21

Course: Infant and young child feeding

(T)
Instructor: Muhammad Tanveer Aslam

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Who I am?
Muhammad Tanveer Aslam (MS/ M. Phil in Food and Nutrition)
(Department of Pharmacy and AHS, IQRA University (Chak Shahzad
Campus Islamabad)
Email: tanveer.aslam@iqrauni.edu.pk
Previous Employment
Fatima Memorial Hospital Lahore (Trainee Nutritionist)
Vintage Institute of Health Sciences Faisalabad (Lecturer)
Johar Institute of Professional Studies Lahore (Lecturer)

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Course Detail
Course Name: Infant and young child feeding(T) (HND-
3631)
Contact Hours: Credit Hours:
Theory: 32 Theory: 2
Practical: 40 Practical: 1
Total: 72 Total: 3
Pre – Requisite: None

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Course Outlines
Course Description
 This course focuses on the feeding problems among Infant and Young children and
suggesting appropriate interventions
 Infant young child feeding: introduction, global strategy, importance of breastfeeding,
local and international scenario, breastfeeding working; Breastfeeding practices:
assessing a breastfeed, taking a feeding history, common breastfeeding difficulties,
expressed breast milk; Breastfeeding counselling: listening and learning, building
confidence and giving support, counselling for infant feeding decisions, counselling
cards tools; Complementary feeding practices: importance, cup-feeding and hygienic
preparation of food, replacement feeding in the first 6 months

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 Foods to fill energy and micronutrients gap, quantity and frequency of feeding,
feeding techniques, food demonstration; Breastfeeding related topics: growth
charts, maternal illnesses and breast feeding, breast conditions, health care
practices, International code of marketing of breast milk substitutes, checking
understanding and arranging follow-up, feeding during illness and low-birth-
weight babies; Feeding guidelines of various global agencies – WHO etc.;
Complex challenges to implementing the global strategy for infant and young
child feeding.

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Course Objectives
Course Objectives
 Understand importance and principles of meal planning
 Learn rules for good menu planning and family meal budgeting
 Study of different types of table settings, table manners and table etiquettes
 Develop knowledge about kitchen safety, food hygiene and sanitation
 Design menus for schools and other health care centers

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 Course Learning Outcomes (CLOs)
Sr. Taxonomy
Course Learning Outcomes (CLOs) Statement PLOs
No. Level

1 Discuss the importance of meal planning and its role in everyday life C2 2

2 Explain the principles of diet therapy and therapeutic nutrition C2 4

Identify the principles of meal planning in the planning of balanced and appropriate meals keeping
3 in mind the nutritional requirements, family budget and food requirements choices of different age C3 7
groups

4 Demonstrate conditions of a patient and make a meal plan accordingly P4 3

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 Taxonomy Levels

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Programme Learning Outcomes (PLOs)
1. HealthCare Knowledge
2. Problem analysis
3. Investigation and assessment
4. Health services
5. Individual and team work
6. Communication
7. Modern tools
8. Ethics
9. Management
10. Lifelong learning
11. Health and safety
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Course Weight Breakdown
Assessment Instruments with Weights
 Homework, Quizzes, Midterms, Final, performance, Assignments, etc.)
 Theory
o Quizzes 10
 Lab
o Lab Reports
o Assignment 10
o Lab Viva
o Midterm 30
o Lab Mid
o Presentation/Other Activities 10
o Lab Final
o Final 40
o Lab file

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Recommended books
Pediatric nutrition in practice edited by
B.Koletzko, 2nd edition

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The baby Food Bible – A Complete Guide to
Feeding Your Child from Infancy by Behan, E. 2008.

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Lecture Contents
Course introduction and basic concepts
 Breast counseling
 Active listening in counseling
 Learning and education
 Building confidence
 Providing support
 Overcoming challenges

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Breastfeeding counselling

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Breast Counseling
 Achieving exclusive breastfeeding has been elusive for long due to
varied challenges that hinder support for women and families of
breastfeeding mothers.
 Initially, when a baby was born in a homestead, the society and
community at large including experienced mothers would visit that
home from time to time to nurse, gift and counsel the new mother on
proper ways to care for the newborn and how to breastfeed.
However, in recent times, the practice has changed and often after
delivery and discharge from hospital, the new mother is left alone
with their spouse to continue the care at home.

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At the point of discharge, a significant number of women may not be
knowledgeable enough on how to breastfeed which within a week
sends them back to hospital with breastfeeding-related problems like
dehydration and loss of weight which may require admission for
management.
This year's World Breastfeeding Week themed “Let's make
breastfeeding and work, work!' calls for governments and private
sector partnerships to protect and promote women's access to skilled
breastfeeding counselling to support promote exclusive
breastfeeding.

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Effective Listening
Building Trust and Rapport with Mothers
Empathetic Listening: Understanding Mothers’ Concerns and Feelings
Active listening is at the heart of client-centered counseling and, once
mastered, offers a powerful tool, valuable in our professional work,
relationships, and personal lives
Active listening builds and maintains therapeutic alliances and bonds
by showing empathy and creating opportunities for healing and
growth
As a result, the client experiences messages of support and
encouragement to continue their therapeutic journey.
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The relationship with the client should take place within an
egalitarian, nonhierarchical relationship, “with neither party
occupying a ‘one-up’ or ‘one-down’ position in terms of status or
authority”.
The collaborative alliance must be fostered and maintained to allow
goals, aspirations, fears, and plans to be worked through together.

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What active listening isn’t
Commanding
Warning
Lecturing
Judging
Blaming
Shaming
Analyzing
Probing
Humoring
Distracting
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Active listening in counseling
Psychotherapeutic technique in which the therapist listens to a client
closely, asking questions as needed, in order to fully understand the
content of the message and the depth of the client’s emotion.
Adopt an attitude of respect and acceptance
Develop an understanding of our clients’ internal frame of
reference
Provide small rewards and use open-ended questions
Manage initial resistances
Active empathic listening

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Learning and Education
Continuous Learning for Breastfeeding Counselors
Staying Updated with Latest Research and Techniques
Importance of Cultural Competence in Counseling

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Building Confidence
Boosting Mothers’ Confidence in Their Ability to Breastfeed
Providing Positive Reinforcement and Encouragement
Addressing Common Concerns and Myths About Breastfeeding

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Providing Support
Emotional Support for Mothers During the Breastfeeding Journey
Involving Partners and Families in the Support Process
Supportive Communities and Peer Groups for Breastfeeding Mothers

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Overcoming Challenges
Addressing Common Breastfeeding Challenges (Engorgement, Low
Milk Supply, etc.)
Importance of Problem-solving and solutions
Collaborating with Healthcare Professionals for Complex Cases

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 Lecture Summary
Breast counseling
Active listening in counseling
Learning and education
Building confidence
Providing support
Overcoming challenges

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Thank You !
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