Weight gain is a sign that indicates that the child is healthy and growing and developing well. From birth until the age of five, children should be weighed every month. When he was a child visiting the health center to be weighed. This can help to find out more about the disorder early growth, so that appropriate action can be taken immediately as soon as possible.
Weighing result, can determine whether a child is too fast to gain weight compared with age. For that require investigation further the child's weight related to height, which can determine whether a child has the excess weight.
If a child is underweight or heavier weight, it is important to examine the diet of children, and give advice to parents or guardians about the importance of adequate nutrition. Many instances where there are family members who are malnourished while other family members excess nutrients.
Children who were breastfed during the first six months, will grow well. Breastfeeding helps protect babies from infections and keep the body growth and mental development is optimal. Breast-fed children, tend to be more intelligent than children fed other.
Every child must have a card that can be monitored Towards Healthy growth. With KMS seen whether the child is growing properly according to age. Each time weighing, the child's weight should be marked with dots on the KMS and then each point should be connected. The relationship between these points will form a line that shows what kind of line growth.
If the line goes up, the better the child's growth. The lines were flat or down is a sign that the child should receive more attention. Children not only need appropriate weight compared with age, but also the appropriate height compared to age.
A child's height can also be traced in the graph. Nutrition, care and good hygiene, especially in the first two years of age, it is important that children have the appropriate height with the development of age (to prevent short children). If the mother does not get enough nutrition during pregnancy, she might give birth to very small children. This will make the child's later risk of becoming short. LBW require special attention to the care and food so that children can grow well.
A child who does not gain weight at the age of one or two months, may require more servings or more frequent meals. The child may be ill, or require more attention and care as well as help to eat. Parents and trained health workers need to immediately find the cause of the problem and perform the examination.
Some important questions to get to know the problems of growth:
Does the child often enough to eat?
In addition to breastfeeding, a child aged between 6 -8 months should be fed 2-3 times per day creamed and ranging in age from 9 months to be fed 3-4 times per day. Nutritious snack such as fruit or cake, required 1-2 times a day. A child who fails to grow or disability, may possibly require additional help and more time to eat.
Does the child get enough food?
A child aged 6-8 months initially need to get creamed 2-3 spoonfuls of food, and gradually add 1/2 cup sized portion into a 250 cc each meal (three times the food mushy + two meals a distraction + ASI). Children 12-24 months of age require one full-size bowl 250 cc family food at each meal (three times a family meal + twice snack + ASI). Children aged two years and older need at least one full-sized bowl 250 cc every meal. If the children can spend their food and still want more, then it should be given.
Is the child food composition containing too little substance or substances growth patient care?
Foods that help children to grow are beans, nuts, meat, fish, eggs, and rice. Making food of animal origin as a daily menu are also important. Oil in small amounts can add energy. Red palm oil is also a source of energy.
High-quality food for growth is certainly important to ensure that the child will be weighed and the optimal height. The food was too fatty, or contain sugar, usually not rich in vitamins, minerals and other essential nutrients or substances that can cause children to have excessive body weight and not proportionate to his height.
Does the child does not want to eat?
If the child does not like the taste of certain foods, other foods need to be offered to him. A variety of new foods, need to be introduced to the child gradually.
Is the child sick?
Sick children need encouragement to get her to eat small meals but often. Children need to be fed more often. Children who are recovering from illness should eat more than usual to recover the lost weight in addition to replenish energy and food reserves. Children are often ill need to be checked by a trained health worker.
Is the child getting enough foods that contain vitamin A?
Breast milk is rich in vitamin A. Other foods that contain vitamin A, are liver, eggs, red palm oil, fruits, yellow or orange, and green leaf vegetables. If these foods are not available in sufficient quantities, the health worker can be a capsule of vitamin A every six months.
Does the child get milk substitute by using a bottle?
If the child had to be given milk substitute or infant formula for medical reasons / special circumstances, the gift must be using clean cups, and open, rather than using a bottle.
How best feeding pattern for infants and children under two years?
- Early Initiation of Breastfeeding immediately after birth.
- Only give milk until the age of six months
- Provide complementary foods from the age of six months
- Breastfeeding is continued until the child berusia24 months or more.
Item 1 through 4 above is also known as the Golden Standard or Gold Standard Feeding Infants and Children.
Is the food stored in a clean way?
If not, the child will often fall ill. Raw food material should be washed and cooked using fresh water flow that comes from a safe source. Cooked foods should be eaten immediately, without delay. Leftovers should be stored properly, and later be reheated if it will be eaten.
Is the water used is clean enough?
Clean water is essential to the health needs of children. Water should come from a safe source and be kept clean by storing it in a closed place so that the water is clean inside and clean on the outside. Clean drinking water can be obtained from water pipes treated, examined and given chlorine (chlorine) on a regular basis, from the general water pipe, from a protected dug well, protected spring or rainwater. If water is taken from the pool, river water, unprotected springs, wells or tanks, the water must be clarified first. How to water treatment that can be done at home is by boiling, filtering, giving chlorine, disinfect by using sunlight according to the instructions of trained health workers or field officers.
Do sewerage done using the latrine or buried? Are hands washed with soap or soap substitute, such as ash and water after defecating?
If not, the child may be infected with worms, and other diseases. Children who suffer from intestinal worms to drink worm medicine that is given by a trained health worker.
Do small children are often left alone or guarded by its larger sibling?
If yes, the child needs more attention and interaction with his brother.