Holt International’s Feeding and Positioning Manual
Guidelines for Working With Babies and Children
This page and the manual are available in the following languages:
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:
General information on infant and child development
Critical milestones for caregivers to monitor
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.
Download Full Manual or Individual Sections
Download | Full PDF: High Quality (27 MB) |
Download | Full PDF: Web Quality (17 MB) |
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Download | Introduction: More Than a Meal |
About This Manual How to Use This Manual Sharing This Manual with Others | |
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Download | PART 1 :: Feeding Fundamentals: Information for Supporting Positive and Safe Mealtimes |
Chapter 1: Feeding Basics for Every Child and Caregiver | |
Download | Positioning Basics |
Download | Swallowing Basics |
Download | Sensory System Basics |
Download | Breastfeeding Basics |
Download | Bottle Feeding Basics |
Download | Spoon Feeding Basics |
Download | Cup Drinking Basics |
Download | Self-Feeding Basics |
Download | Food Texture and Liquid Consistency Basics |
Download | Interaction Basics |
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Download | PART 2 :: Feeding Across the Ages: Information for Supporting Feeding Development and Finding Solutions for Feeding Challenges |
Download | Chapter 2: The First Year of Life: 0-12 Months Old |
Download | Chapter 3: The Growing Child: 12-24 Months Old |
Download | Chapter 4: The Toddler Years: 24-36 Months Old |
Download | Chapter 5: The Older Child: 36 Months and Older |
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Download | PART 3 :: Special Populations and Topics: Information for Supporting Positive Feeding Development Across Common Disabilities |
Download | Chapter 6: The Child with Disabilities or Special Needs |
Download | Chapter 7: Common Feeding Challenges and Solutions Across the Ages |
Download | Chapter 8: Make Meal Times Matter: Growing Children with Relationships |
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Download | PART 4 :: Appendix: Strategies, Handouts and Information for Caregivers and Communities |
Chapter 9: Appendix | |
Download | Feeding Skills Timeline: Eating and Drinking from Birth to 36 Months Old |
Download | Typical Child Motor Development Milestones and Red Flags |
Download | Food Texture and Liquid Consistency Visual Chart |
Download | Specialized Food and Liquid Example Lists |
Download | Modifying Food and Liquid |
Download | Diet Advancement Guide |
Download | Common Items for Supporting Feeding |
Download | Spoon Chart |
Download | Getting Creative with Seating and Supplies |
Download | Feeding Strategies Techniques |
Download | Activities for Calming and Waking Babies and Children |
Download | Handouts for Caregivers and Communities |
Download | — Breastfeeding Tips |
Download | — Feeding and Interaction Cues |
Download | — Bite and Sip Sizes |
Download | — Positioning Checklists |
Download | — Dental (Oral) Care and Toothbrushing |
Download | Common Feeding Issues and Solutions Quick Charts |
Download | How Much Should Babies Eat? |
Download | Chapter 10: Definitions (List of Special Words Used in this Manual) |
Download | Chapter 11: Citations |
Download | Chapter 12: Index |