| To make the starter diet from milk: | | Mix 50 g sugar and 10 mL vegetable oil together thoroughly. | | Add 150 mL boiled whole (full-cream) milk and 10 mL of the electrolyte solution (see paragraph 3) if used. | | Make up to 500 mL with boiled water. Whisk to stop oil separating out or mix vigorously before serving. This feed keeps up to 12 hours. Make more when necessary. | | In the evening, make sure there is enough for the night feeds. | | Feed at a rate of 130 mL/kg body weight/24 hours. Divide into 8 feeds and feed every 3 hours. | | A child who is breastfed should be encouraged to suckle after drinking the milk feed. | | Never add salt; explain to the parent that the child needs sweet not salty food. | | | To make a high-energy, high-nutrient rehabilitation diet from milk: | | Mix 40 g sugar and 10 mL vegetable oil. | | Add 440 mL boiled whole milk and 10 mL of the electrolyte solution. | | Make up to 500 mL with boiled water and whisk vigorously. | | For 2 days, feed at the same frequency and amount as the initial diet, then increase the amount by 10 mL/feed and reduce frequency of feeds to every 4 hours. Feed at a rate of approximately 200 mL/kg body weight/day (or more if child wants it). When given every 4 hours, each feed should be 166 mL. | | If milk is difficult to get, make a thick cereal porridge and add oil or margarine, sugar, bean, pea or peanut flour, and peanut butter or eggs. Start giving fruits and vegetables, particularly those rich in vitamin A. | |
