Table 1 FSN Intervention Components
| Period (Frequency) | Responsive Parenting & Responsive Feeding | Infant and Young Child Feeding (IYCF) and PA | Maternal & Child Well-being and Home Environment | |
|---|---|---|---|---|
| 28 weeks gestation | Prenatal (biweekly) | • Introduction: fetal & child growth, development, & behaviors |
• Prenatal nutrition & PA • Breastfeeding basics | • Planning for a healthy delivery |
| 34 weeks gestation | Prenatal (biweekly) | • Introduction: responsive parenting/ feeding |
• Prenatal nutrition & PA goal-setting • Breastfeeding promotion | • Baby care basics/ making a safe home for play |
| Birth | Neonatal (weekly) |
• Normal growth, feeding, & sleeping patterns • Recognition of hunger/ satiety cues |
• Feeding support visit • Importance of exclusive breastfeeding (or formula feeding if breastfeeding not possible) |
• Family planning options • Daily routines for healthy living |
| 1 month post-partum | Early infancy 1 (weekly) |
• Understanding baby’s needs & behaviors • Managing fussy behavior • Responding quickly & appropriately to behavior cues • Discussing reduced screen time |
• Promotion of exclusive breastfeeding (or formula feeding if breastfeeding not possible) • Feeding during illness • Child opportunities to explore through touch, movement, sight, & sound (tummy time) |
• Resisting drug use • Conflict/ communication skills with baby’s father and/or family/ household members • Involving fathers and other caregivers in baby’s care |
| 3 months post-partum | Early infancy 2 (biweekly) |
• Play & communication activities • Looking/ smiling at child during feeding • Responding to baby’s cues and gestures • Establishing healthy sleep routines • Reducing exposure to screen time |
• Promotion of exclusive breastfeeding (or formula feeding if breastfeeding not possible) • Gross & fine motor play • Continued tummy time • Monitoring patterns/ reducing screen time | • Skills for healthy living: handling stress, positive thinking, addressing home food, beverage, & PA environment |
| 6 months post-partum | Mid-infancy (monthly) |
• Play & communication activities (talking, singing, imitation) • Providing consistent routine • Eating with few distractions • Finger foods for child to touch |
• Continued breastfeeding and/or formula feeding, along with complementary feeding (sequence) • Types/ textures of complementary foods • Increasing healthy diet variety • Gross & fine motor play |
• Revisiting family planning/ sexual health (STI knowledge & testing) • Safe & reliable play spaces • Meal planning |
| 9 months post-partum | Late infancy (monthly) |
• Play & communication activities (“bye-bye”, imitation) • Singing to child during daily activities • Eating with child (modeling healthy eating) • Updating routines as needed |
• Helping infant transition to healthy family lifestyle (diet & PA) • Ensuring infant is hungry at meals (avoid SSBs, snacks, desserts) • Continued breastfeeding and/or formula feeding | • Skills for healthy living: saying “no”, healthy relationships, problem-solving, positive thinking, accessing resources for a positive food & beverage environment |
| 12 to 18 months post-partum | Toddlerhood (monthly) |
• Monitoring toddler routines • Maintaining consistent routines (sleeping, eating) • Play & communication activities (reading, playing games) • Modeling healthy eating • Self-feeding • Avoiding food as a reward |
• Giving toddler fixed “healthy” choices (e.g. banana or orange) • Transitioning to a cup • Dealing with food refusal and pickiness • Promoting PA/ reduced screen time • Involving toddler in food shopping & preparation • Providing daily opportunities for gross motor play |
• Budgeting for family’s needs • Confident & effective parenting (consistent rules) • Toddler care practices/ making a safe home for play • Safe/ consistent alternative caregivers |