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

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.

The manual can be downloaded as a whole or as individual sections. To download the individual sections, visit Holt’s website.

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?