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Functioning of a Nutritional Rehabilitation Center against acceptable levels of care
Ashwini Katole1, Gitismita Naik2, Anubhuti Kujur2
1Assistant Professor (Community Medicine), Raipur Institute of Medical Sciences, Raipur, Chhattisgarh, India.
Insights
Nutritional rehabilitation centers (NRCs) effectively treat severe acute malnutrition (SAM) in children. Integrated management and locally sourced nutrient-dense foods are crucial for improving nutritional status.
Area of Science:
- Public Health
- Pediatrics
- Nutrition Science
Background:
- Nutritional Rehabilitation Centers (NRCs) are key components of the National Rural Health Mission.
- These centers provide institutional care for children suffering from severe acute malnutrition (SAM).
Purpose of the Study:
- To evaluate the effectiveness of nutritional interventions in improving the nutritional status of children admitted to an NRC.
- Assessing the outcomes of SAM treatment within an institutional setting.
Main Methods:
- A retrospective, descriptive study design was employed.
- Data was collected from children admitted to the NRC at the Rural Health Training Center, AIIMS, Raipur.
- Analysis included children enrolled between March 2015 and November 2019.
Main Results:
- Out of 765 enrolled children, 87.97% met the criteria for SAM (weight-for-height <-3SD).
- Over half (55.94%) of SAM children had complications.
- Among 724 discharged children, 68.78% were cured, 27.2% were non-responders, and 3.87% defaulted.
Conclusions:
- Nutritional rehabilitation is influenced by complex factors requiring integrated health system and community management.
- Regular reviews, supportive supervision, and utilization of low-cost, nutrient-dense local foods are essential.
- Effective strategies are needed to address challenges in nutritional recovery for SAM children.
Background:
Establishment of Nutritional Rehabilitation Centers (NRCs) is an initiative under National Rural Health Mission to provide institutional care for children with severe acute malnutrition (SAM). The aim of the study was to assess the effectiveness of nutritional interventional measures in improving the nutritional status of children admitted to an NRC.
Methods:
A retrospective health facility-based descriptive study was conducted in the NRC, Rural Health Training Center, All India Institute of Medical Sciences, Raipur.
Results:
A total of 765 children were enrolled in the NRC between March 2015 and November 2019, and majority (87.97%) were admitted as per weight for height/length (<-3SD) criteria. The total number of SAM children with complications were 428 (55.94%). Of the 724 total discharges, 498 (68.78%) were cured, 197 (27.2%) were nonresponders and 28 (3.87%) were defaulters.
Conclusion:
The findings suggest factors affecting nutritional rehabilitation that are complex and require a more integrated management in the health system and community. Regular review, supportive supervision and identification of nutrient-dense food from locally available low-cost ingredients is the need of the hour.
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