Nutrition Rehabilitation Center

1. Child under nutrition encompasses stunting (chronic malnutrition), wasting(acute malnutrition) and deficiencies of micronutrients (essential vitamins and minerals).

2. It significantly contributes to under five mortality as undernourished children have increased susceptibility to infections and hence frequent episodes of diarrhoea, acute respiratory infections, malaria and measles.

3. It also leads to growth retardation and impaired psychosocial and cognitive development. This has impact on education attainment. The degree of cognitive impairment is directly related to the severity of stunting and iron deficiency anaemia.

4. Without treatment children who are affected by moderate/ sever acute malnutrition during the critical stage of life between conception and age two, if not provided with timely and quality care, will find it difficult to achieve their full potential. Scientific evidence has shown that beyond the age to two to three years, many effects of chronic under nutrition are irreversible. This means that to break the intergenerational transmission of poverty and under nutrition, children at risk must be reached during their first two years of life.

5. Screening for Malnutrition is done in the community as well as by Health Staff by measuring weight and height in a given population.

6. Management of these severely malnourished children does not require sophisticated facilities & equipments or highly qualified personnel. It does require that each child be treated with proper care & affection, and that each phase of treatment be carried out properly by approximately trained and dedicated health personnel. When this is done, the risk of death can be substantially reduced and the opportunity for full recovery greatly improved.

7. After treating the life-threatening problems in a hospital, the child with acute malnutrition will be transferred to NRC for intensive feeding to recover lost weight, development of emotional & physical stimulation, capacity building of the primary caregivers of the child with acute malnutrition through sustained counseling and continuous behavioral change activities. Thus NRC will be intended to function as a bridge between hospital & home care. Hence, NRC will be a short stay home for children with acute malnutrition along with the primary care givers.

8. Objectives:
a. To provide institutional care for children with acute malnutrition.
b. To promote physical, mental & social growth of children with acute malnutrition.
c. To build capacity of primary care givers in the home based management of malnourished children.
d. Sick children with malnutrition are managed in hospitals where as children without any disease are given feeding advise and regularly measured and monitored in community by FHWs and AWWs.

9. For appropriate management of children with severe acute malnutrition the DORD has established two Nutritional Rehabilitation Centres at Gaya , Jehanabad(Bihar).

10. Services to be provided at NRC
a. Treatment & Patient management.
b. Nutritional support to inmates.
c. Nutrition education to his/her family members.
d. Other counseling services viz. Family planning, Better hygiene practices, Psycho-social care & development.
e. Capacity building of the primary caregivers on Preparation of low cost nutritious diet from locally available food ingredients, Developing Feeding habits & time management in mothers, imparting knowledge of developing kitchen garden etc.
f. Follow up Services.