Indian Pediatrics

, Volume 51, Issue 6, pp 481–483 | Cite as

An experience of facility-based management of severe acute malnutrition in children aged between 6–59 months adopting the World Health Organization recommendations

  • Manisha MauryaEmail author
  • D. K. Singh
  • Ruchi Rai
  • P. C. Mishra
  • Anubha Srivastava
Research Brief



To study the output indicators of a nutritional rehabilitation center to assess its performance.


Data of 182 children aged between 6–59 months with severe acute malnutrition in a nutritional rehabilitation center were analyzed retrospectively. Identification and treatment of severe acute malnutrition was done according to World Health Organization recommendations.


The recovery rate, death rate, defaulter rate, mean (SD) weight gain and mean (SD) duration of stay in the nutritional rehabilitation center were 68%, 2.2%, 4.4%, 13.0 (9.0) g/kg/d, 12.7 (6.8) days, respectively.


Nutritional rehabilitation centers are effective in management of severe malnutrition.


Nutritional rehabilitation center Output indicators Protein energy malnutrition 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Levels and Trends in Child Mortality. Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation. Report 2012. Available from: Accessed February 27, 2014.
  2. 2.
    Operational Guidelines on Facility Based Management of Children with Severe Acute Malnutrition, Ministry of Health and Family Welfare, Government of India, 2011. Available from: Accessed February 25, 2014.
  3. 3.
    HUNGaMA Fight for Hunger and Malnutrition, the HUNGaMA Survey Report, 2011. Available from: Accessed February 27, 2014.
  4. 4.
    Ashworth A, Khanum S, Jackson A, Schofield C. Guidelines for Inpatient Treatment of Severely Malnourished Children, World Health Organization, 2003.Google Scholar
  5. 5.
    Teferi E, Lera M, Sita S, Bogale Z, Datiko DG, Yassin MA. Treatment outcome of children with severe acute malnutrition admitted to therapeutic feeding centers in Southern Region of Ethiopia. Ethiopion J Health Dev. 2010;24:234–238.Google Scholar
  6. 6.
    Hossain MI, Dodd NS, Ahmed T, Miah GM, Jamil KM, Nahar B, et al. Experience in managing severe malnutrition in a government tertiary treatment facility in Bangladesh. J Health Popul Nutr. 2009;27:72–79.PubMedCentralPubMedCrossRefGoogle Scholar
  7. 7.
    Singh K, Badgaiyan N, Ranjan A, Dixit HO, Kaushik A, Aguavo VM, et al. Management of children with severe acute malnutrition in India; Experience of nutritional rehabilitation centre in Uttar Pradesh, India. Indian Pediatr. 2013;51:21–25.PubMedCrossRefGoogle Scholar
  8. 8.
    Mamidi RS, Kulkarni B, Radhakrishna KV, Shatrugna V. Hospital based nutrition rehabilitation of severely undernourished children using energy dense local foods. Indian Pediatr. 2010;47:687–693.PubMedCrossRefGoogle Scholar
  9. 9.
    Gera T. Efficacy and safety of therapeutic nutrition products for home based therapeutic nutrition for severe acute malnutrition: A systematic review. Indian Pediatr. 2010;47:708–718.CrossRefGoogle Scholar

Copyright information

© Indian Academy of Pediatrics 2014

Authors and Affiliations

  • Manisha Maurya
    • 1
    • 2
    Email author
  • D. K. Singh
    • 1
  • Ruchi Rai
    • 1
  • P. C. Mishra
    • 1
  • Anubha Srivastava
    • 1
  1. 1.Department of PediatricsMLN Medical CollegeAllahabadIndia
  2. 2.AllahabadIndia

Personalised recommendations