At present 872 Nutrition Rehabilitation Centres (NRCs) are operational in the country. 1, 05,618 children were enrolled in the NRCs during April to December 2013. The sick children with Severe Acute Malnutrition (SAM) are identified from the community and health facilities and referred to the NRC where they are admitted for medical management as well as nutritional rehabilitation.
The number of children enrolled and number recovered successfully in last three years is as below:
Admitted
|
Discharged successfully
| |
2011-12
|
NA
|
NA
|
2012-13
|
1,28,431
|
68,986
|
2013-14 (April- Dec 2014)
|
1,05,618
|
55,451
|
Performance of NRCs across all States / UTs (April 2013 to Dec 2014) is given below:
Sr. No
|
State/UTs
|
NRCs
approved
|
No. of NRCs
2013-14
|
No. of children
admitted
|
No. of children
discharged
with target
weight gain
|
India
|
1007
|
872
|
105618
|
55451
| |
A. Non-NE High Focus States
| |||||
1
|
Bihar
|
38
|
36
|
15621
|
11011
|
2
|
Chhattisgarh
|
61
|
52
|
3138
|
2246
|
3
|
Himachal Pradesh
|
2
|
0
| ||
4
|
Jammu & Kashmir
|
2
|
1
| ||
5
|
Jharkhand
|
68
|
67
|
5042
|
3179
|
6
|
Madhya Pradesh
|
322
|
307
|
53317
|
18625
|
7
|
Orissa
|
44
|
38
|
1117
|
382
|
8
|
Rajasthan
|
140
|
91
|
5186
|
2843
|
9
|
Uttar Pradesh
|
48
|
24
|
1500
|
561
|
10
|
Uttarakhand
|
3
|
0
| ||
Sub Total
|
728
|
616
| |||
B. NE States
| |||||
11
|
Arunachal Pradesh
|
-
| |||
12
|
Assam
|
18
|
10
|
96
|
96
|
13
|
Manipur
|
3
| |||
14
|
Meghalaya
|
7
|
4
| ||
15
|
Mizoram
|
-
| |||
16
|
Nagaland
|
1
|
0
| ||
17
|
Sikkim
|
-
| |||
18
|
Tripura
|
2
|
0
| ||
Sub Total
|
31
|
14
|
96
|
96
| |
C. Non High Focus States
| |||||
19
|
Andhra Pradesh
|
30
|
30
|
113
|
84
|
20
|
Goa
|
-
| |||
21
|
Gujarat
|
116
|
109
|
16580
|
15843
|
22
|
Haryana
|
5
| |||
23
|
Karnataka
|
31
|
57
|
1355
|
397
|
24
|
Kerala
|
1
|
1
| ||
25
|
Maharashtra
|
15
|
15
|
726
|
145
|
26
|
Punjab
|
-
| |||
27
|
Tamil Nadu
|
2
| |||
28
|
West Bengal
|
36
|
25
|
1392
|
NA
|
Sub Total
|
236
|
237
| |||
D. Union Territories
| |||||
29
|
A & N Islands
|
-
| |||
30
|
Chandigarh
|
-
| |||
31
|
Dadra & Nagar Haveli
|
1
|
0
| ||
32
|
Daman & Diu
| ||||
33
|
Delhi
|
11
|
5
|
435
| |
34
|
Lakshadweep
|
-
| |||
35
|
Puducherry
|
-
| |||
Sub Total
|
12
|
5
| |||
Under National Health Mission, States are provided funds for establishing NRCs, operational costs and cost for Human Resource. The Central Ministry also provides technical assistance to States by developing Trainers of Trainers, developing guidelines and training modules, and also undertakes monitoring of NRCs to review their performance and provide technical comments and feedback. The funds for Nutrition Rehabilitation Centres are sanctioned to the States/UTs under comprehensive RMNCH+A activities and not separately as a scheme.
In 2013-14, Central Government received proposals for 23 States for establishing 1007 NRCs and funds were provided for the same.
The Government periodically reviews the functioning of NRCs through desk review of Quarterly and Annual reports sent by the States as well as conducts field visits to monitor and provide supportive supervision to these NRCs. The salient findings of these reviews are:
· Admission and discharge criteria require stricter enforcement
· Treatment and nutrition protocols need to be adhered to the standard treatment guidelines, as per the Government of India Guidelines recommendations.
· Quality of care needs to be emphasised, that would require training of Medical Officers and Staff Nurses in SAM management and appropriate deployment of nutritionists.
· Need for better linkages between the NRCs and community and the health facilities for improving the referral and follow up of discharged children and linkages with the Anganwadi Centres (AWCs).
The Health Minister was replying to a question in the Lok Sabha here today.
Courtesy : pib. nic.in
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