Community Medicine (PSM) · Nutrition (Macro/Micronutrients, RDA, PEM, Nutritional Programmes)

The Nutritional Rehabilitation Centre (NRC) under the ICDS/NHM programme is designed for the management of Severe Acute Malnutrition (SAM). The minimum period for inpatient stay at an NRC for stabilization and rehabilitation is:

  • A 7 days
  • B 21 days
  • C 14 days
  • D 28 days
Correct answer: C. 14 days

Explanation

NRCs (Nutritional Rehabilitation Centres) in India manage SAM children aged 6 months to 5 years with medical complications. The standard protocol involves a minimum 14-day inpatient stay comprising 2 phases: a stabilization phase (Days 1–7) focusing on treating infections, metabolic complications, and careful fluid management; and a rehabilitation phase (Days 7–14) with F-100 formula and Therapeutic Ready-to-Use Food (RUTF) for catch-up growth. Discharge criteria include weight gain of >15g/kg/day for 3 consecutive days and no complications. Follow-up at home continues for 8 weeks after discharge.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

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