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

Under Poshan 2.0 (Saksham Anganwadi and Poshan 2.0), which of the following represents a CHANGE from the earlier ICDS nutritional supplementation norms?

  • A Supplementary nutrition is now restricted to children aged 6 months to 3 years only
  • B SAM children are now managed exclusively at NRCs under Poshan 2.0
  • C The caloric norm for severely malnourished children was reduced from 800 to 600 kcal/day
  • D Ready-to-eat/ready-to-cook hot cooked meals replaced by 'take home rations' (THR) for all beneficiaries
Correct answer: D. Ready-to-eat/ready-to-cook hot cooked meals replaced by 'take home rations' (THR) for all beneficiaries

Explanation

Poshan 2.0 (launched 2021), integrating ICDS, Poshan Abhiyan, ISSNIP and National Nutrition Mission, shifted from hot cooked meals to 'Take Home Rations' (THR) — energy-dense, micronutrient-fortified supplementary nutrition given to beneficiaries to consume at home — during and after COVID, with this policy being institutionalised. States are encouraged to transition to THR for children aged 6 months–6 years, pregnant/lactating women, and adolescent girls. SAM children receive THR at community level (Community Management of Acute Malnutrition — CMAM) in addition to NRC referral for complicated SAM. Caloric norms for SAM children remain 1500 kcal/day for rehabilitation.

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

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