NUTRITIONAL

REHABILITATION IN THE
COMMUNITY
 NUTRITIONAL DISORDERS `

1. PROTEIN ENERGY
MALNUTRITION

2. MICRONUTRIENT DEFICIENCY.
Nutritional rehabilitation
-without serious complications
-taking oral feeds
-gaining weight
-at home, nutritional rehabilitation
centre, hospital.
 STEPS
1.Introduction of traditional foods

2.Emotional and physical stimulation

3.Ensuring complete treatment of the

primary cause.
Practical nutritional training for mothers
enabling them to learn by feeding under
sympathetic supervision with local foods.

1.Family level.
2.Community level.
3.National level.
4.International level.
 FAMILY AND COMMUNITY LEVEL

1.RESIDENTIAL UNITS

2.DAY CARE CENTRES

3.DOMICILIARY REHABILITATION
 NATIONAL LEVEL
1. Rural development.
2.Increasing agricultural production.
3.Nutrition related activities.

INTERNATIONAL LEVEL

1.Nutritional programmes.
2.financial offering.
SEVERE MALNUTRITION
High quality protein+3-4 gm
protein.

MILD TO MODERATE MALNUTRITION

2-2.5gm of high quality protein
<I yr - 3.5gm of protein
 VITAMIN A DEFICIENCY

Community considered in serious risk if

>2%of children have conjunctival xerosis
or >5% of population have plasma retinol
below 100 micro gm per litre
 RETINOL PROPHYLAXIS
AGE ORAL I.V TIMES
upto 1yr 55 I lakh once
>1 yr 110 2 lakh every4-6m
new born 27.5 50,000 at birth
WOMEN
not pregnant 165 3 lakh
preg & lact 275 5000 daily
275 20,000 weekly.
 Iodine deficiency disorder
- 740 million suffer of which 300 million
have goitre and 20 million have poor brain
development.
REHABILITATION – 10 ppmof Iodine in salt
- sea foods
- iodised salt
-iodine oil injections
NUTRITIONAL PROGRAMMES
1.ICDS 1975.
2.TNIP 1980.
3.NIDDS 1962.
4.MID DAY MEAL PROGRAMME 1962.
5.SPECIAL NUTRITIONAL PROGRAMME
1970.
6.VITAMIN A PROPHYLAXIS
PROGRAMME.
7.BALWDI NUTRITONAL PROGRAMME
1. Exclusive breast feeding.
2.Micronutrient prophylaxis.
3.Nutritional education.
4.Immunisation.
5.Training health workers.
6.Involving common people.
7. Treatment of URI, Acute gastro
enteritis,nutritional disorders