माननीया श्रीमती वसुन्धरा राजे जी द्वारा बजट 2015-16 में घोषणा (114.3.0) की गयी - "राज्य में हजारों अतिकुपोषित बच्चे कुपोषण उपचार केन्द्रों के दायरे से बाहर है । इसके लिए Community Based Mmanagement of Acute Malnutrition कार्यक्रम चलाया जायेगा ।"


In Rajasthan, for the first phase of Community based management of Malnutrition, a total of 10 High Priority Districts and 3 Tribal Districts were identified. Out of these districts, 41 blocks were selected. Furthermore, a cluster of villages from these blocks were funnelled for the implementation of CMAM.

As part of the project, 234’000 children from these villages were screened by medical staff and those with severe health issues or cases of malnutrition were referred to local Malnutrition Treatment Centres where they were given an Energy Dense Nutrition Supplement (EDNS), locally known as ‘PoshanAmrit’, for 8 to 10 weeks.

In general, the key benefits of the POSHAN project model include:

 Decreased risk of child death from infection undermined by malnutrition

 Improved access to basic healthcare and nutrition support (Community mobilisation activities, including active case finding of malnourished children, helps to ensure that vulnerable groups who are often excluded, participate in the project.)
 Improved child nutritional status

 Improved learning potential and future performance, due to the prevention or correction of nutrient deficiencies. Present Scenario

• Prevalence of children with SAM (NFHS-3, 2005-06).

– India 6.4%

– Rajasthan 7.3%

• Children with SAM in Rajasthan (6.5 lacs)

– Children with SAM with complications (15%) 1.0 lacs

– Children with SAM without complications (85%) 5.5 lacs

Why CMAM in Rajasthan ??

Global Evidence Suggests:

1. Severe Acute Malnutrition can be identified in the community before the onset of medical complications

2. Of the total SAM population 10-15% need Facility based treatment (Malnutrition Treatment Centre)

3. Uncomplicated forms of SAM ( up to 90%) can be treated at home with Medical Nutrition Therapy

4. Community/home-based management of SAM with MNT has a major public health impact

• Facility based management of SAM (hospitalization) has limited capacity (only for complicated SAM )

• In Rajasthan there are 40 MTC’s(10 beds) + 107 MTC’s (6 Beds) = 1042 SAM can be treated at a time. Therefore around 25,000 SAM can be treated in a Year.

By implementing CMAM in Rajasthan the coverage will increase from few thousands to half million

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