NUTRITIONAL REHABILITATION IN THE COMMUNITY
1. PROTEIN ENERGY MALNUTRITION 2. MICRONUTRIENT DEFICIENCY.
`
NUTRITIONAL DISORDERS
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
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 upto 1yr >1 yr new born WOMEN not pregnant preg & lact
ORAL 55 110 27.5
I.V TIMES I lakh once 2 lakh every4-6m 50,000 at birth
165 275 275
3 lakh 5000 daily 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