Case studies
News Positive
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16 March, 2026News Positive
Collaborative Action by Government Health & ICDS Services and NGO Initiatives in Addressing Severe Acute Malnutrition with other complication
Odisha : Kabita Tamulia, born on 13 October 2023 in Chapal village, was enrolled at Chapal Crèche on 14 February 2025, where routine growth monitoring identified her with Severe Acute Malnutrition (SAM). She was first referred to the Nutritional Rehabilitation Centre (NRC), Anandapur on 16 April 2025 and discharged on 4 May 2025 after receiving protocol-based treatment. Due to recurring health complications, she was again referred to NRC Keonjhar on 4 August 2025. Continuous crèche- and home-level assessments, along with intensive counselling, were jointly provided by CINI staff and ICDS functionaries to ensure treatment compliance and appropriate home-based care. As her health issues persisted, coordinated efforts involving the Lady Supervisor, CDPO, RBSK team, and other government stakeholders led to escalation of the case in December 2025. This resulted in advanced treatment at Anandapur Sub-Divisional Hospital and subsequently at District Hospital, Keonjhar, where an intestinal blockage was diagnosed and treated. Following her discharge on 29 December 2025, Kabita has been attending the crèche regularly with ongoing follow-up and counselling. The case highlights the positive impact of CINI’s field engagement, parental counselling, and strong convergence with government health and ICDS systems in managing severe malnutrition among vulnerable children.
A Mother & Child Reborn: Breaking Myths and Restoring Health Through Nutrition Counselling in Simdega, Jharkhand
Jharkhand: Kaushalya Devi, from Budharatoli in Simdega, Jharkhand, delivered a baby via C-section in June 2025. Soon after, she became extremely weak due to restrictive postpartum diets, which limited her to rice and salt, resulting in insufficient breastmilk and poor infant growth.
The CINI field team identified the situation during a routine Anganwadi visit and began intensive counselling with Kaushalya and her family, highlighting the importance of a balanced diet, rest, hygiene, and timely health care. The husband committed to providing nutritious meals, including pulses, vegetables, eggs, and milk, marking a turning point in her recovery.
Within weeks, Kaushalya regained strength, her appetite improved, and her baby’s feeding and growth normalized. Continued guidance on exclusive breastfeeding, coupled with access to Take-Home Rations and government services, ensured long-term nutritional security. By December 2025, both mother and child had fully recovered, showcasing how evidence-based counselling, family engagement, and community support can overcome postpartum challenges and transform maternal and child health.
