As under nutrition is associated with high rates of mortality and morbidity and is an underlying factor in almost one-third to half of all children under five years who die each year of preventable causes, WOSCA manages the Nutrition Rehabilitation Center (NRC) at CHC, Barbil from 2019. Nutrition Rehabilitation Center (NRC) is a special unit managed by WOSCA with the support of District Mineral Foundation (DMF, Keonjhar in a health facility where children with Severe Acute Malnutrition (SAM) are admitted and managed. Children are admitted as per the defined admission criteria and provided with medical and nutritional therapeutic care. Once discharged from the NRC, the child continues to be in the Nutrition Rehabilitation program till she/he attains the defined discharge criteria from the program. In addition to curative care, special focus is given timely, adequate and appropriate feeding for children; and on improving the skills of mothers and caregivers on complete age appropriate caring and feeding practices. In addition, efforts are made to build the capacity of mothers/caregivers through counselling and support to identify the nutrition and health problems in their children. WOSCA has its 10 bedded NRC hospital at CHC, Barbil which has a covered area of about 1950 sq ft including the patient area, play and counselling area, nursing station, kitchen, storage space, two bathrooms and two toilets. The approximate covered area of the NRC is about 150 sq ft per bed, plus 30% for ancillary area. The walls of the NRC boundary has been brightly painted and decorated with necessary information relating to the child nutrition. There is sufficient space for all mothers/ caregivers staying with the children to sit together and be given cooking and feeding demonstration. WOSCA ensures that the NRC has a cheerful, stimulating and child friendly environment. Besides, children managed at specialised units located at health facilities also need to be followed up at their households and communities after being discharged for continued care and support; and to prevent the relapse. Therefore, a community based programme, which complements and links to facility based interventions is also put in place simultaneously. Total 605 SAM children have been served here till now. Standard Operating Procedures (SOP) for day to day operation of the NRC (as per Government guidelines)