Malnutrition Treatment Centre (MTC) with the intention to improve the quality of care  for Severe Acute Malnutrition (SAM) children and to reduce child mortality. Aim– To assess the sustained weight gain in children during follow up.  METHODOLOGY– Descriptive Prospective Study done in MTC of Mandar, Community Health Centre (CHC) and State Dispensary Doranda (SDD) of Ranchi district of Jharkhand. RESULT–Out of  145 cases  final result was obtained from 120 admitted SAM children.  Most of children up to age group 13–18 months 43(35.8%) followed by 25–60 months 33(27.5%). Mean age of the children was about 18.82 ± 11.339 months. 74 (61.66%) were female and male were 46 (38.33%) belonging to13 – 18 months of age group (34.16%). 15.83% children attain all four follow up and 55.83% did not attain any follow up. CONCLUSION– Study had pointed out the weakness at follow up visits.