"Introduction: India is among one of the most burdened countries in the world for childhood malnutrition. Child Malnutrition Treat-ment Centre (CMTC) provide nutritional therapy to severe malnourished children which is one of the newer initiative of Government of Gujarat to tackle undernutri-tion among children as part of “Mission Balam Sukham”. After 2 years of completion of “Mission Balam Sukham”, the centre should be evaluat-ed to identify good aspects and areas which need focus. Objective: The objective of the study is to evaluate Strengths, Weaknesses, Op-portunities and Challenges (or Threats) of Community Malnutrition Treatment Cen-tre (CMTC), Mahuva Methodology: Out of 3 func-tioning CMTCs in Surat dis-trict, CMTC Mahuva was randomly selected & SWOC (Strengths, Weaknesses, Op-portunities and Challenges) analysis of the centre was done by interviewing super-intendent, nutritionist, other staff of centre and beneficiar-ies’ mothers. Results: CMTC Mahuva hav-ing strengths such as definite guidelines, motivated and trained human resource and financial resource, good in-frastructure, support by Su-perintendent of CHC Ma-huva. Weaknesses like insuf-ficiency of budget, non-availability of pediatrician in nearby place and lack of fully functioning Nutritional Re-habilitation Centre at district level also co-exist. Centre is having external opportunities like use of Rogi Kalyan Sami-ti funds for purchase of med-icine, use of CM-SETU (Chief Minister, Services of Experts at Treatment Unit) for avail-ing pediatrician’s services, pooling of medicines sup-plied to other health centres, donations from private com-panies etc. Challenges like beneficiaries referred but not reaching to centre due to so-cial reasons, impossibility of night stay at centre, issues of drop out, child enrolled without any companion are also present. Conclusion: Even though CMTC, Mahuva is having some internal weaknesses and external challenges, the existing staffs are very enthu-siastic and trying their best to achieving the objectives by balancing these weaknesses and challenges with the help of existing strengths and op-portunities."