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Use of RUTF outside of a CMAM program

This question was posted the Prevention and treatment of severe acute malnutrition forum area and has 1 replies. You can also reply via email – be sure to leave the subject unchanged.

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Cindy Pfitzenmaier

Normal user

20 Jun 2014, 18:15

We are are quickly approaching the BUBD in which we will not be able to distribute all of the RUTF through our CMAM program to treat SAM cases. We are considering an alternative of distributing one sachet of Plumpy Nut to severely underweight (<-3 SD) children (6 -23 months old) for five weeks. These children have already been identified through the monthly GMP sessions.

While some of these cases are likely MAM, we don't have the MUAC measurement for these already identified children. Does anyone have information or experience on using RUTF outside standard SAM guidelines? Specifically,

1. Are there any studies where it could be harmful to provide Plumpy Nut to this population? And
2. Is there any evidence where this could help improve their condition when used in this manner?
3. Thoughts on recommended dosage and time line?

Any help you can provide would be greatly appreciated.

Thank you,
Cindy

Anonymous 2550

Nutrition specialist for World vision Ethiopia

Normal user

24 Jun 2014, 07:37

Dear Cindy,
Plumpy'Nut is one of the recommended RUTF for cases:
- W/H<70%
-MUAC<11CM
-Bilateral pitting Oedema
over two months(8 weeks) period at Health post level on a weekly basis (up to 14 sachets per child/week) provided that he/she is able to eat the recommended amount. If unable to eat better refer to stabilization center for inpatient care. If there is no other medical complications, it is the best approach from my past experience.
There was no cues to say the case is MAM based on your report, Z-s ((<-3 SD)

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