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RUSF and RUTF - malnourished PLW

This question was posted the Prevention and treatment of moderate acute malnutrition forum area and has 5 replies.

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Anonymous 24408

Normal user

24 May 2019, 13:21

Can plumpysup and plumpynut be used to treat acutely malnourished pregnant and lactating women?

Mbaye Diop

CLM

Normal user

25 May 2019, 17:34

Hello,
I think there is a specific treatment for breastfeeding women and pregnant women: the supercereal and oil offered by WFP.
According to the experience I had with RUTFs, it is aimed at children with acute malnutrition 6-59 months of age and women receive nutritional advice and support from their husbands and families.

Chantal Autotte Bouchard

Health & Nut Advisor /Action Against Hunger

Normal user

28 May 2019, 09:00

Hi,

Plumpy Nut can be use for anyone start at 6 month, but Nutritset develop some specific product for PlW please see reference and nutritional information on the website:

https://www.nutriset.fr/products/en/plumpy-nut

https://www.nutriset.fr/en/1000-days

https://www.nutriset.fr/products/en/growell-mum

https://www.nutriset.fr/products/fr/plumpy-mum

https://www.nutriset.fr/en/strengthen-and-advance-nutritional-strategies

Best
Chantal

Mark Myatt

Frequent user

28 May 2019, 09:28

There are advantages to having a single product program.

It is important to note, however, that RUTF and RUSF products have been designed for the nutritional rehabilitation of children and may not be the best products to use with adults. It is not, I think, a matter of the nutritional content of RUFT and RUSF. I have seen (e.g.) good results with RUTF in both adults and paediatric HIV/AIDS programming. One problem that I have heard of is taste / flavour with RUTF and RUSF being too sweet to be palatable for adults to consume over anything but short periods or on an occasional basis. This "excessive" sweetness may not be an issue if RUTF or RUSF is used as a simple supplement to be used in small quantities. This issue may be most signifiant in settings in which fermented "sour" food is common. In these settings it may be best to use products better suited to the adult palate.

I feel that we should also note that the "Plumpy" and "Enov" range of products are from a single company (i.e. Nutriset) and other sources of such products are available.

I hope this is of some use.

Mija Ververs

Johns Hopkins Center for Humanitarian Health

Normal user

28 May 2019, 15:06

I would like to align with the comments of Mark. From my experience with acute malnutrition amongst adults we know that RUTF and RUSF are not always preferred by the person affected. One reason is indeed the sweetness. If special products are offered, I have seen that adults tend to like often more BP100 than the lipid based RUTFs. But I have no specific experience on this concerning PLW. Do not forget there are also options amongst high nutritious food products locally and one does not always need to resort to these high tech and expensive products, especially if the woman is moderately 'malnourished'. That said, I am curious to know how you have defined acute malnutrition in your work for PLW and what cut-off points you use for anthropometry as there is no general consensus on this, yet.

BWAMBALE BERNARD

Nutrition project officer

Normal user

30 May 2019, 16:30

RUSF can also be used in management of Moderate Acute Malnutrition. we have been using it in managing PLWs with MAM in the refugee setting especially at reception centers where clients are not able to prepare super cereal. The PLWs do respond positively of course putting into considerations the quantity of calories.

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