Design: We conducted a nonrandomized pilot intervention study in which 115 children eligible for outpatient treatment of SAM were provided a monthly ration of RUTF.
Anthropometric measurements were taken weekly for 4 wk to monitor treatment response.
SAM defined by having weight-for-height (WH) less than - 3 Z score or bi-pedal nutritional edema is an important cause of death in children globally including Bangladesh.
The death rate among children hospitalized for SAM is still high.
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Background: Community-based management of severe acute malnutrition (SAM) has been shown to be safe and cost-effective, but program coverage remains low.
Treatment models that maintain high levels of clinical effectiveness but allow for increased coverage are still needed.
Milk powder is expensive and often must be imported - in Malawi the cost of milk powder represents over half the cost of the final RUTF.RUTFs are an energy-dense lipid paste enriched with vitamins and minerals.The typical composition (ingredient % of weight) of RUTF is whole milk powder 30%; sugar 28%; vegetable oil 15.4%; peanut paste 25%; and mineral vitamin mix 1.6%.A reduced schedule of follow-up, in which children receive clinical follow-up and therapeutic foods on a monthly rather than weekly basis, may be one alternative.Objective: We aimed to describe the safety and feasibility of a monthly distribution of ready-to-use therapeutic food (RUTF) in the treatment of uncomplicated SAM, in terms of clinical response to treatment and household RUTF use.