Acceptability of locally produced ready-to-use therapeutic foods in Ethiopia, Ghana, Pakistan and India

Maternal & Child Nutrition
Jacklyn WeberMark J Manary

Abstract

Successful treatment of severe acute malnutrition has been achieved with ready-to-use therapeutic food (RUTF), but only 15% of children with severe acute malnutrition receive RUTF. The objective of this study was to determine whether new formulations of RUTF produced using locally available ingredients were acceptable to young children in Ethiopia, Ghana, Pakistan and India. The local RUTFs were formulated using a linear programming tool that allows for inclusion of only local ingredients and minimizes cost. The study consisted of 4 two-arm, crossover, site-randomized food acceptability trials to test the acceptability of an alternative RUTF formula compared with the standard peanut-based RUTF containing powdered milk. Fifty children with moderate wasting in each country were enrolled in the 2-week study. Acceptability was measured by overall consumption, likeability and adverse effects reported by caregivers. Two of the four RUTFs did not include peanut, and all four used alternative dairy proteins rather than milk. The ingredient cost of all of the RUTFs was about 60% of standard RUTF. In Ethiopia, Ghana and India, the local RUTF was tolerated well without increased reports of rash, diarrhoea or vomiting. Children consumed si...Continue Reading

References

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Jun 12, 2013·Lancet·UNKNOWN Maternal and Child Nutrition Study GroupPatrick Webb
Nov 21, 2014·The American Journal of Clinical Nutrition·Kelsey N RyanMark J Manary

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Citations

Apr 12, 2017·International Journal of Environmental Research and Public Health·Alessandra N BazzanoJohn B Mason
Nov 16, 2017·The Proceedings of the Nutrition Society·F B Zotor, P Amuna
Sep 22, 2018·Food and Nutrition Bulletin·Meghan Callaghan-Gillespie, Melody Mui
Nov 9, 2017·Nutrition Research Reviews·Veronika Scherbaum, M Leila Srour
Sep 22, 2018·Advances in Nutrition·Rozenn GazanNicole Darmon
Apr 24, 2019·Current Developments in Nutrition·Ryan T PitmanMark J Manary

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