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Treatment of malnutrition

Experience by different organizations, including MSF, has shown that a very
successful way to deliver essential nutrients to malnourished children is with
ready-to-use foods (RUFs).


©Susan Shepherd



RUF is an effective treatment because each packet delivers 500 calories in the form of a dense nutrient spread that contains fortified milk powder and delivers the 40 essential nutrients that a malnourished child needs to reverse nutrient deficiencies and gain weight.

Further, RUFs are simple to use in resource-limited settings as an efficient and safe way to provide milk to young children:

  • They contain no water and are thus resistant to bacterial contamination.
  • They come in individually-wrapped airtight foil packets and have a long shelf life.
  • They don't require preparation and are easy to transport and use in hot climates.
  • Most critically, the vast majority of malnourished children can take this treatment at home, under the supervision of their mother or caregiver, instead of in hospital. This allows programmes to reach many more children, while at the same time minimising the risk of contracting an infection in hospital.

MSF and others have documented the successes that can be achieved through use of RUFs - high cure rates with high coverage, as well as low mortality and default rates.

However, according to MSF estimates, only 3% of the 20 million children suffering from severe acute malnutrition each year receive the treatment they need.

Read about MSF's successful experience using RUFs in Niger to combat child malnutrition

Watch this film about MSF's pilot project in Niger to treat malnourished children with RUFs


Read more about therapeutic RUF


Read a history of RUF