guidelines for the integrated management of severe acute malnutrition

ACF-In Guidelines for the integrated management of SAM Annexes 172
BP 100 MedicFood
For 100 g
BP100 MedicFood is a compressed food product for use in the rehabilitation phase (Phase 2) of severe
malnourished children and adults. The nutritional specification is close to identical with the specification
for the therapeutic milk F100. The major nutritional difference between BP100 and F100 is that BP100
contains iron (10mg per 100g). In the initial phase of the treatment of severe malnutrition (Phase1 and
Transition)
Who to give BP100: Children from 12 months old, adolescents and adults severely malnourished in the
rehabilitation phase (Phase 2) of the treatment. BP100 should never be used for patients below 6
months old.
How to use BP100: BP100 can be eaten as a biscuit directly from the pack together with sufficient
drinking water (2,5 to 3 dl per bar), or crumbled into water and eaten as porridge. For children 12 to 24
months of age, BP100 should always be given as porridge due to their problems demanding water
when thirsty.
Storage of BP100: BP100 has a shelf life of 2 years in an unopened package. After breaking the alu-foil
bag the product should be used within 1-2 weeks depending on the storage conditions. Porridge made
of BP100 and water should be used within 3 hours.
Packaging: BP100 is compressed into tablets of 28.4g. Each package of BP100 (510g net) contains 18
tablets packed into 9 bars in grease-proof paper (1 bar = 2 tablets = 300 Kcal).
Local production of RUTF
Per sachet of 92
g
The required ingredients for RUTF are as follows:
Four basic ingredients of RUTF: sugar; Dried Skim Milk; oil; and a vitamin and mineral supplement. In
addition up to 25% of the weight of the product can come from vegetable sources such as oil-seeds,
groundnuts or cereals such as oats.
In addition to good nutritional quality (protein, energy and micronutrients), RUTF should have the
following attributes:
• taste and texture suitable for young children
For 100 g
Per sachet of 92
g
Energy 545 kcal 500 kcal Vitamin A 910 mcg 840 mcg
Proteins 13.6 g 12.5 g Vitamin D 16 mcg 15 mcg
Lipids 35.7 g 32.86 g Vitamin E 20 mg 18.4 mg
Calcium 300 mg 276 mg Vitamin C 53 mg 49 mg
Phosphoru
s
300 mg 276 mg Vitamin B1 0.6 mg 0.55 mg
Potassium 1 111 mg 1 022 mg Vitamin B2 1.8 mg 1.66 mg
Magnesium 92 mg 84.6 mg Vitamin B6 0.6 mg 0.55 mg
Zinc 14 mg 12.9 mg Vitamin B12 1.8 mcg 1.7 mcg
Copper 1.8 mg 1.6 mg Vitamin K 21 mcg 19.3 mcg
Iron 11.5 mg 10.6 mg Biotin 65 mcg 60 mcg
Iodine 100 mcg 92 mcg Folic acid 210 mcg 193 mcg
Selenium 30 mcg 27.6 mcg Pantothenic acid 3.1 mg 2.85 mg
Sodium < 290 mg < 267 mg Niacin 5.3 mg 4.88 mg