RUTF (Ready to Use Therapeutic Food)

RUTF (Malai MixTM) is a ready-to-use food, specially designed for the nutritional rehabilitation of severely acutely malnourished children.

Malai MixTM is our trademark fo“RUTF” (Ready-to-Use Therapeutic Food).

Target population

RUTF (Malai MixTM ) designed for the treatment of severe acute malnutrition in children (from 6 months of age). Is also suitable for adults suffering from severe acute malnutrition.

RUTF (Malai MixTM) can also be used for the treatment of moderate acute malnutrition, in the event other products particularly adapted are not available.

RUTF (Malai MixTM) should not be given to people who are allergic to milk and peanuts.

Use context

The invention of RUTF was done to revolutionise the management of severe acute malnutrition by making home treatment/ ambulatory or outpatient care possible for severely malnourished children with an appetite and without medical complications. (References (3), (4), (5) and (6) at the end of the document)

Even though RUTF (Malai MixTM) can be used without surveillance, it should be emphasised that the unsafe condition of the severely malnourished children treated with RUTF (Malai MixTM) requires a health practitioner’s prescription and regular medical check-ups (weekly).

During the first years of life, children living in developing countries are most at risk of undernutrition. Children suffering from severe acute malnutrition are at risk of death or severe impairment of growth and psychological development. That’s why it is crucial to correct the nutritional status in these young age groups as soon as possible.

Product benefit

Children who fall under the cut-off for severe acute malnutrition (using Mid Upper Arm Circumference, Weight/Height ratio, and nutritional oedema) need to receive an adapted diet that allows them to regain a normal nutritional status. The diet mainly needs to account for a malnourished child’s elevated nutrient and energy requirements for catch-up growth. (Reference (1) and (2) at the end of the document)

A lipid-based nutritional supplement high mineral content, such as RUTF (Malai MixTM), is well- adapted to the needs of severe acute malnourished children.

A lipid-based nutritional supplement with a high vitamin and mineral content, such as Malai Mix, is well-adapted to the needs of severe acute malnourished children.

RUTF (Malai MixTM) can be safely used and stored outside the rehabilitation centre, enabling home treatment. (see the “Storage Condition”)

Recommendations for use


Preparation

RUTF (Malai MixTM) can be used directly, as it is, without prior training.

Use

RUTF (Malai MixTM) can be eaten directly from the sachet without prior cooking or dilution with water. The sachet can easily be opened by tearing off one corner of the sachet.

RUTF (Malai MixTM) can be eaten by a child on his/her own, without having to be helped by his/her mother or anyone else.

It is recommended to have water suitable for always drinking available for the child when RUTF (Malai MixTM) is used. After opening, the sachet can be used through the day, keeping safe and hygienically.

Severely malnourished children are treated under medical supervision. Medical supervision can be provided as inpatient or outpatient care. Severely malnourished children treated with RUTF (Malai MixTM) should receive regular check-ups from a health practitioner, during which they can also receive their next ration of RUTF (Malai MixTM)

Hand washing with water and soap (mother & child) before consumption is recommended.

RECOMMENDED DOSAGE
From 6 months of age Severe acute malnutrition
Dosage Equivalent kcal / kg body weight/ day 200 kcal / kg body weight / day until the targeted weight is reached That is about 3 sachets per day for a severe acute malnourished child weighing 7 kg

RUTF (Malai MixTM) is not adapted for well-nourished children nor adults.

RUTF (Malai MixTM) use should be limited to the treatment of acute malnutrition.

RUTF (Malai MixTM) does not replace breastfeeding.

Breastfeeding is recommended for at least 24 months, and exclusively for the first six months of age.

Ingredients


Roasted Bold Peanut, Refined Sugar, Milk Solid, Non-hydrogenated vegetable fat (palm, soy, peanut), vitamin and mineral complex, emulsifier, Antioxidant.

Note: trans fatty acids < 3% of total fatty acids.

RUTF (Malai MixTM) complies with the nutritional composition recommended by the document « Community-based management of severe acute malnutrition » (Reference (2) at the end of the document).

Mean nutritional value

For 100g of Malai Mix For 92 g For 100g of Malai Mix For 92 g
Min Max (serving size) Min Max (serving size)
Energy 520 kcal 550 kcal 500 kcal Selenium 20 µg 40 µg 28 µg
Proteins(% of total energy) 12.80% of energy 16.20% of energy 10% of energy(=13,34 g) Sodium - 290 mg < 267 mg
% of milk proteins 50 % of total proteins - > 50 % of total proteins Vitamin A 0.8 mg 1.2 mg 0.8 µg
Lipids (% of total energy) 45% of energy 60% of energy 56% of energy(=31.28 g) Vitamin D 15 µg 20 µg 17
Fatty acid n-6(% of total energy ) 3% of energy 10% of energy 7% Vitamin E 20 mg 40 mg 25 mg
Fatty acid n-3(% of total energy ) 0.3% of energy 2.5% of energy ≈ 0.7 % Vitamin C 50 mg 132 mg 50 mg
Moisture - 2,5 g max 2.3 g max Vitamin B1 0.5 mg 1.5 mg 0.46 mg
Calcium 300 mg 600 mg 368 mg Vitamin B2 1.6 mg 3.0 mg 1.66 mg
Phosphorus 300 mg 600 mg 368 mg Vitamin B6 0.6 mg 0.9 mg 0.64 mg
Potassium 1100 mg 1400 mg 1012 mg Vitamin B12 1,6 µg 3,0 µg 1.5 µg
Magnesium 80 mg 140 mg 101 mg Vitamin K 15 µg 30 µg 19.0 µg
Zinc 11 mg 14 mg 11 mg Biotin 60 µg 90 µg 64 µg
Copper 1.4 mg 1.8 mg 1.4 mg Folic acid 200 µg 400 µg 207 µg
Iron 10 mg 14 mg 9.2 mg Pantothenic acid 3 mg 6 mg 2.8 mg
Iodine 70 µg 140 µg 92 µg Niacin 5 mg 9 mg 5.3 mg

Quality standards


RUTF (Malai MixTM) complies with the “Guidelines for Formulated Supplementary Foods for Older Infants and Young Children” of the Codex Alimentarius CAC/GL 08-1991.

All added mineral salts and vitamins included in RUTF (Malai MixTM) are on the “Advisory Lists of Nutrient Compounds for Use in Foods for Special Dietary Uses Intended for Infants and Young Children” of the Codex Alimentarius Standard CAC/GL 10-1979 (amended 1983, 1991, 2009).

RUTF (Malai MixTM) is packaged in 92g flexible foil under a protective atmosphere (Under Nitrogen) to optimise the product’s shelf life, and sachets are air and humidity tight.

The packaging material of the sachet is suitable for food contact.

Logistic Information


Best Before date

Best before date (« BB ») is 24 months from the manufacturing date stated on each sachet.

After opening, the sachet Consume within 24 hours (Keeping sachet safely and hygienically).

Storage Condition

It is recommended to keep the product in a dry and cold place, at a temperature below 30°C (86°F) away from direct sunlight.

RUTF (Malai MixTM) is a ready-to-use paste that does not need to be mixed with water, and that doesn’t allow bacterial proliferation because of its low water activity (aw) (Reference (6) at the end of document). RUTF (Malai MixTM) can, therefore, be safely used and stored outside the rehabilitation centre, enabling home treatment.

It is recommended not to stack the pallets

Serving size unit

The 92g sachet is providing 500kcal.

Loading plan

PER CARTON
Unit 150 sachets of 92 g
Net Weight / unit 13.8 kg
Estimated Gross Weight / unit 15.134 kg
Dimensions / unit 37 x 29 x 28 cm


Sea transport :

PER Pallet Loaded 20’ container Loaded 40’ container
Unit 66 cartons 11 pallets (726 cartons) 23 pallets (1518 cartons)
Net Weight / unit 910.8 kg 10,018 .8 kg 20,948.4 kg
Estimated Gross Weight / unit 998.844 kg 10,987.28 kg 22,973.41 kg
Dimensions / unit 100 x 120 x 15 cm


Air transport :

PER Pallet Loaded lorry
Unit 44 cartons 26 pallets (1144 cartons)
Net Weight / unit 607.2 kg 15,787.2 kg
Estimated Gross Weight / unit 665.896 kg 17,313.296 kg
Dimensions / unit 100 x 120 x 15 cm


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