Re: [pronut-hiv] Supplementation for moderately malnourished HIV-infected children (2)

["Pamela Fergusson" <p.fergusson@yahoo.com>]

Dear Zeina,
   
  Malawi has recently changed their guidelines for nutrition rehabilitation to include therapeutic feeding with an RUTF at 80% W/H for HIV infected children. For HIV uninfected children the cut off is 70% W/H.
   
  Malawi - how is this working? Any feedback or data form Malawi would be welcome. The hope is to catch moderately malnourished children HIV infected children and prevent them from becoming severely malnourished. At the moment I believe these children are receiving a therapeutic ration of RUTF; would be interesting to see this compared with an RUSF - especially one designed for HIV infected children. 
   
  Best,
  Pamela. 

----Zeina Makhoul wrote:
  Hello,

Does anyone know:

What is the best approach to supplement moderately malnourished (weight for age z score between -2 and -3) HIV-infected children with PlumpyNut or Supplementary Plumpy? I read papers where they did it per kg body weight but the children were severely malnourished. Are there age-specific guidelines for moderate malnutrition where RUTF is used as a supplement instead of therapeutic food? Or are there any guidelines for treatment of moderate malnutrition?

Thanks!!

Zeina Makhoul
Postdoctoral Research Fellow
Fred Hutchinson Cancer Research Center
Seattle, Washington