RE: [pronut-hiv] Supplementation for moderately malnourished HIV-infected children (5)

["Zeina Makhoul" <zeinamakhoul@yahoo.com>]

Are there published guidelines/protocols for SFP? I was only able to find publications on management of SAM and therapeutic programs. Also, anything specific to Kenya?
   
  Zeina

----"Dr. Robert Mwadime" wrote:
  Hi Pamela,

My understanding is that the shift from 70% to 80% in Malawi has actually
not as yet materialized. It has been talked but reviews of the (draft)
national protocols will be done mid next year. They are treat like all
children (HIV negative or status not known): admitted at 70% and discharge
at 80% where there is SFP and 85% where there is none. However, HIV+
severely malnourished children are almost always admitted. 


Robert Mwadime (PHD)
Regional Senior Nutrion and HIV/AIDS Advisor
Academy for Education Development (AED)
Food and Nutrition Technical Assistance (FANTA) Project
c/o Regional Centre for Quality of Health Care,
P. O. Box 29140 Kampala, Uganda
Tel: +256-772-517438, 752-587635, 414-530888
www.fantaproject/www.aed.org


-----Pamela Fergusson wrote:

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