I have recently completed a review of nutrition issues in a small Pacific Island country, which has a high prevalence of obesity and associated NCDs in adults. However there is also a small but increasing problem of severe/moderate acute malnutrition in young children in urban areas, associated with early cessation of breastfeeding. A program is being planned for prevention, however in respect of treatment, the nutrition team has had difficulty in securing appropriate therapeutic products for hospital and/or community based treatment of these children,. Apparently staff of regional agencies believe that acute malnutrition does not exist in these settings and will not approve supply. I have raised this issue with the regional UNICEF office, with no reply as yet. Meantime can anyone advise what could be done to access a supply of RUTF & RUSF?