Dear Blessing, We had a related question (though primarily concerning SAM), some time ago. Please see [url]http://www.en-net.org/question/866.aspx[/url] In that discussion reference was made to the IMAM protocol written by Mike Golden and Yvonne Grellety in 2012, located on the CMAM forum here [url]http://www.cmamforum.org/Pool/Resources/Example-of-IMAM-protocol-West-Africa-Golden-Grellety-2012-eng.pdf[/url] I hope you can find the required information there. There may be others with good experience on use of RUSF with adults who can also assist you with advice. Best wishes, Tamsin