I was suprised to learn our agency might shortly be mostly receiving Plumpy Doz as GIK from a UN agency for the treatment of children with moderate acute malnutrition in an SFP. We have used it for prevention of malnutrition in another country but not for treatment. I know there have been a few studies done recently comparing it with standard treatment and a posting asking about this, but I have not seen much on preliminary or final results. Is Plumpy Doz now considered acceptable to use for treatment of MAM? and if so, what are the protocols being used for treatment in these trials?
It is difficult to say much about the use of Plumpy Doz in treatment of MAM children by now (my opinion). But, ACF has seen some encouraging results particularly at post harvest time. It needs further study to say so, but please check on www.nutriset.fr website and it is recommended both for treatment and prevention of moderate acute malnutrition.
Assaye
Answered:
14 years agoWendy;
Plumpy Doz is a good source of micronutrients. You will need to add an adequate source of macronturients to this to treat MAM. Since the micronutrients are provided throught the paste, a cereal-legume flour is probably an adequate source of macronutrients. Depending on where you are, other foods may be available too. Give 75 kcal/kg/d, remembering Plumpy Doz is 5 kcal/g. So if 20 g of Plumpy Doz were given, this is 80 kcal and more energy will be needed.
Mark Manary
Technical Expert
Answered:
14 years agoMark,
If you were using an RUTF (e.g. Plumpy'Nut) to treat MAM what dose would you go for? I've just been looking at a protocol which proposed approximately 100 kcal/g/day and 2-2.5 g/kg/day protein (the "approximately" is down to packaging). Does that seem reasonable?
Mark Myatt
Technical Expert
Answered:
14 years agoHello,
In our programs were we used RUTF for treatment of MAM, we gave 1000 kcal / day (2 sachets).
For MAM according to new WHO standards, in Niger, where 90% of children included in the program are < 2 years old, while we were not in hunger gap season, I tried with 500 Kcal (1 sachet)/day: according to centres, the mean lenght of stay ranged from 38 to 55 days and mean weight gain from 2,5 to 3,9 g/kg/d.
During Hunger gap period, children received 2 PN/day and mean lenght of stay and mean weight gain ranged from 35 to 46 days and 2,9 to 3,6 g/kg/j respectively.
Pascale Delchevalerie
Answered:
14 years agoA question to Pascale:
Did you used Plumpy nut to recover children with MAM?... Is there any risk doing that?... what is the best daily dose?
Thanks a lot.
Santiago
Answered:
14 years agoA question to Pascale:
Did you use Plumpy nut to recover children with MAM?..Is there any risk doing that?
And what about daily dose?
Another person or institution had use Plumply nut to treat MAM?
Thanks a lot
Santiago
Answered:
14 years ago