ACTION AGAINST HUNGER THE READY TO USE REVOLUTION

Photo: ACF-D.R. Congo, S. Vidyarthi

ACTION AGAINST HUNGER | ACF INTERNATIONAL www.actionagainsthunger.org

BREAKTHROUGH #1: REDUCING CHILD MORTALITY

REVOLUTIONARY MILK FORMULA F-100
• ACF’s F-100 therapeutic milk formula revolutionizes the treatment of malnutrition in 1993 • F-100 reduces mortality rates by 75% for children being treated for severe acute malnutrition • UN’s World Health Organization adopts F-100 and ACF’s protocols as industry standards • ACF leaves F-100 unpatented to ensure broad access • F-100 is effective, but only 3-9% of at-risk cases get treatment • F-100 requires a hospital setting, clean water, medical oversight • Lengthy hospital stays impose economic hardships on families

Foil F-100 packet, right; MUAC measuring tape above—measures the “middle upper arm circumference” to detect malnutrition.

BREAKTHROUGH #2: PLUMPY’NUT & RUTFS

THE READY-TO-USE REVOLUTION
• ACF’s F-100 milk formula is repackaged as Plumpy’nut in 1997, a ready-to-use-therapeutic-food (RUTF) • This reformulation of F-100 as a more stable, nutrient-dense, peanut butter-based product has huge advantages • RUTFs like Plumpy’nut require no refrigeration, no clean water, have long shelf-lives, and can be opened and eaten • ACF field tests this lifesaving RUTF in Chad in 1997, helping to develop protocols for its use • ACF achieves 90-95% cure rates with Plumpy’nut • Children with medical complications still need F-100 • But RUTFs opened the door to “home treatment” • Malnutrition can now be treated outside of hospitals • With RUTFs, scalable outreach efforts are possible

Plumpy’nut, the first RUTF, was developed by Dr. Mark Manary, nutritionist André Briend and food engineer Michel Lescanne, founder of Nutriset. It’s lifesaving promise is revolutionary.

BREAKTHROUGH #3: COMMUNITY-BASED CARE

BRINGING SOLUTIONS TO SCALE
• Acute malnutrition may be deadly, but it’s largely predictable, preventable and affordable to treat with 90% cure rates • We know how to save the lives of malnourished children if we can get to them in time • RUTFs have enabled community-based models of home treatment of vast potential • If brought to scale, RUTFs + scalable outreach models are game-changers • These twin advances massively expand access to lifesaving care • Treatment is affordable, but it must become a political priority • Just $45 provides a child with a lifesaving regimen of RUTFs • RUTFs + scalable outreach models offer a historic opportunity • For the first time, we can now save millions of young lives • For the first time, we can now end child deaths from hunger
This two-page infographic explains how ACF works with local communities to detect, treat, manage and prevent acute malnutrition.

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