CMAM in India: The latest on our ground-breaking project in Odisha.

VALID NUTRITION’S ground-breaking operational pilot examining the effectiveness of 3 different approaches to Community based Management of Acute Malnutrition (CMAM) in Odisha (Orissa) is well under way.  This pilot is the first time that an Indian government programme has used Ready to Use Therapeutic Food (RUTF) and so represents a really important step forward that has huge potential ramifications.

Since 2008, following a controversy over the unsanctioned use of imported Nutriset product by several international organisations, the use of RUTF had effectively been banned.  This has meant that India, home to almost half of the world’s cases of Severe Acute Malnutrition (SAM), remains the only major country not to use the CMAM approach.

The project is being funded by DFID India and taking place across one district with a population of just under one million.  Child development services in the district are well developed and the VALID team has supported and trained over 2,000 community level workers to diagnose SAM, provide basic medical screening and prescribe the correct dose of RUTF to children found to be suffering from SAM. VALID has been working with the government, to train workers and facilitate programme implementation while also helping  to develop protocols and guidelines.  We have also been involved in setting up a small RUTF production facility, run by a local women’s self help group, which has the capacity to supply RUTF to the whole district.

Vitally, we are collecting data on the implementation and effectiveness of the pilot to provide the government with concrete answers as to the effectiveness of the different approaches in the India context.

If the project is a success – and the data demonstrates that RUTF is as effective in India as it is in the other 65 countries where it is used (initial signs look very positive) – the potential for this project to scale up is absolutely huge.

India has a vast network of community-based child development services with hundreds of thousands of similar centres spread across the whole country. These centres reach up to 8 million children with SAM, who could for the first time be offered effective treatment within a few years.

Last year Valid Nutrition’s factory in Malawi produced 3 million sachets of RUTF, enough to treat 25,000 children with Severe Acute Malnutrition (SAM)

Last year Valid Nutrition’s factory in Malawi produced 3 million sachets of RUTF, enough to treat 25,000 children with Severe Acute Malnutrition (SAM)

Over the past year our factory in Malawi, which we operate with our partners Exagris Africa, has produced 3 million sachets of Ready to Use Therapeutic Food (RUTF), sufficient to treat around 25,000 children with Severe Acute Malnutrition (SAM).

Despite these figures it has been a difficult year due to a poor groundnut harvest. Peanut paste is a key raw material for RUTF and the quality need to be extremely high. We have struggled to maintain a consistent supply of paste and in response to this we have made several changes with our suppliers. While it will take some time to see the benefits materialise, we remain optimistic on the longer term outlook. Demand for RUTF remains high and if we can produce, the volume opportunities are there.

With the help of a grant from USAID’s South African Trade Hub (SATH), we plan to start pilot production of a Ready-to-use Complementary food (RUCF) in Malawi very soon.

What is RUCF? RUCFs are designed to prevent chronic malnutrition which affects 43% of all children in Malawi and on average over 40% of all children in sub Saharan Africa. We intend to undertake a test market project using RUCF in Malawi, which will focus on addressing the process used to reach children affected by Chronic Malnutrition using a customer and market driven approach. This is the first step in a very ambitious programme we have lined up for 2015 to start the process of unlocking this potentially massive market.

 

Valid Nutrition and the opportunities and challenges of producing RUTF in Malawi

Valid Nutrition and the opportunities and challenges of producing RUTF in Malawi

Valid Nutrition have always argued that RUTF should be produced in the developing countries and regions where it is consumed, ideally using local ingredients sourced from small-holder farmers. Doing so brings major developmental advantages  and a corresponding multiplier effect to local economies which ultimately, should facilitate a more efficient supply and value chain.  We have now completed a four year study – funded by Irish Aid and in conjunction with University College Cork and Bunda College, Malawi on the Malawi Groundnut Value Chain. The results and implications will be discussed at an event in Malawi on 16th October SHF Presentation Oct 2014