High-protein Quantity and Quality RUTF in Improving Linear Growth Among Children With Severe Wasting (Protein+)
Severe Wasting, Severe Acute Malnutrition
About this trial
This is an interventional treatment trial for Severe Wasting focused on measuring Child health, Ready-to-use therapeutic food, Severe acute malnutrition, RUTF, SAM, Wasting, Outpatient Therapeutic Programme, OTP
Eligibility Criteria
Inclusion Criteria: Infants 6-23 months of age with severe wasting at OTP admission according to the WHO criteria: WHZ below -3 or MUAC below 115mm. Parent or guardian is able and available to consent Children who are able to feed orally in the usual state of health The primary caregiver plans to stay in the study area during the duration of the study. Exclusion Criteria: Children with medical complications as per the CMAM guidelines (lack of appetite, severe oedematous malnutrition, acute infections) mild and moderate nutritional oedema Children with a known terminal illness (e.g. cancer), cerebral palsy (CP), tuberculosis (TB,) HIV infected or exposed Children who had SAM in the last 8 weeks, i.e., SAM relapses in the last 8 weeks Children admitted to any NRU due to complicated SAM in the previous 4 weeks will also be excluded Children whose caregivers refuse to give consent or whose primary givers are not available to give consent Children who were previously enrolled in this trial or currently enrolled in this trial whose sibling has also been enrolled in the study Children with known intolerance or allergy to high protein diets will be excluded as well as known intolerance or allergy to milk/lactose
Sites / Locations
- Ndirande, Mbayani, Bangwe, Limbe and Bangwe health centresRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Standard RUTF
High-protein RUTF
The standard RUTF dose is according to weight as per the WHO 2013 guideline, thus 150-220Kcal/kg/day. A child will receive a weekly ration for 8 consecutive weeks from enrolment.
The high-protein RUTF dose is according to weight as per the WHO 2013 guideline, thus 150-220Kcal/kg/day. A child will receive a weekly ration for 8 consecutive weeks from enrolment.