USAID's Office of Food for Peace will consider proposals for the use
of Non-Fat Dry Milk (NFDM) for supplementary feeding under the following
conditions:
The need for supplementary feeding (SFP) is justified through reliable
data which includes malnutrition and mortality rates of the affected population(s),
clearly defined entry and exit criteria, and the expected duration of the
program. The product should be energy dense and blended with other commodities
(such as cereal/legume flour(s), sugar, oil) and vitamin/mineral pre-mix.
The final blended commodity, mixed according to nutritional principles, may
be used for on-site feeding or take-home ration. In order to avoid problems
due to lactose intolerance, the use of NFDM as a constituent of a blended
commodity should not be greater than 15% of the total cereal/legume by weight.
The Cooperating Sponsor (CS) will ensure that NFDM is stored in a
secure and clean facility, and program controls and end-use monitoring are
sufficient to prevent the inappropriate use or distribution of NFDM by program
staff and/or beneficiaries. Further, CS must ensure that regular market checks
are carried out to identify and deter possible leakage of NFDM into local
markets. Staff members receive training and supervision on the appropriate
uses of NFDM for feeding programs. This will include the promotion of breastfeeding
and protection of the International Code of Marketing of Breastmilk Substitutes.
CS will ensure that guidelines for the proper use of NFDM are available in
the appropriate language and that feeding centers are monitored on a regular
basis by technically qualified personnel and are accessible to USAID personnel
for monitoring purposes. CS provides to USAID periodic reports (quarterly/six months) regarding
any special problems, e.g., lactose intolerance or adverse impacts on breastfeeding,
in accordance with international guidelines. CS will include information
(monthly/quarterly) on recovery rates, death rates (case fatality rates),
default rates, weight gain, average length of stay. The Director of the Office of Food for Peace must approve any exceptions to the above policy.
1 Supplementary feeding (targeted and
blanket/on-site or take home) is aimed at rehabilitation of moderately malnourished
persons usually in follow-up to therapeutic interventions or to prevent deterioration
of nutritional status in an identified demographic group that is vulnerable
to malnutrition. Supplementary feeding in this case, should not be confused
with supplemental feeding using pre-blended commodities such as corn-soy
milk, wheat-soy milk and instant corn-soy milk. There is no specific policy
for the use of pre-blended commodities as their use is expected to be consistent
with the use of corn-soy blend and wheat-soy blend.
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