Ready-to-Use Therapeutic Food Commodity Fact Sheet

WBSCM Material Description and Number

EMERGENCY FD, RUTF SPRD POUCH-150/92 G  110170

General Information

Ready-to-Use Therapeutic Foods (RUTF) are high-energy, lipid-based spreads used in any cultural setting for the treatment of severe acute malnutrition (SAM)1. They are designed to be used in Phase 2 for the rehabilitation of severely malnourished populations and are designed to provide the same nutritional profile as F100 therapeutic milk. RUTF may be the sole source of food, except water and/or breast milk, during the period of use. RUTF must meet the specifications of the United Nations Children’s Fund (UNICEF) Supply Catalog for therapeutic spreads (http://www.supply.unicef.dk/catalogue/). RUTF spreads are packaged in 92-gram sachets and subsequently in cases of 150 sachets. They have a shelf life of two years when stored at 80 degrees Fahrenheit and are designed to be used in any climactic setting. For full product specifications refer to the USDA Commodity Requirements Document and/or the Commercial Item Description for Ready-to-Use Therapeutic Foods.

Programming Guidance

RUTF is expected to be used as part of a medical malnutrition intervention program for targeted populations, including children 6 to 59 months of age with SAM who are free from severe medical complications and who have appetite. This intervention is to be delivered in accordance with United Nations (UN) guidelines for the outpatient care and management of SAM, with national guidelines for the management of SAM, and with guidelines described in Community-based Therapeutic Care (CTC): A field manual (Valid International 2006). Inpatient settings may provide F100 or SP450 as an alternative to RUTF, but RUTF is the treatment of choice for community-based management of SAM. RUTF is provided according to the weight of the child at approximately 200 kilocalories per kilogram of body weight per day.

According to the Food Aid Quality Review report, RUTF may be provided in the second phase of emergencies to screened children and adults with SAM. RUTF may be provided in development settings or chronic emergencies to screened children and adults with HIV or Tuberculosis (TB) as well as SAM.  

Nutrition/Preparation

RUTF provides appropriate energy, protein, fat, vitamins and minerals to treat SAM in children six to fifty-nine months. The product delivers 520 to 550 kilocalories per 100 grams of product. This includes 10 to 12 percent protein of which at least half must be from dairy sources, in addition to protein concentrates, vegetable proteins or protein isolates. RUTF may contain 45 to 60 percent fat in the form of canola or soybean oil. Additional components may include nuts, legumes, grains, and sweeteners. The micronutrient mix contains 24 vitamins and minerals; for more details, see the table below. RUTF requires no preparation and may be consumed directly from the packaging in addition to clean drinking water.

Nutritional Content

The values in the table below were compiled from the USDA Commercial Item Description for Ready-to-Use Therapeutic Food (RUTF) (http://www.ams.usda.gov/AMSv1.0/getfile?dDocName=stelprdc5091746).

 

RUTF

 Nutrient

Spread per 100g (min)

Water (g)

2.5% Max

Energy (kcal)

520-550

Protein (g)

10-12% Total Energy

Total Lipid (fat) (g)

45-60% Total Energy

Minerals

 

Calcium (mg)

300-600

Iron (mg Ferrous sulfate)

10-14 (max)

Magnesium (mg)

80-140

Phosphorous (mg)

300-600

Potassium (mg)

1100-1400

Sodium (mg)

290.000 maximum

Selenium  (µg)

20-40

Zinc (mg)

11.000 – 14.000

Vitamins

 

Vitamin C, total ascorbic acid (mg)

50.000 minimum

Thiamin (mg)

0.500 minimum

Riboflavin (mg)

1.60

Niacin (mg)

5.00

Vitamin B6 (mg)

.60

Folate, DFE  (µg)

200.00

Vitamin B12  (µg)

1.60

Vitamin A (mg)

0.80-1.10

Vitamin E (alpha-tocopherol) (mg)

20.00

Vitamin D (+D3) (µg)

15-20

Biotin (µg)

60

Pantothenic Acid (mg)

3.00

Iodine  (µg)

70-140

Vitamin K (phylloquinone)  (µg)

15-30

 

USDA Commodity Requirements Document

http://www.fsa.usda.gov/Internet/FSA_File/rutf2.pdf

Shelf Life/Best if Used By Date (BUBD)

  • Shelf life - 24 months after packaging
  • BUBD - not available

Sources

United States Department of Agriculture, Agricultural Marketing Service. 2012. Commercial Item Description: Ready-to-Use Therapeutic Food.  Retrieved August 20, 2012 from: http://www.ams.usda.gov/AMSv1.0/getfile?dDocName=stelprdc5091746

United States Department of Agriculture, Farm Services Agency.2012. USDA Commodity Requirements. Ready-to-use Therapeutic Food for Use in Export Programs.  Retrieved August 20, 2012 from: http://www.fsa.usda.gov/Internet/FSA_File/rutf2.pdf

World Health Organization, the World Food Programme, the United Nations System Standing Committee on Nutrition, and the United Nations Children’s Fund. 2007.  Community-Based Management of Severe Acute Malnutrition. 2007.  Accessed August 20, 2012: http://www.who.int/nutrition/topics/Statement_community_based_man_sev_acute_mal_eng.pdf

United Nations Supply Catalogue. Retrieved August 29, 2012 from: https://supply.unicef.org/unicef_b2c/app/displayApp/(layout=7.0-12_1_66_67_115&carea=%24ROOT)/.do?rf=y

Valid International. 2006. Community-Based Therapeutic Care: A Field Manual. Accessed August 28, 2012: http://www.fantaproject.org/ctc/manual2006.shtml

Webb, P., B. Rogers, I. Rosenberg, N. Schlossman, C. Wanke, J. Bagriansky, K. Sadler, Q. Johnson, J. Tilahun, A. Reese Masterson, A. Narayan.  2011.  Delivering Improved Nutrition: Recommendations for Changes to U.S. Food Aid Products and Programming.  Retrieved September 16, 2012 from: http://pdf.usaid.gov/pdf_docs/PNADZ842.pdf

World Health Organization (WHO). 2012. Severe Acute Malnutrition. Retrieved on September 7, 2012 from: http://www.who.int/nutrition/topics/severe_malnutrition/en/index.html
 

1 According to the World Health Organization, Severe Acute Malnutrition (SAM) is defined by a very low weight for height (below -3 z-scores of the median WHO growth standards) by visible severe wasting, or by the presence of nutritional oedema. http://www.who.int/nutrition/topics/severe_malnutrition/en/index.html

Last updated: August 19, 2014

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