Home-based therapy with ready-to-use therapeutic food is of benefit to malnourished, HIV-infected Malawian children

M. J. Ndekha, M. J. Manary, P. Ashorn, A. Briend

Research output: Contribution to journalArticle

87 Scopus citations


Aim: To determine if home-based nutritional therapy will benefit a significant fraction of malnourished, HIV-infected Malawian children, and to determine if ready-to-use therapeutic food (RUTF) is more effective in home-based nutritional therapy than traditional foods. Methods: 93 HIV-positive children > 1 y old discharged from the nutrition unit in Blantyre, Malawi were systematically allocated to one of three dietary regimens: RUTF, RUTF supplement or blended maize/soy flour. RUTF and maize/soy flour provided 730 kJ·kg-1·d-1, while the RUTF supplement provided a fixed amount of energy, 2100 kJ/d. These children did not receive antiretroviral chemotherapy. Children were followed fortnightly. Children completed the study when they reached 100% weight-for-height, relapsed or died. Outcomes were compared using regression modeling to account for differences in the severity of malnutrition between the dietary groups. Results: 52/93 (56%) of all children reached 100% weight-for-height. Regression modeling found that the children receiving RUTF gained weight more rapidly and were more likely to reach 100% weight-for-height than the other two dietary groups (p < 0.05). Conclusion: More than half of malnourished, HIV-infected children not receiving antiretroviral chemotherapy benefit from home-based nutritional rehabilitation. Home-based therapy RUTF is associated with more rapid weight gain and a higher likelihood of reaching 100% weight-for-height.

Original languageEnglish
Pages (from-to)222-225
Number of pages4
JournalActa Paediatrica, International Journal of Paediatrics
Issue number2
StatePublished - Feb 1 2005


  • Children
  • HIV
  • Malnutrition
  • Ready-to-use therapeutic food

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