SAM And CMAM

Nuflower foods and Nutrition is a leading manufacturer and supplier of energy-dense nutritional food for severely acute malnourished children and moderate acute malnourished children under the age of 6 months to 59 months, situated in the capital city of New Delhi and having a manufacturing plant of 5400 Metric tons in Manesar, Haryana.

Severe acute malnutrition and moderate acute malnutrition are among the degree of malnutrition faced by millions of children around the world, out of which India is home for approximately 9 million of severely acutely malnourished children under the age of five. Malnutrition in India is among the major causes of death of children under the age of six. The latest NFHS-4 data reveal the status of Malnutrition is extreme in 12 states of the country, higher than the national average of 7.5%. Many children are unable to reach their potential age, height and weight due to the lack of nutrition in their dietary requirement and some are born malnourished as the mother are suffering from lack of nutrition. Nuflower works towards diminishing this nutritional gap and providing a healthy life to the children with SAM and MAM.
The Community based Management of Acute Malnutrition (CMAM) approach is one the effective ways for the treatment of SAM and MAM children at the community level with the help of community workers and the use of therapeutic food and supplementary food respectively. Ready-to-use Supplementary food and Ready-to-use Therapeutic food are an energy-intensive peanut-based nutritional paste that helps the child fulfil the nutritional gaps in their daily food requirement.

We are highly experienced and skilled in the various activities involved in production. We have the recipe for success, and an unblemished record of excellence.

Starting with the procurement of raw materials, which is the first step towards building a wholesome product, we make sure that only trustworthy vendors with proven credentials make the list of suppliers. The logistics associated with the raw materials are optimally planned to protect its nutritional value during the transit, so that upon reaching our premises, it goes into the manufacturing process with its natural goodness intact. We aim for short supply chains and prefer our ingredients bought in just-in-time. Nevertheless, wherever required, the best practices of transport and storage are put in in place.

Each step after that – be it preparation, the core grinding and churning process, packaging and delivery – is supervised by experts with several years of hands-on experience.

Our manufacturing unit has FSSAI (Food Safety and Standards Authority of India) and GMP (Good Manufacturing Practices) certifications. Our facility is equipped with modern equipment that regularly undergoes quality checks. The entire infrastructure of the facility is built with a scientific temperament and strives to optimize every detail.

Our processes are calibrated to the smallest details to minimize wastage of resources, effort and time. It is simply one of our ways to amplify cost effectiveness.
We understand that the aim of hiring a private label manufacturer is to remove the costs incurred on staffing and operating a production facility. Hence, our approach is to fulfill this requirement by giving our clients optimum ROI by associating with us. We want our clients to benefit from our experience, expertise and quality control processes. We accomplish quality production so that our clients can focus on their core operations, while leaning on us to do what needs to be done.

We have top-notch safety procedures and systems in place to protect your intellectual property. If desired, we can keep you in a close loop in all important processes for your satisfaction. A consistent commitment to integrity is further encouraged through rigorous trainings and consultations.

We don’t just develop products; we also develop the people who will be the custodians of your products. We invest in training programs, documenting best practices, and building leadership. When you hand us the responsibility to be a part of your legacy, we want you to be confident that our team has the capacity, knowledge and preparation to honor the trust placed in us.

Right from day one, a customer service manager will be appointed to be your point of contact. Expect us go the extra mile to ensure a great customer experience for you.

We assure you of consistent value-added services and aspire to be the most reliable partners in your supply chain.
visit:- https://www.nuflowerfoods.com/acute-malnutrition/

Community-based Management of Acute Malnutrition (CMAM) approach is widely recognized for its effectiveness in treating Moderate Acute Malnutrition (MAM) and Severe Acute Malnutrition (SAM) in children under 5 years. Found potent across different socio-economic and geographical settings, CMAM helps volunteers in identifying the target population and initiating treatment for children with acute malnutrition before they fall seriously ill and require medical attention. This approach assumes importance in the backdrop of a facility-based model having limited scope in terms of coverage and impact. CMAM comes in handy especially if there are aggravating factors present in the community such as epidemics, high death rate, food insecurity and a general lack of health infrastructure. Multiple pieces of evidence suggest that children with uncomplicated SAM can be treated effectively in their community setup without being admitted to a health facility.

Ready to Use Therapeutic Foods (RUTF) or locally prepared nutrient-dense foods serve as an indispensable component to treat SAM-afflicted children in their community environs and facilitate earlier recognition of SAM and the timely onset of treatment. In the case of uncomplicated SAM, a strong community component could go a long way in ensuring appropriate care through sensitization and mobilization. A skilled health worker facilitates the community in providing oral medication, RUTF and monitors health parameters of children closely. A major public health impact is evident through greater reach and reduced mortality rate when applied at an appropriate scale. RUTF, containing high energy content, an adequate amount of vitamins and minerals can be consumed easily by children without adding water. They don’t require refrigeration and can be used even where hygiene conditions are not optimal. Research suggests that in a CMAM setup, regular and standardized doses of RUTF is the single most contributing factor in eliminating SAM in children, especially those living in unhygienic, risk-prone regions without access to nutritious food.

CMAM approach’s ingenuity lies in dealing with both complicated and uncomplicated cases effectively, catering to both spectrums of SAM. Regular screening by volunteers enables the early detection and treatment of malnutrition. In the case of medical complications, children are referred to inpatient care facilities for intensive treatment. When their health stabilizes, they are referred back to a decentralized community care facility. The components of CMAM include: community-based mobilization regarding best practices, screening of children to prioritize treatment vectors, continuous counselling and education regarding RUTF nutrition, and regular follow-ups and monitoring of child’s health. CMAM stands to gain by establishing linkages with other complementary programmes and tapping into their logistics and benefits.

Shorter recovery periods for children (usually

Recognizing the magnitude of the malnutrition problem, and the kind of multi-level interventions required to provide a sustainable and holistic solution, Government of India tagged September 2019 as “PoshanMaah”, which translates to “Nutrition Month”. This welcome move underlines the concern that it is time malnutrition is confronted on a war footing by implementing a multi-pronged approach for its redressal.

The target population of this initiative are children up to 6 years of age, adolescent girls and lactating mothers, with the initiative covering all states and UTs in a phased manner. There are specific targets for the reduction of low birth weight babies, stunted growth, incidences of Severe Acute Malnourishment (SAM) and anaemia. Information and Communication campaigns aimed at nutrition awareness at grassroots level forms an integral part of the programme, conducted with inclusive participation of stakeholders at various levels.

The magnanimity of the malnutrition issue cannot be handled effectively by depending only on overarching government schemes, institutions and their limited capabilities. With the proportion of SAM-afflicted children much more than institutional facilities available to treat them, the Community-based Management of Acute Malnutrition (CMAM) approach comes across as a panacea to treat SAM and MAM children in community settings itself. This approach is indispensable to change the current trajectory of malnutrition in India for good. For families having the least access to nutrition-laden food, it is imperative to provide them locally produced RUTF formulations, medically proven to be effective in sustainably treating SAM.

Malnutrition is not new to Indian society. Reeling with acute and severe malnutrition since independence, the National Family Health Survey (NFHS-4, 2015-16) shows a continually grim picture. Despite multitude efforts, SAM prevalence continues to rise among U5 children, with 7.5% afflicted with SAM in 2015-16. To treat this deep-entrenched, vicious problem of malnutrition, holistic solutions are an absolute necessity, which needs broad thinking rather than micro-management. In line with NITI Aayog’sten-point action plan to tackle malnourishment, state-customized action plans have been emphasized to address local nutrition needs, rather than applying one-size-fits-all government schemes. This would, in turn, take account of ground realities and cause a substantial impact at the grassroots level.

This necessitates a deep understanding of SAM, its magnitude, available treatment methodologies and their positive externalities. SAM is a medical condition which cannot be treated with the mere provision of food. It requires proper end-to-end management of RUTF - streamlining the preparation, distribution and use of accessible RUTF to treat SAM and MAM. RUTF provides an aggregate set of nutrients and caloric density for malnourished children. When prepared following the WHO and UNICEF guidelines, RUTF has been medically proven to be effective in decreasing incidence of SAM, quicker and cost-effective than traditional methodologies. Several pilot studies in India across varied settings is also a case in point to reinforce RUTF’s effectiveness. A concerted effort is thus required to close out existing knowledge gaps in nutrition space so that the scourge of malnutrition can be handled in an effective, accessible and sustainable manner using RUTFs.

Introduction
When it comes to envisioning a healthy and nourished India, the name of Nuflower Foods and Nutrition features prominently. A leading lipid-based nutrient supplement (LNS) manufacturer with pan-global reach, we aim to make our products nutrient-rich, cost-effective and accessible to all the sections of the society in equal measure. We specialise in the production of Ready-to-Use Therapeutic Foods (RUTF) and Ready-to-Use Supplementary Food (RUSF) based on LNS supplements, catering to differential nutrient requirements of various age groups.

Clientele
We boast of a wide range of clientele, diversified among corporates, and governmental agencies like the ranks of UNICEF Supply Divisions, Pan American Health Organization, Adani Foundation, Action Against Hunger Platform etc. We specialise in the production of therapeutic energy intensive nutritional pastes.

Manufacturing facilities
We have a UNICEF-GMP certified manufacturing facility in Manesar, Gurgaon equipped to handle demands for various kinds of nutritional and therapeutic pastes, successfully fulfilling nutritional requirements of various organizations both in public and private businesses in India and abroad. All our products meet WHO specification standards.

Different paste types and characteristics
All our pastes are energy and protein intensive, and in addition, each product caters to specific nutrition fortifications like vitamins and mineral micronutrients, very much absent from an average household food preparation methodology. Easily dispensable in the ready-to-eat format, the paste comes loaded with essential fats and carbohydrates. Aligned perfectly to the market demand, we provide high-value nutritional pastes, and continue to revolutionise the segment of production and provision of nutritional pastes like no other player in the market.

Reach and usage
Our range of products and their reach speak of values, which Nuflower Foods and Nutrition as an entity holds very dear - contributing our bit in developing a healthy India. Our products are widely used in various Indian states like Haryana and West Bengal, especially in conjunction with public health programmes like POSHAN Maah. Our products serve as an indispensable component of implementing Community based Management of Acute Malnutrition (CMAM) approach, which has proved to be a game-changer in eradicating malnutrition from grassroots level.

Production facility
Our factory in Manesar is a prime example of an end-to-end state-of-the-art nutritional paste manufacturing facility. Accorded with FSSC-22000 certification and UNICEF Supply division accreditation, this is a testament to the fact that high quality we uphold what we promise. We don’t believe in claiming something which we don’t practice.

This commitment to steadfast quality of service runs through our infrastructure facilities and human resources who work round the clock to ensure our esteemed customers have affordable, yet versatile product lines. Nuflower Foods is equipped to manufacture specialised product lines like cheese recipes, chocolate recipes, jam and other nut-based recipes, maintaining a high quality standard.

USP
Our USP lies in providing quality products at affordable prices which are effective in their objective of achieving nutrition requirements through Lipid-based Nutrient Supplements through our products NutriFEEDO Bite and NutriFEEDO Twig.

Nuflower Foods & Nutrition is a leading RUTF & RUSF manufacturer in India for U-5 severe acute malnutrition treatment and Moderate Acute Malnutrition treatment.

Nuflower manufactures energy intensive therapeutic and supplementary nutritional pastes recommended by WHO for treatment of SAM & MAM children with CMAM model.

Visit:- https://www.nuflowerfoods.com/

#MAM, #SAM, #CMAM, #WHO, #nuflowerfoods, #RUTF_for_children, #RUSF_for_children,#UNICEF

Introduction
When it comes to envisioning a healthy and nourished India, the name of Nuflower Foods and Nutrition features prominently. A leading lipid-based nutrient supplement (LNS) manufacturer with pan-global reach, we aim to make our products nutrient-rich, cost-effective and accessible to all the sections of the society in equal measure. We specialise in the production of Ready-to-Use Therapeutic Foods (RUTF) and Ready-to-Use Supplementary Food (RUSF) based on LNS supplements, catering to differential nutrient requirements of various age groups.

Clientele
We boast of a wide range of clientele, diversified among corporates, and governmental agencies like the ranks of UNICEF Supply Divisions, Pan American Health Organization, Adani Foundation, Action Against Hunger Platform etc. We specialise in the production of therapeutic energy intensive nutritional pastes.

Manufacturing facilities
We have a UNICEF-GMP certified manufacturing facility in Manesar, Gurgaon equipped to handle demands for various kinds of nutritional and therapeutic pastes, successfully fulfilling nutritional requirements of various organizations both in public and private businesses in India and abroad. All our products meet WHO specification standards.
Our factory in Manesar is a prime example of an end-to-end state-of-the-art nutritional paste manufacturing facility. Accorded with FSSC-22000 certification and UNICEF Supply division accreditation, this is a testament to the fact that high quality we uphold what we promise. We don’t believe in claiming something which we don’t practice.
This commitment to steadfast quality of service runs through our infrastructure facilities and human resources who work round the clock to ensure our esteemed customers have affordable, yet versatile product lines. Nuflower Foods is equipped to manufacture specialised product lines like chocolate spreads and nut-based recipes, maintaining a high quality standard.

Different paste types and characteristics
All our pastes are energy and protein intensive, and in addition, each product caters to specific nutrition fortifications like vitamins and mineral micronutrients, very much absent from an average household food preparation methodology. Easily dispensable in the ready-to-eat format, the paste comes loaded with essential fats and carbohydrates. Aligned perfectly to the market demand, we provide high-value nutritional pastes, and continue to revolutionise the segment of production and provision of nutritional pastes like no other player in the market.

Reach and usage
Our range of products and their reach speak of values, which Nuflower Foods and Nutrition as an entity holds very dear - contributing our bit in developing a healthy India. Our products are widely used in various Indian states like Haryana and West Bengal, especially in conjunction with public health programmes like POSHAN Maah. Our products serve as an indispensable component of implementing Community based Management of Acute Malnutrition (CMAM) approach, which has proved to be a game-changer in eradicating malnutrition from grassroots level.

Our USP lies in providing quality products at affordable prices which are effective in their objective of achieving nutrition requirements through Lipid-based Nutrient Supplements through our products NutriFEEDO Bite and NutriFEEDO Twig.

Visit:- https://www.nuflowerfoods.com/private-label/

That India’s healthcare system is in dire need of a vital upgrade is a no-brainer. For years, the institutions and stakeholders have toiled hard to formulate the magic formula which could redress the never-ending problem of Severe Acute Malnutrition (SAM) prevalent among Indian children. Though the existing healthcare interventions have been in place and working in tandem with multiple stakeholders, the jury is still out on their effectiveness to deal with SAM. The issue of micronutrient deficiency has been prevalent and known, but not satisfactorily tended to by the institutional healthcare system. One of the crucial reasons for widespread U-5 malnutrition is attributed to inequitable access to balanced nutrition sources. These then make the group vulnerable to different infections and diseases, thus trapping them in a vicious cycle of malnutrition and ailments[3].

Extraordinary scenarios like these - 1 in every child in India is afflicted with severe wasting - requires cost-effective, yet implementable solutions, which can be scaled according to tailored requirements of each state/region[2]. A right step in this direction is the provisioning of various therapeutic food options like Ready-To-Use packages (RUTF). These energy-dense formulations are often at the core of nourishing the children, since they are fortified with critical macro- and micro-nutrients like vitamins and minerals, in addition to proteins and carbohydrates. It ensures that the target population achieves a rapid weight gain in a matter of 6 to 8 weeks if an adequate provision of RUTF pastes is done and enough incentivisation is in place[1]. These are a critical element in dealing with the impending SAM scenario. Given the low ratio of hospital beds/population in India, it is not only a recommended but viable alternative to attend uncomplicated SAM children with appetite in place.

Some other reasons usually impede early treatment regime for children, especially in hospitals. Time expended in travel, high cost of treatment, typically as Out of Pocket Expenditure rather than institutional medical insurance, and long treatment duration often pushes families into indebtedness. In this scenario, the safety net created through RUTF is something which can’t be overlooked. The commitment to redress malnutrition in a larger community setting often comes as a blessing in disguise for the family, who can carry on their subsistence activities, taking care of the child in CMAM setting. When complemented with other components like essential medicines, in-patient treatment and other nutrition sources, RUTF has been proven to be successful in various country settings similar to India.

Considering there is always a threat of water contamination and bacterial infections, RUTF comes in handy as it need not be mixed with water and can be taken without further preparation. Since the scourge of SAM has a history of afflicting everybody irrespective of his/her socio-economic background, the relevance and usage of RUTF need to be seen and appreciated in a much wider context. Given that Indian subcontinent has a variety of climatic zones, RUTF is often climate resistant and can be kept without refrigeration for up to 4 months. This safety factor is essential to gain wider acceptability of RUTF in the Indian context that often becomes difficult, considering the demographics and health parameters change from one region to another.

Since institutional care of SAM children may not always be feasible, especially in rural settings, home-based care is recommended by healthcare experts the world over. RUTF being energy and protein intensive becomes an essential ingredient during a child’s rehabilitation phase. Using RUTF, it was found that there were fewer relapse cases, better recovery, a higher rate of weight gain
and hence reduced mortality rates. It is predominantly clear if the RUTF satisfies the daily nutritional requirements of the child[1].

There have been some genuine concerns of over-reliance on RUTF as a primary source of nutrition. Also, provisioning RUTF on a large scale may require a dedicated funding mechanism rather than banking on purchase by the afflicted population. Such concerns notwithstanding, it is time therapeutic foods like RUTF are implemented at a larger scale, taking heart from the positive, encouraging results derived from implementation in certain Indian states. Time is ripe for taking this exercise to the next level, to garner the “low-hanging” fruits, and handle malnutrition effectively.

Visit:- https://www.nuflowerfoods.com/
References
1. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD009000.pub3/full
2. https://www.who.int/maternal_child_adolescent/topics/child/malnutrition/en/
3. https://www.unicef.org/media/files/Position_Paper_Ready-to-use_therapeutic_food_for_children_with_severe_acute_malnutrition__June_2013.pdf
4. https://motherchildnutrition.org/malnutrition-management/info/rutf-plumpy-nut.html#Local%20production%20of%20RUTF

In India, Severe Acute Malnutrition (SAM) is amongst the top causes of deaths for children under five years of age. The current official treatment protocol for SAM in our country is facility-based approach or F-SAM, which in a lay men’s term is where SAM children with medical complications are treated at a facility. The number of SAM children with medical complications are close to 10-15% of the total SAM children, the question here is, how the rest of the 85-90% of SAM children without medical complication are treated?
The answer is they are left at the community level, to be taken care by angawadi’s and at home. Why is that a problem you ask? These 85-90% of children are 9 times more likely to die as compared to a healthy child. It is very important to provide treatment for uncomplicated severe acute malnutrition at the community level as well.

Nuflower Foods and Nutrition is a leading lipid-based nutrient manufacturer in India and across the globe. We manufacture LNS products such as RUTF and RUSF for malnourished and aggrieved sections of society.

NutriFEEDO Lite (RUSF): NutriFEEDO lite is a Ready-to-Use Supplementary Food (RUSF) made of peanuts, milk, sugar and vitamin-mineral fortification. It is heavy in protein and fat content, and meets most of the body's micronutrient requirements. The product is recommended by the

At present the only treatment protocol in India for SAM children is to admit the complicated cases for facility-based care. But there are only about 1200 Nutritional Rehabilitation Centers – and at around 7800 cases per center - these are not enough to treat so many sick children. Covid-19 has also disrupted health services across the country. It is also suitable during the pandemic that treatment facilities be avoided.
Visit:- https://www.nuflowerfoods.com/

In India, Severe Acute Malnutrition (SAM) is amongst the top causes of deaths for children under five years of age. The current official treatment protocol for SAM in our country is facility-based approach or F-SAM, which in a lay men’s term is where SAM children with medical complications are treated at a facility.

Ready-to-use therapeutic food or RUTF is a nutritious peanut paste, that comes in single-serving sachets. Malnourished children need a regular diet of two sachets per day to gain enough weight to overcome malnutrition and manufacturers across the globe are bridging this gap by offering private label RUTF solutions to world organizations.

. A devastating epidemic in itself, malnutrition affects 55 Million children worldwide with 19 Million being extreme forms of malnutrition - Severe Acute Malnutrition (SAM).

According to UNICEF, approximately 25,000 children die every day because of malnutrition and that is why UNICEF Accredited RUTF manufacturers are coming to the rescue with ready-to-use supplementary food.

Peanut spreads are a delightful addition to the breakfast table and as a business, a very lucrative option. The global peanut spread market is forecast to witness steady growth during 2020-2025 as consumers continue to search for nutritious and healthy alternatives. Consumers' willingness to spend on peanut butter has increased because of its health benefits, making it an excellent choice for snacks and breakfasts.

RUSF which stands for Ready-to-Use Supplementary Food is a well-accepted means to fight the effects of malnutrition in young children under 5. So much so that world organizations consider it the best possible treatment plan to restore health and healthy weight in children.
Visit:- https://www.nuflowerfoods.com/the-science-behind-rusf/

Moderate Acute Malnutrition, while not as serious as Severe Acute Malnutrition, is harmful to children because it increases child mortality and exposure to nutrition-related diseases. MAM can be due to a low weight-for-height (wasting) or a low height-for-age (stunting) or a combination of both.

The most successful peanut butter brands have mastered this art - either by setting up their own venture from scratch or by using a third-party Peanut Butter Manufacturer where costs are low, operations are functional and quality is optimal.

Peanut spreads are a delightful addition to the breakfast table and as a business, a very lucrative option. The global peanut spread market is forecast to witness steady growth during 2020-2025 as consumers continue to search for nutritious and healthy alternatives. Consumers' willingness to spend on peanut butter has increased because of its health benefits, making it an excellent choice for snacks and breakfasts.

Peanut butter is not just a delicious and nutritious spread. It is a cult favorite among people of all age groups for decades. Made from skillfully roasted peanuts, the creamy, nutty spread is a versatile ingredient that can be used in a variety of ways. The nutritional benefits of peanut butter are unmatched and incorporating it into your diet can yield a multitude of health benefits.

The manufacturing of peanut butter is a fascinating and complex process that involves many different steps and technologies. From sourcing high-quality peanuts to grinding and packaging the finished product, peanut butter manufacturers take great care to ensure that their product meets the highest standards of quality, safety, and freshness.

Peanut Butter is an excellent source of essential antioxidants like magnesium, vitamin B, and vitamin E. These nutrients help prevent and repair cell damage and reduce the risk of chronic diseases like cancer. Resveratrol and Coumaric acid - powerful antioxidants present in peanut butter have anti-cancer properties that cut the blood supply to growing cancers and inhibit cancer cell growth.