1. Lipid – based Nutrient Supplements
Heidi Sandige, MD

2. LNS = Lipid-based Nutrient Supplements
A family of products designed to deliver nutrients to vulnerable people. The majority of the energy provided is lipid based.
All LNS provide a range of vitamins and minerals, as well as energy, protein, and essential fatty acids.
LNS formulations can be tailored to meet the nutrient needs of specific groups and to fit in particular programmatic contexts.

3. Why LNS? Effectiveness Simplicity (home use) Ease of Use (no cooking)
Good storage
Safety
Effectiveness

4. How much LNS?

5. LNS Family RUSF RUF LNS Supplementary plumpy Plumpy’Doz Nutributter
RUTF

6. RUTF Ready-to-Use Therapeutic Food Universal Formulation: Peanut Paste
Milk Powder
Oil
Sugar
Vitamin/Mineral Mix

7. RUTF For Severely Malnourished Children 100% of dietary needs
Distributed according to a medical model

8. RUTF
Evidence Based
Validated
Advocated
Programmatic Guidance exists

9. RUSF (s)
Ready-to-Use Supplementary Foods Many Different Formulations Many Different applications

10. RUSF Complement to the diet Designed to Purpose Micronutrient needs
Caloric needs

11. RUSF Active area of research Evidence is accumulating

12. LNS to treat Moderate Acute Malnutrition
10 Years of Evidence
75 kcal/kg day
Reduced presentation of children with SAM
Becoming standard part of CMAM guidelines

13. LNS to Prevent Malnutrition
MSF in Niger 2010 “critical and significant effect on mortality”
Columbia reduced GAM
South Darfur significantly higher anthropometric indexes
UNHCR is developing operational guidance for refugee use

14. LNS to prevent Linear Stunting
Multiple ongoing studies: Malawi, Burkina Faso, Ghana, Bangladesh
Target
Amount
Key research finding – LNS does NOT decrease breast milk intake

15. LNS as part of HIV programming
Treatment of Wasting
Improve nutritional status of non-wasted individuals
Medication adherence

16. We’ve heard a lot about Sharing. . .

17. We’ve hear a lot about quality control . . .

18. We’ve heard a lot about promoting local agriculture and local capacity. . .

19. We’ve heard a lot about cost-effectiveness . . .

20. Thank you