Fighting Malnutrition and Supporting Farmers

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49.8% of children under 5 suffer from chronic malnutrition in Guatemala (Encuesta Nacional de Salud Materno Infantil [ENSMI] 2009). Guatemala has the third highest rate of chronic malnutrition in the world (UNICEF 2009). Every year Guatemala loses more than $300 million in GNP due to vitamin and mineral deficiencies (Banco Mundial 2010). Chronic malnutrition in Guatemala results in stunted growth, slower cognitive development, and lower lifetime earnings (INCAP 2010).

THIS IS A PROBLEM THAT CAN BE SOLVEDwith your help

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Costs of Malnutrition in Guatemala (per year, in millions of US $)

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How Chronic Malnutrition Affects Growth

Nine-year-old Guatemalan children. The group on the left was born in Guatemala and the group on the right was born in the United States (from ABC News)

It was long that the Maya were genetically shorter. Research looking at Maya children raised in the U.S. shows that it is malnutrition and not genes that results in their short stature.
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INCAP: Estudio Longitudinal de Oriente

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Ready To Use Supplementary Food (RUSF) made from peanut paste, milk, sugar, vegetable oil, and a vitamin/mineral mix Designed for children 6 months to 36 months, covering the 1000 day window
Locally sourced product, developed and produced in Guatemala to promote economic benefits for farmers. Dose: 1 sachet of 40g per day Treatment period: 12-18 months
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Instituto de Nutricin de Centro Amrica y Panam www.maniplus.org

Efficacy of RUSF for Treating Chronic Malnutrition and Moderate Acute Malnutrition
Clinical results show clear positive results:

RUSF intervention results in 15-19% reduction in stunting (height)

RUSF intervention results in 20-46% reduction in wasting (weight)

Results show RUSF superior to Sprinkles and to Corn-Soy blend flours RUSF intervention show to decrease risks for anemia and diarrhea

The Gates Foundation reports that RUSFs have been shown to be the most effective treatment for chronic malnutrition (2011, Fortifying the Market)

Instituto de Nutricin de Centro Amrica y Panam www.maniplus.org

Study of Man+ Usage in Guatemala

Study in Paap, San Juan Chamelco Alta Verapaz With the Fundacin contra el Hambre 45 Participants (6-24 months) with their mothers

Acceptability= 100%

Instituto de Nutricin de Centro Amrica y Panam www.maniplus.org

Education Component
Culturally specific education program
Delivered in local languages

Working with mothers through focus groups

Emphasis on total family nutrition (not just how to use Mani+ Empowers mothers with accurate information about their childrens nutritional needs
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Locally Sourcing: Working with peanut farmers to open new market opportunities

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Breaking the Cycle of Malnutrition

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An Effective and Cost-efficient Treatment for Malnutrition in Guatemala

An 12-18 month treatment with Man+ focused on children between 6 and 24 months and accompanied by our educational component is the most efficient means for rapidly reducing Guatemalas rate of malnutrition.
Estimated costs: $ 0.35 per sachet of 40g (one dosis, treatment for one day) -product + education component $10.50/month or $127.50 per year for a child

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Instituto de Nutricin de Centro Amrica y Panam www.maniplus.org

Need for Assistance at a Crucial Stage

Man+ and the Shalom Foundation seek funding to begin production and distribution of the Man+ RUSF while solidifying processes Mani+ needs to scale up to full production. We will begin by producing circa 4 tons per month (which will treat 3000 children) and scale-up over the first 18 months to 40 tons per month (enough to treat 30,000 children). Starting the first stage of production is costly because of initial capital outlays and not being able to take advantage of economies of scale.

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