This CID covers ready-to-use therapeutic foods (RUTF), packaged in flexible packaging, suitable for use by the Federal Government, humanitarian agencies, and non-governmental organizations for the treatment of severe acute malnutrition (SAM) in any cultural setting. The RUTF is expected to be used as part of a medical malnutrition intervention program for targeted populations, including children 6 months to 5 years of age with SAM who are free from severe medical complications and who have appetite, in accordance with United Nations (UN) guidelines for the outpatient care and management of SAM 1 and in accordance with national guidelines for the management of SAM, Valid International 2006 Community-based Therapeutic Care (CTC) A field manual.2 The RUTF may be used in climatic extremes from the arctic to tropical zones and may be the sole source of food, except water and breast milk, during the period of use and to provide adequate energy, protein, fat, vitamins, and minerals to effectively treat SAM and meets the specifications of the United Nations Children’s Fund (UNICEF) Supply Catalog: https://supply.unicef.org/.

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