From research to development Plumpy’Nut: a revolution in the battle against malnutrition A new ready-to-use peanut-based paste accepted by children and known as Plumpy’Nut is revolutionizing the battle against malnutrition. This highlynutritious food source was invented by an IRD researcher and developed with Nutriset. The product is now widely used in the humanitarian sector. In 2015, nearly 1.5 million malnourished children were fed and treated using Plumpy’Nut. In the 70s and 80s, famines raged across Asia and Africa in countries such as Ethiopia, Somalia and Sudan. Food aid, based on agricultural surplus from developed countries, did not suffice. Victims of undernutrition – mainly children – were fed using powdered milk diluted in water, exposing them to the risks of contamination under poor hygiene conditions. The search for alternatives Dr André Briend, an IRD researcher, started to look Plumpy’Nut consumption in Niger (IRD/T. Amadou) for alternative solutions. He tested nutritional products in solid form, such as pancakes, biscuits and doughnuts, produced in partnership with Nutriset1. A success in the humanitarian sector None of these products met the requirements for In 1997, Action Against Hunger, in collaboration conservation, logistics or taste, until the idea emer- with Chad’s Health Ministry, was the first to trial ged for a ready-to-use peanut-based paste available this product in the field. An article published in The in sachets. Plumpy’Nut was thus developed with Lancet2 and clinical trials in Senegal, Ethiopia and Nutriset in 1996, and became the first Ready-to-Use Malawi confirmed the product’s effectiveness. The Therapeutic Food (RUTF). The paste is enriched next year, Doctors Without Borders (MSF) used it with vitamins and minerals, and provides 540 kcal for on a large scale during a famine in southern Sudan. 100 g. It has since revolutionised the battle against Five years later, Niger was affected by its own food severe malnutrition across the world. crisis. There, MSF treated 60,000 children in their homes using Plumpy’Nut. This success received a great deal of media coverage, after which the majority of the non-government sector, UN agencies and local healthcare stakeholders gave the product their backing. In May 2007, WHO and the United Nations recommended ready-to-use therapeutic foods, inspired by the Plumpy’Nut model. Increasing nutritional autonomy in affected countries In 2010, IRD and Nutriset granted online access to their patent (registered in 1997), in order for local companies in developing countries to produce ready-to-use foods like Plumpy’Nut. This agreement lets them mar- Plumpy’Nut consumption in Vietnam (IRD/M. Nguyen) ket their own products to humanitarian organisations. Meanwhile, since 2005, Nutriset has been developing a network of franchised producers, mainly in Africa and In just 20 years, Plumpy’Nut has revolutionised the Asia, to place operations closer to Plumpy’Nut users. battle against malnutrition across the world, and es- Today, the network’s total production capacity comes pecially in developing countries. In 2015, Plumpy’Nut to nearly 110,000 tons of product, shipped to 97 desti- was used to treat 1.42 million children suffering from nations in Africa, Latin America and Asia. malnutrition. 1. www.nutriset.fr 2. Andre Briend et al. Ready-to-use therapeutic food for treatment of Plumpy’Nut manufacturing in Niger (IRD/T. Amadou) International Affairs Service Benoît Martimort-Asso : +33 (0)4 91 99 93 31 Contacts benoit.martimort-asso@ird.fr 44 boulevard de Dunkerque CS 90009 13572 Marseille Cedex 02 France www.ird.fr © IRD/DCPI, mars 2016 - Conception et réalisation graphique : L. CORSINI marasmus. The Lancet, 1999, 353 (9166), p. 1767-1768