25/06/2026
FEEDING IN THE MANAGEMENT OF SEVERE ACUTE MALNUTRITION (SAM) USING F-75 AND F-100/RUTF
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Feeding is a critical component in the treatment of severe acute malnutrition. It must be introduced carefully, in small and frequent amounts, because a severely malnourished child's body cannot tolerate large amounts of food immediately. Feeding too aggressively or providing foods high in protein and sodium can overwhelm the body's systems, leading to serious complications.
During the stabilization phase, feeding begins with F-75, also known as the starter formula. F-75 provides 75 kcal of energy and 0.9 g of protein per 100 ml. It is low in protein and sodium but rich in carbohydrates, making it safe and suitable for the initial treatment phase.
After the child is stabilized, usually within 2–7 days, feeding progresses to the catch-up phase using F-100. This therapeutic milk helps rebuild lost tissues and promote weight gain. F-100 provides 100 kcal of energy and 2.9 g of protein per 100 ml. During the transition phase, F-75 is replaced with the same volume of F-100 (or RUTF where F-100 is unavailable).
Proper feeding saves lives and is a key step in the recovery of children with severe acute malnutrition.
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