24/08/2026
FORTIFIED BLENDED FLOUR ADVANTAGE PLUS
When I was an intern in 2018, at Embu Level 5 hospital, we had a nutrition commodity called Fortified Blended Flour Advantage plus that we could supplement pregnant and lactating mothers based on the MUAC measurements--for the SAM and MAM cases
Unfortunately I cant get a photo of the same.
In Mombasa, I have never come across this commodity in the facility I work in
When you come across a mother who has Severe Acute Malnutrition, my opinion is RUTF is not ideal
Personally I have never suplemented any pregnant mother with RUTF.
When you are free today, take 1 sachet of RUTF and carefully go through the Nutritional value (average or minimum nutrients per 100g, per the 92g sachet)
I bet most of us have never read that part😄😄😄 as much as we have the RUTF in the nutrition office.
Read from energy( in Kcals) all the way to zinc (in mg), then you can make an informed decision.
Think about nutrient overload, we want the best interest for our clients-Beneficence is an ethical principle
Nutrition education and counselling also helps alot for pregnant mothers.
Teach her about the 10 food groups-what does she need more according to her nutrition status
Talk to the about IFAS Iron and Folic Acid Supplementation
Talk to them about food preparation especially when they are preparing their green vegetables eg terere,mchicha,spinach,mkunde,managu
Talk to them about iron binding foods
Talk to them about nutrient nutrient interactions.
There is alot you can offer to the pregant mother, the list is endless!!
