Therapeutic milk is not enriched milk. It is a blended food from a milk base.
We shall not accept nor distribute donations of milk powder, unless this is done as part of a premix for supplementary feeding, or under special circumstances where supervision of preparation and access to sufficient clean water is possible. This recognises the inherent difficulties of ensuring adequate hygiene and appropriate use of milk powder when provided as a separate item for distribution.
Milk powder is a sensitive product and must be used carefully under the supervision of a nutrition specialist.
It is specifically designed for and must be restricted to the treatment of severe malnutrition. It is designed for therapeutic feeding programs. This product already contains all the elements necessary for the treatment of severe malnutrition (all vitamins and minerals as per nutritionist recommendations).
This milk is not suitable for long term feeding of well-nourished children.
Each bag of 456 g contains the appropriate quantity to be diluted in 2 litres of boiled water to obtain 2.4 litres of high energy milk (dry extract : 190g/litre).
Therapeutic milk is manufactured by several companies, thus should not be referred to as "Nutriset milk", as this is only one of the companies, and they also manufacturer many other type of products.
The most commonly used in our program is the type F100 as per UNDP and WHO specifications, with the F75 type to be used in the first days of the nutritional recuperation.
List of validated manufacturers available at ICRC/IFRC HQ.
Preparation: Always dilute with perfectly clean water. Once reconstituted, the milk should be used within 2 hours. It should be kept in its original packaging. Once opened, the contents of a sachet must be entirely used up immediately. Destroy milk powder if the colour, smell or the aspect of the milk has changed, even if the expiry date is not yet reached, since there is a risk of organoleptic change of the product. In this case refer to HQ or to the supply department for advice. It might be interesting to proceed with analysis and to discuss the problem with the manufacturer.
HEM quantities calculated for a child of 9 kg who receives an average of 1800ml of HEM /day
(= ± 380g of dry product with 10% losses).
Number of children /day
|
HEM in kg
|
No of bags (456g)
|
50
|
19
|
42
|
100
|
38
|
84
|
250
|
95
|
209
|
500
|
90
|
417
|
1000
|
380
|
834
|
(10% of losses included in the above calculation)
Milk conservation: 3 hours at room temperature, and up to 16 hours in a refrigerator. 
