The Combination
By the late 90’s, many researchers knew that RUTFs were key to meaningful SAM recovery rates, but Dr. Mark Manary was the first to conduct clinical trials of RUTFs, administered in the home. In the 2000-2001 hungry season in Malawi, Dr. Manary’s small team treated 400 children with RUTFs combined with the new home therapy method. In this study, a remarkable 80% of the treated children reached their “100% weight for height goal” after 12 weeks! Similar results were achieved in large scale trials through 2004 and by 2005, Project Peanut Butter (PPB) was officially created and operating in 12 sites in Malawi. The combination of RUTFs administered in the home produced 95% recovery rates in many situations. 

In 2007, Dr. Manary’s revolutionary approach to treating SAM - RUTFs distributed via community-based treatment protocols - was commended as the most effective method to treat severely malnourished children by the United Nations, the World Health Organization, and UNICEF. 






Today, there are:
PPB sites (21 clinics) providing the RUTF, staff, training and outreach;  
PPB-supported sites (~50) receiving the RUTF and training at no cost, 
PPB affiliated clinics where we sell our RUTF at the cost of manufacture to multiple governments and charities (~90) around the world.

PPB does this by manufacturing between 1,000 and 1,250 tons of Chiponde on an annual basis, locally in Africa in its own facilities. The charity does its best to source the majority of Chiponde ingredients from local farmers (In Malawai, for example, all ingredients except milk powder and vitamins are sourced locally.)
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Learn More:
WHO website on Nutrition
Anderson Cooper and 60 Minutes Reports on RUTFs in Niger
William J. Clinton / Clinton HIV Aids Initiative supports Project Peanut Butter
About Project Peanut Butterhttp://www.who.int/nutrition/en/http://www.cbsnews.com/stories/2007/10/19/60minutes/main3386661.shtmlhttp://www.cbsnews.com/stories/2007/10/19/60minutes/main3386661.shtmlSolution_files/CHI_PedsLeaflet_REL%20%284%29.pdfSolution_files/CHI_PedsLeaflet_REL%20%284%29.pdfSolution_files/CHI_PedsLeaflet_REL%20%284%29.pdfAbout.htmlshapeimage_7_link_0shapeimage_7_link_1shapeimage_7_link_2shapeimage_7_link_3shapeimage_7_link_4shapeimage_7_link_5shapeimage_7_link_6
Learn More:
 Map of clinics - Malawi, Sierra Leone
 Staff Biographies
 A typical day for a PPB doctor
 Partner Organizations
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Learn More:
WHO Statement: Community-based management of Severe Acute Malnutritionhttp://www.who.int/nutrition/topics/statement_commbased_malnutrition/en/index.htmlhttp://www.who.int/nutrition/topics/statement_commbased_malnutrition/en/index.htmlhttp://www.who.int/nutrition/topics/statement_commbased_malnutrition/en/index.htmlshapeimage_16_link_0shapeimage_16_link_1shapeimage_16_link_2
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