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Fighting Malnutrition and Supporting Farmers

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49.8% of children under 5 suffer from chronic malnutrition in Guatemala

(Encuesta Nacional de Salud Materno Infantil [ENSMI] 2009).

Guatemala has the third highest rate of chronic malnutrition in the world

(UNICEF 2009).

Every year Guatemala loses more than $300 million in GNP due to vitaminand mineral deficiencies (Banco Mundial 2010).

Chronic malnutrition in Guatemala results in stunted growth, slower

cognitive development, and lower lifetime earnings (INCAP 2010).

THIS IS A PROBLEM THAT CAN BE SOLVEDwith your help

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Costs of Malnutrition in Guatemala (per year, in millions of US $)

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How Chronic Malnutrition Affects Growth

Nine-year-old Guatemalan children. The group on the left was born in

Guatemala and the group on the right was born in the United States(from ABC News)

It was long that the Maya were genetically shorter. Research looking at Mayachildren raised in the U.S. shows that it is malnutrition and not genes thatresults in their short stature.

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INCAP: Estudio Longitudinal de Oriente

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Ready To Use Supplementary Food (RUSF) madefrom peanut paste, milk, sugar, vegetable oil, and avitamin/mineral mix

Designed for children 6 months to 36 months,covering the 1000 day window

Locally sourced product, developed and produced inGuatemala to promote economic benefits forfarmers.

Dose: 1 sachet of 40g per day

Treatment period: 12-18 months

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Efficacy of RUSF for Treating Chronic Malnutrition and

Moderate Acute Malnutrition

Clinical results show clear positive results:

RUSF intervention results in 15-19% reduction in stunting (height) RUSF intervention results in 20-46% reduction in wasting (weight)

Results show RUSF superior to Sprinkles and to Corn-Soy blend flours

RUSF intervention show to decrease risks for anemia and diarrhea

The Gates Foundation reports that RUSFs have been shown to be the most

effective treatment for chronic malnutrition (2011, Fortifying the Market)

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Study ofMan+ Usage in Guatemala

Study in Paap, San Juan Chamelco Alta Verapaz

With the Fundacin contra el Hambre

45 Participants (6-24 months) with their mothers

Acceptability= 100%

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Education Component

Culturally specific education program

Delivered in local languages

Working with mothers through focusgroups

Emphasis on total family nutrition

(not just how to use Mani+

Empowers mothers with accurateinformation about their childrens

nutritional needs

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Locally Sourcing:Working with peanut farmers to open new market

opportunities

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Breaking the Cycle of Malnutrition

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An 12-18 month treatment with Man+ focused on children between 6 and 24months and accompanied by our educational component is the most efficientmeans for rapidly reducing Guatemalas rate of malnutrition.

Estimated costs:

$ 0.35 per sachet of 40g (one dosis, treatment for one day)-product + education component

$10.50/month or$127.50 per year for a child

An Effective and Cost-efficient Treatment forMalnutrition in Guatemala

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Man+ and the Shalom Foundation seek funding to begin production anddistribution of the Man+ RUSF while solidifying processes Mani+ needs toscale up to full production. We will begin by producing circa 4 tons per month(which will treat 3000 children) and scale-up over the first 18 months to 40 tonsper month (enough to treat 30,000 children).

Starting the first stage of production is costly because of initial capital outlaysand not being able to take advantage of economies of scale.

Need for Assistance at a Crucial Stage

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