High-protein Quantity and Quality RUTF in Improving Linear Growth Among Children With Severe Wasting

Inclusion Criteria: * Infants 6-23 months of age with severe wasting at OTP admission according to the WHO criteria: WHZ below -3 or MUAC below 115mm. * Parent or guardian is able and available to consent * Children who are able to feed orally in the usual state of health * The primary caregiver plans to stay in the study area during the duration of the study. Exclusion Criteria: * Children with medical complications as per the CMAM guidelines (lack of appetite, severe oedematous malnutrition, acute infections) * mild and moderate nutritional oedema * Children with a known terminal illness (e.g. cancer), cerebral palsy (CP), tuberculosis (TB,) HIV infected or exposed * Children who had SAM in the last 8 weeks, i.e., SAM relapses in the last 8 weeks * Children admitted to any NRU due to complicated SAM in the previous 4 weeks will also be excluded * Children whose caregivers refuse to give consent or whose primary givers are not available to give consent * Children who were previously enrolled in this trial or currently enrolled in this trial whose sibling has also been enrolled in the study * Children with known intolerance or allergy to high protein diets will be excluded as well as known intolerance or allergy to milk/lactose