Ready-to-Use Therapeutic Food (RUTF) or Ready-to-Use Supplementary Food (RUSF) has been widely used in home-based treatment for severely and moderately acute malnourished children. These programs showed positive results in short term nutritional recovery in children, which were reported in some research settings. Nowadays, the RUTF/RUSF formulation has been improved using a variety of RUTF/RUSF from locally available food ingredients. This paper aims to review the essential aspects of the development and provision of RUTF/RUSF made from local food resources and monitor program effectiveness that warrants the program's sustainability. The modified recipes of RUTF/RUSF were developed following the international dietary guidelines for the rehabilitation of severely and moderately acute malnourished children. The local production of RUTF/RUSF provided some benefits that include empowering the local community, consideration of the common eating pattern, promoting the diversification of food consumption, strengthening food security, as well as supporting the sustainability of RUTF/RUSF production. Results of the PRISMA-based systematic literature review revealed various ingredient developments and processing techniques which could improve the product characteristics and sensory evaluation. RUTF/RUSF in local food production provided different food carriers (e.g., biscuits, wafers) and seemed to be more readily accepted by the children. Furthermore, the program sustainability of RUTF/RUSF depends on a continuous ingredients supply and support from the local government. The findings presented the importance of development of such food supplements based on the local food resources and with improved technology for prevention and rehabilitation of malnourished children.

Department of Food Technology Faculty of Agro Industrial Technology Universitas Padjadjaran Jatinangor 45363 Indonesia

Department of Food Technology Widya Mandala Surabaya Catholic University Surabaya 60265 Indonesia

Department of Nutrition Faculty of Health Sciences Universitas Brawijaya Veteran Malang East Java 65145 Indonesia

Department of Pharmacology Faculty of Medicine Universitas Wijaya Kusuma Surabaya East Java 60225 Indonesia

Faculty of Forestry and Wood Sciences Czech University of Life Sciences Prague Kamycka 129 16500 Praha Suchdol Czech Republic

Institute for Nutritional Science University of Hohenheim Garbenstrasse 30 70599 Stuttgart Germany

Study Center for the Development of Agro Industrial Technology Faculty of Agro Industrial Technology Universitas Padjadjaran Jln Raya Bandung Sumedang Km 21 Jatinangor 45363 Indonesia

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