Red Zone to Recovery: Kaung Kaung's Journey Back to Health

How RUTF and community health workers helped a child beat severe malnutrition

Saw Wai Moe
A mother holding her young child in front of their home.
/UNICEF/2025/Nyan Zay Htet
07 May 2026

When Ma Thet*, 37, first saw the red marking on the measuring tape wrapped around her baby son's arm, she did not fully understand what it meant. But the look on the health worker's face told her everything. Kaung Kaung, just 18-month-old, was severely malnourished, and without help, he might not survive. 

UNICEF Myanmar
UNICEF Myanmar/2025/Nyan Zay Htet In May 2025, Kaung Kaung, then 18 months old, had his arm measured during a UNICEF-supported nutrition check in his community in Mandalay.

Like many families living in poverty, Ma Thet, a mother of seven in Mandalay, Myanmar, struggled to provide the nutrition her youngest needed. She knew he should have more than what they could afford, but meat, fish, eggs, and vegetables were out of reach. Kaung Kaung ate mostly rice with occasional snacks, not enough for a child his age to thrive. When he developed diarrhoea after having contaminated water, his condition became life-threatening.

A mother holding her son close to her body.
UNICEF Myanmar/2025/Nyan Zay Htet Kaung Kaung was found weak and dehydrated when a health team arrived in his community in Mandalay, Myanmar — a moment that marked the start of his treatment.

By the time the community health team arrived, he was weak and dehydrated. That same day, he received ready-to-use therapeutic food (RUTF), a peanut-based paste that requires no refrigeration, no preparation, and no hospital stay. The health workers showed Ma Thet exactly how to give the food to her son, and began the regular check-ins that are part of the treatment protocol.

Multiple ready-to-use therapeutic food sachets pictured together.
UNICEF/UNI680220/Naftalin Ready-to-use therapeutic food (RUTF) is a peanut-based paste packed with vitamins, and minerals that treats severe malnutrition in children, allowing parents to feed it at home without cooking, water, or refrigeration.

"I felt so scared when they told me he was severely malnourished," Ma Thet recalled. "But when they gave me the food and explained what to do, I thought maybe there is still a chance."

There was. Through regular follow-up visits by the health workers, Kaung Kaung made a full recovery. Now over two years old, the boy who once measured in the red zone is growing and gaining strength.

A health worker measures a child’s arm with a MUAC tape during a nutrition check.
UNICEF Myanmar/2025/Nyan Zay Htet Six months later, Kaung Kaung was thriving after making a full recovery from severe malnutrition, thanks to regular RUTF treatment and close follow-up from community health workers.

"We check in with families like Ma Thet's regularly. It's how we make sure the treatment works," said Dr May May Khin, UNICEF Health and Nutrition Specialist based in Mandalay, who works with local partners and community health workers. "Kaung Kaung's recovery shows what community monitoring and RUTF together can achieve."

For Ma Thet, the change has been just as meaningful. "He is full of energy now," she said with a smile. "All I ever wanted is to see my child healthy."

Ma Thet holds her young son, Kaung Kaung, in their community in Mandalay as he continues his recovery.
UNICEF Myanmar/2025/Nyan Zay Htet "He is full of energy now," said Ma Thet, 37, of her son, Kaung Kaung. Seeing him healthy and strong after his recovery is the best reward for her dedication as a mother.

Kaung Kaung is one of over 9 million children around the world treated for wasting with UNICEF-supported RUTF in 2025. As the treatment marks 30 years since it was first developed in 1996, his recovery, achieved at home, by his mother, supported by community health workers and partners, is exactly the kind of story those 30 years were built for. 


*Names in the story have been changed.