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INFANT FORMULA, 1st age, powder, 400g

https://unicat.msf.org/cat/product/15895
NST NFOSINFO1AO40

Valid Article

Former Code(s): NFOSMILI1P4 NFOSZYN1001
Article is intended to be used with children (<12 years) ONLY.
CT25
Thermosensitive codes are defined for storage and transportation temperature requirements of the products.
OC subscriptions: included in supply or field order tools (e.g. UniField)
SC subscriptions: included in supply or field tools
OC validations: approved for procurement and use by an OC for international or local orders specifying context and activity in Medical Standard Lists (MSL)

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INFANT FORMULA healthy infants

The 400 mg presentation became non-standard as the preferred presentation for infant formula 1st age is 800 g.

Definition

Breast milk substitute for infants.

Infant formula designed for healthy infants who tolerate this type of milk well.

Special infant formulas are also available for infants with intolerances to standard infant formulas and for premature infants.

See the Statement on infant feeding.

Specifications

Main Composition

Partially demineralised whey, vegetable fat (or vegetable oil), skimmed milk, maltodextrin, lactose, emulsifier, vitamins and minerals.

Technical specifications

These specifications apply to formulas for infants and older. They are made from cows' milk proteins or protein hydrolysates.

Nutritional

values

UnitPer 100 ml
Min.Max.
Energykcal6070
Proteinsg1.12.1
Lipidsg2.64.21
Carbohydratesg5.49.8
Lactoseg> 2.7-
Minerals
Calcium*mg3098
Phosphorus*mg1570
Potassiummg36126
Magnesiummg310.5
Sodiummg1241
Ironmg> 0.27-
Zincmg0.31.1
Copperµg2184
Iodineµg642
Manganeseµg0.670
Chloridemg30112
Fluoride**µg-< 70
Vitamins
Retinol (Vit A)***µg36126
Cholecalciferol (Vit D)****µg0.61.75
Tocopherol (Vit E)*****mg0.33.5
Ascorbic ac. (Vit C)mg649
Thiamin (Vit B1)µg36201
Riboflavin (Vit B2)µg4835
Niacin (Vit B3)µg1801050
Pyridoxine (Vit B6)µg21123
Cobalamin (Vit B12)µg0.061.05
Phylloquinone (Vit K1)µg2.418.9
Folate (Vit B9)µg635
Biotin (Vit B7)µg0.97
Pantothenic acid (Vit B5)µg2401400

*Calcium:phosphorus ratio shall be between 1 and 2.

**Fluoride shall not be added in infant & follow-on formulae

***1 μg RE = 3.33 IU vitamin A = 1 μg all trans retinol

****In the form of cholecalciferol, of which 1μg = 40 IU of vitamin D.

*****mg α-TE = d-α-tocopherol equivalent

Physical and organoleptic properties

  • Texture: free from lumping
  • Appearance: white or slightly yellowish fine powder, free from impurities/coloured particles. The reconstituted milk should be a homogenous white liquid.
  • Smell: neutral and typical of milk. It shall not be pungent
  • Taste: characteristic of milk; not rancid, pungent or unpleasant taste.

Packaging & Labelling

The primary and secondary packaging must protect the hygienic and nutritional qualities of the product during transport, handling, and storage under MSF field conditions.

  • Primary packaging (unit packaging): 900, 800 or 400 g aluminium tin, sealed with aluminium foil and a plastic lid, including a measuring spoon. The lid is designed to protect the milk from humidity after the aluminum foil is removed.

The following must appear on the primary packaging:

  • product name
  • generic name
  • clear statement referring to nutrition of infants from birth when they are not breastfed (the label should provide the necessary information on the appropriate use of the products to encourage breastfeeding).
  • dosage: table with Nº of measuring spoons per amount of water
  • instructions for preparation and reconstitution
  • instructions for storage after reconstitution
  • list of ingredients
  • nutritional values
  • net weight
  • batch number and best-before date
  • name and address of the manufacturer, incl. country of origin

The following must appear on the secondary packaging:

  • product name
  • generic name
  • net, gross weight, volume, number of units in the carton
  • batch number and best-before date
  • storage conditions
  • name and address of the manufacturer, incl. country of origin

Instructions for use

Preparation and Reconstitution of infant formula (Good Hygiene Practices)

  • Preparation should take place in a clean environment with cleaned and disinfected work surfaces.
  • Wash hands thoroughly with soap and warm water, then dry with a clean cloth or single-use towel.
  • Boil water for 2 minutes, then allow to cool to 60-70°C before adding the powder. Use a digital food-grade thermometer to check the water temperature.
  • Pour the exact required amount of water (at 70°C) (follow the instructions on the packaging) into a cleaned and sterilised container. Use a 100 ml graduated measuring jug or a 100 ml graduated glass beaker with a spout.
  • Add the required amount of infant formula powder (follow the instructions on the packaging). Using more or less powder than indicated may make the infant sick.
  • Mix the preparation with a sterilised utensil until completely diluted.
  • Label the recipient: with "Infant formula, day and time of preparation".
  • Cool the preparation to feeding temperature (approx. 37°C).
  • Use within 2 hours.
  • Remark on the measuring spoon:
    • Use the measuring spoon provided in the tin. Do NOT use a measuring spoon from another product or manufacturer.
    • Do not wash the measuring spoon; return it to the tin after use.
    • Ensure the measuring spoon remains dry; if it become wet, dry it thoroughly before placing it back in the tin.
    • The measuring spoon supplied generally corresponds to the dose of powder required for 30 ml of water.

Administration

  • Infant formula should be administered at either room or body temperature. Use a thermometer (preferably digital) to check the temperature.
  • It is best to prepare and serve infant formula immediately after cooling to body temperature. Reducing the time between preparation and consumption reduces the risk to the infant.

Conservation of reconstituted infant formula

  • If not consumed immediately, refrigerate the preparation at 4ºC (do not exceed 4ºC) in a clean bottle or other container with a lid.
  • Refrigerated preparation should be consumed within 24 hours.
  • Do not prepare infant formula in advance if it cannot be consumed within 2 hours or if refrigeration is not available.
  • Never stored infant formula in the refrigerator for more than 2 hours after preparation.
  • Discard any preparation that has not been consumed within 2 hours.
  • Discard any refrigerated preparation that has not been consumed within 24 hours.

Storage

  • Below 25ºC, Protect from sunlight ‐ Protect from humidity
  • Shelf-life: usually 24 months from the manufacturing date stated on the packaging.
  • Infant milk formula should be stored in its original packaging to prevent any contamination.
  • After opening, consume the infant milk formula within 3 weeks.
  • Destroy the powdered milk immediately if there are any changes in colour, smell or appearance, even if the expiry date has not yet been reached, as this indicates a high risk of bacteriological contamination.

Follow the procedure QA-NFOS-SOP3 Storage of specialised food (NFOS).

For procedures related to Quality Control, refer to Preliminary remarks on specialised food.

MSF requirements

This product must be prepared with safe drinking water. If access to safe drinking water is limited or difficult, a ready-to-use formulation (NST) may be considered. This should be reserved for exceptional cases, as it is significantly more expensive (contact your OC nutrition advisor for more details).

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