alefa is seven months old. she is just entering the critical six month to two-year-old window where children are most vulnerable to the impact of malnutrition. jason reinking: alefa is severely malnourished and marasmic, as you can see from the extremely small arms. narrator: severely malnourished children at this age are at great risk. untreated, more than half wiwill die. pilirani is two years old. severely malnourished kids often swell up with edema, a painful buildup of fluid under the skin. pilirani's swelling is so severe he can barely walk. until recently, the best treatment available for pilirani and alefa was one to two months of hospitalization. but even in the best rural hospitals, only 25 to 40% of children fully recover. project peanut butter gets much better results by distributing a special, ready to use, therapeutic food to the mothers, who will take it with them and treat their own children at home. ready to use therapeutic food is powerful medicine. this peanut-based formula is effective, easy