“My fight against malnutrition”

Interview with Michel Lescanne, founder of Nutriset.

Sorting peanuts, which are used in the manufacture of Plumpy’nut, at Hilina, Nutriset Group’s Ethiopian partner.

President and founder of the Nutriset Group and co-inventor of Plumpy’Nut, the first RUTF, Michel Lescanne has just published his memoirs with Eyrolles, with the help of journalist Christian Troubé. Here, he answers our questions.

Alain Boinet:

You’ve just published a book entitled “Mon combat contre la malnutrition” (“My fight against malnutrition”). When and why did you start this fight?

Michel Lescanne:

I founded Nutriset in 1986 on the basis of intuition and determination. As an agricultural engineer, I was convinced that the food industry had solutions to offer to help solve what was then known as “world hunger”. During my studies, I chose as the subject of my dissertation a study on the manufacture of a nutritious cookie for malnourished children in what was then known as the “Third World”. The skepticism of my university jury only strengthened my resolve to succeed. And then there’s my family background. In Normandy, my father ran a dairy cooperative, which later became the Nova Group. So, from childhood, I was immersed in this world. Very early on, reading the works of René Dumont and Josué de Castro helped me to deepen and enrich my objective: to feed these children in distress. It was immediately obvious to me that this would be achieved by setting up a company.

The beginnings of Nutriset. Late 1980s. In a health center in West Africa, young engineer Michel Lescanne explains to healthcare workers how to develop an enriched nutritional solution.

AB:

The early stages of any innovative project are often long and difficult before they succeed. What were the main stages in Nutriset’s development?

ML:

An entrepreneur’s journey is often made up of both successes and failures, from which you need to learn. At Nutriset, we had one compass: to put all our energy into designing products that could save the lives of malnourished children. And the only question we asked ourselves before making a decision was: is this going to help vulnerable populations? When you have a clear mandate, everything becomes clearer. What’s more, we weren’t acting alone, but in liaison with an ecosystem just as motivated as we were: the nutrition researchers who, in their labs, invented formulations, and the humanitarians who tested the products in the field and passed on their requests to us. It was a time of intense mobilization. This enabled us to design and scale up the first F-100 and F-75 high-energy milks, and then, in the mid-1990s, to offer the first ready-to-use therapeutic food in solid form, Plumpy’Nut. This first RUTF – and all the subsequent products targeting the various forms of malnutrition – was at the origin of a veritable revolution in the field: treatment was taken care of directly by the families affected, enabling an ever-increasing number of malnourished children to be helped. Step by step, Nutriset has been able to offer treatment and prevention solutions for children, pregnant and breast-feeding women, people suffering from illnesses such as AIDS, and products for the elderly suffering from malnutrition in France.

Plumpy’nut, the first RUTF for treating malnutrition, has given rise to a wider range of treatment and prevention products. Here is the lipid supplementation product (SQ-LNS) Enov-Nutributter, designed to improve the growth of young children.

AB:

Some twenty years ago, you set up partnerships with local companies in a dozen countries. What was your idea back then? And what stage has this project reached?

ML:

Right from the start, we had the intuition that our products had to be manufactured as close as possible to where they were needed, in the very countries where malnutrition was rife. But there was nothing obvious about that. We had to find local agri-food companies capable of manufacturing our products to the required quality standards and ensuring the supply of raw materials. Many humanitarian organizations were skeptical about the issue. With time, we were able to move forward, using the franchise or subsidiary model. This year, we’re celebrating the 20th anniversary of the PlumpyField network. It’s a source of great pride for us: today, almost half of Nutriset’s nutritional solutions are manufactured locally. This has enabled international humanitarian organizations and the governments of these countries to open new programs and, consequently, to come to the aid of ever more children and vulnerable people. What’s more, these industrial structures are real levers of development for their countries, structuring upstream and downstream agricultural and agro-industrial sectors. The PlumpyField network is present in around ten countries, in Africa, South-East Asia and Haiti. It is set to expand further.

A Plumpy’nut production line at Tanjaka, a member of the PlumpyField network based in Madagascar.

AB:

The world has changed a lot in the last 40 years. How do you see the fight against malnutrition today?

ML:

A great deal of progress has been made in this field over the past forty years, and Nutriset has been able to make a major contribution. Those involved in the fight against malnutrition – Unicef, the World Food Program, NGOs and local governments – now have access to easy-to-use products of recognized effectiveness. But what is sorely lacking is funding, and therefore political will. The figures are still terribly alarming! Malnutrition and its associated causes are responsible for one in two deaths among children under the age of five. If we take into account undernutrition, synonymous with wasting, stunted growth and underweight, micronutrient deficiencies affecting one child in two and one woman in three, overweight and obesity, the new scourge of our century, hundreds of millions of people are concerned! So we must not give up! The recent international Nutrition for Growth summit in Paris showed that it is possible to mobilize all players: public authorities, UN agencies, NGOs, foundations, governments and the private sector. Over 27 billion dollars were pledged to combat malnutrition. At the same time, however, we are receiving contradictory signals from the United States and other donor countries, with an incomprehensible drop in their Official Development Assistance.

The Hilina company in Addis Ababa is a long-standing partner of Nutriset. Fifty years after the great famines that ravaged Ethiopia, this company now covers almost all of the country’s nutritional needs.

AB:

Indeed, President Trump’s US administration recently cut the USAID agency and froze many programs and funding. Similarly, many countries are reducing their Official Development Assistance and humanitarian action. Does this have consequences for the Nutriset Group, your partners and anti-malnutrition programs, and how do you cope?

ML:

Our main buyers are Unicef and the World Food Programme, which are heavily affected by the US restrictions, as are the major international NGOs. Like all humanitarian actors, we observe the day-to-day fluctuations in the US administration’s decisions, notably through our American member of the PlumpyField network, the Edesia company. Like everyone else, we’ve taken note of this abrupt shift by the world’s leading lender, and the disastrous consequences it entails. With less money, we’re going to have to be imaginative and agile. For Nutriset, this means pursuing and expanding our localization policy, for example, by working with new players such as foundations, or by developing specific programs directly with governments. This is what we are doing, for example, in Benin and Côte d’Ivoire.

AB:

What advice would you give to a young person wanting to get involved today?

ML:

Every generation has its own approach to the world and its own way of looking at solutions. I can see that we are entering a world where risks are multiplying, from global warming to the new rules of the geopolitical game, but I remain unfailingly optimistic about human nature’s ability to transcend itself, to give the best of itself. I would say to a young person making a commitment today that, if they have a strong conviction, they must cultivate it and be faithful to it, even in moments of doubt.

 

Nana Hadiza, 28, holds her twin daughters in her arms as they sit on a hospital bed at Maradi University Hospital in Niger. The twins are being treated for malnutrition with ready-to-use therapeutic foods from Nutriset. © UNICEF/UN0535873/Dejongh

AB:

How would you like to conclude this interview?

ML:

Your magazine has a beautiful title: “Humanitarian Challenges.” For forty years, I have had the good fortune to work alongside exceptional people in humanitarian agencies and NGOs. In a way, we have “grown up together.” I would therefore like to take this opportunity to pay tribute to all those who have brought this commitment to life and continue to do so today. At the beginning of my book, I recall the figure of Dr. Pascal Grellety-Bosviel, a Red Cross doctor in the 1980s, who inspired me greatly, along with so many others. I would like to salute all the humanitarian workers of the new generation and tell them not to give up! The fight continues!

My Fight Against Malnutrition, by Michel Lescanne, with Christian Troubé (Editions Eyrolles, $24)

Michel Lescanne:

“Your idea has no future, sir!” Despite having just submitted his final thesis, young agricultural engineer Michel Lescanne remained faithful to his dream: to develop products to combat world hunger. In the 1970s, with famines in Africa dominating the headlines, the challenge was immense. And the obstacles were numerous. Today, the Nutriset Group, which he founded in 1986, is present wherever malnutrition is rife, in Africa, Asia, Latin America, and even France, saving millions of children and adults. It is this remarkable journey that its founder recounts here.

 

Christian Troubé

A senior reporter specializing in international relations, Christian Troubé first became involved in humanitarian work in the early 1980s during the war in Lebanon. As a journalist, he went on to accompany various NGOs in numerous fields of action. He also served as a volunteer administrator for Action Against Hunger. Author of numerous books on humanitarian issues, he now puts his experience to work for the Nutriset Group, advising on its strategic communications.

Book review: “My Fight Against Malnutrition”

Faced with an alarming situation, “Today, one in four children under the age of five worldwide is malnourished, 165 million suffer from stunted growth, and 50 million are affected by acute malnutrition, which seriously jeopardizes their precarious existence,” Nutriset presents itself as a company specializing in the production of nutritional solutions, with a social mission to combat malnutrition.

Founded in 1986 in Normandy, it has gradually established itself as a key player in this cause on a global scale, combining innovation, scientific expertise, and humanitarian commitment.

A story to understand a struggle: the book My Fight Against Malnutrition

The book My Fight Against Malnutrition, written by Michel Lescanne, founder of Nutriset, and co-authored with journalist Christian Troubé, recounts the development of the company in fifteen chapters, while highlighting the major developments in the fight against malnutrition. This is not simply an entrepreneurial account, but a committed, innovative reflection on experience, providing valuable insight into international humanitarian dynamics. Nutriset’s expertise, as a key player in the sector, makes it a strategic tool for thinking about the challenges of tomorrow.

Raising awareness of malnutrition

It all began in the late 1980s. Michel Lescanne, the son of a dairy farmer in a Normandy cooperative, grew up immersed in the world of nutrition. From an early age, he developed a particular sensitivity to issues of access to food in humanitarian crisis situations.

At that time, child malnutrition was a silent emergency. Famines were addressed through emergency interventions that were often ill-suited to the realities on the ground. The famine in Ethiopia (1984-85), followed by the upheavals of the Rwandan genocide in 1994, highlighted the inadequacy of existing mechanisms. Therapeutic feeding remained underdeveloped, dependent on cumbersome hospital-based solutions that were difficult for the most vulnerable families to access in troubled situations.

It was in this context that, in 1993, Nutriset developed an innovation: F-75 and F-100 therapeutic milks, designed for the effective treatment of severe malnutrition in health centers. These products laid the foundations for Nutriset’s recognition in the humanitarian world.

This discovery presented many challenges for the company. The transition from an individual project in a house in Normandy to the creation of a sustainable structure involved recruiting a team, defining a clear mandate, and seeking funding.

Above all, the latter had to address a structural tension: reconciling economic imperatives with its social mission. How can a corporate status coexist with a non-profit commitment focused on products of public interest? To gain legitimacy, Nutriset must convince, forge alliances, and prove the effectiveness of its solutions. The first NGO partners, by testing the products in the field, such as Action Against Hunger in 1993 in Rwanda, actively participate in their continuous improvement.

Plumpy’Nut: an innovation that is transforming the fight against malnutrition

Since its creation, Nutriset has focused on research and innovation. The company relies on a network of scientists, nutritionists, doctors, NGOs, and laboratories to develop solutions adapted to the constraints of the field. It is within this framework that Plumpy’Nut emerged, a revolutionary Ready-to-Use Therapeutic Food (RUTF) developed to address the limitations of therapeutic milks.

Plumpy’Nut is a ready-to-use peanut-based paste rich in calories, protein, and essential micronutrients. Stable and requiring no refrigeration, it can be administered at home without water, allowing families to participate in the healing process. This paradigm shift not only lightens the burden on medical facilities, but above all puts mothers back at the heart of the care process.

This innovation is supported by significant advocacy work with international organizations. Thanks to these efforts, Nutriset has become a partner of major United Nations agencies such as the WFP (World Food Programme) and UNICEF. These partnerships mark the institutionalization of the RUTF approach, which is becoming a global standard in the fight against severe acute malnutrition.

An international company facing contemporary challenges

In 2005, Nutriset initiated a change of scale with the creation of the PlumpyField network, which now has 11 members in several countries in the Global South. This franchise strategy enables decentralized production, closer to local needs, while promoting the autonomy of industrial partners and making a valuable contribution to the food sovereignty of the countries concerned. Today, one-third of Nutriset’s production is carried out by this network.

As part of a global response, Nutriset is also developing targeted product ranges, such as the 1000 Days program, which covers the nutritional needs of pregnant women until their children reach the age of two. These developments reflect an evolution in the socio-cultural approach to nutrition, integrating local dietary practices and family realities.

The company is part of a multi-stakeholder approach, bringing together the public and private sectors, NGOs, researchers, doctors, and nutritionists around a common goal: a coordinated fight against malnutrition, rooted in the dynamics on the ground. This transdisciplinary alliance makes it possible to adapt practices in response to successive crises (Rwanda, Syria, Sahel, etc.) and the latest scientific data.

Challenges for tomorrow: thinking about the future of humanitarian nutrition

Nutriset is part of a broader international movement, notably the Millennium Development Goals (MDGs) launched in 2000, which aimed to eradicate extreme poverty and hunger, and, since 2015, the Sustainable Development Goals for 2030. Today, with the proliferation of crises and the evolution of humanitarian response, the issues are becoming more complex.

Michel Lescanne identifies several major challenges for the coming years:

  • The proliferation of conflicts, requiring a transition from ad hoc aid to sustainable aid
  • The increase in humanitarian needs, linked to political, economic, and climate crises
  • The need for constant innovation, with products that respect people and the environment and are produced as close as possible to the areas of intervention
  • Further reflection on products that place nutrition at the heart of health issues.

Nutriset intends to respond to these challenges by pursuing its mission: to put science at the service of the most vulnerable and to continue to make nutrition a fundamental right accessible to all.

My fight against malnutrition is not just the story of an entrepreneurial journey, it is a call to action. Through Michel Lescanne’s commitment and Nutriset’s trajectory, this book powerfully reminds us that innovation, combined with determination, can save millions of lives. Faced with a persistent scourge, it charts a demanding but necessary course: making nutrition accessible to all!

Mon combat contre la malnutrition, Michel Lescanne with Christian Troubé, éditions Eyrolles

Esther de Montchalin

Other articles published on this topic in Défis Humanitaires:

When Nutriset engages in dialogue with humanitarian organizations.

Nutrition: interview with Claire Fehrenbach from the Nutriset Group.

Nutriset: one company’s fight against malnutrition.

Trump, Putin, France and Europe, humanitarianism!

Vladimir Putin & Donald Trump in Helsinki July 2018. (Image Credit Kremlin.ru via Wikimedia Commons)

By signing an executive order abruptly freezing US international aid budgets and putting an end to the USAID agency, President Donald Trump has provoked shock followed by a storm in humanitarian organisations, coupled with uncertainty about the future, by combining exemptions for certain programmes with contradictory orders and counter-orders that sow confusion.

The big question is why this decision and its disastrous consequences.

All the more so as this slump in official development assistance from the United States, the world’s biggest donor, was shortly preceded by significant cuts in a number of European countries. I confess to being surprised by the great silence of the institutions on this subject, as we saw at the 10th anniversary of the CNDSI (Conseil National du Développement et de la Solidarité Internationale) in Paris or in the programme of the next European Humanitarian Forum on 19 and 20 in Brussels.

How can we explain the great return of geopolitics that we are witnessing, and what new period are we entering blindly?

What are the consequences for humanitarian and development aid for populations and, much further afield, for nation states and the international community that represents them at the UN, itself shaken, unbalanced and divided?

Have we not entered a pre-war climate that is already manifesting itself in cyberspace, sanctions and the trade war, in the accelerated increase in defence budgets and armies, and in the strengthening of the resilience of populations in the face of rising perils?

Swedish manual for survival in times of crisis or war

The humanitarian consequences

To take the measure of the earthquake caused by the US administration on 24 January, when it wrote to its partners to immediately freeze its funding for 90 days for evaluation in 158 countries where USAID is present, it is useful to recall the figures.

In 2023, the year for which we have the official OECD figures, they show that global Official Development Assistance amounted to USD 233.3 billion, including USD 64.7 billion for the United States (see the link to Cyprien Fabre’s article DH 97). This amount includes 14.5 billion for humanitarian aid out of a total humanitarian budget of 43.6 billion that year.

The entire global humanitarian and development ecosystem was instantly shaken, leading to a cascade of programme interruptions or forced slowdowns.

The extent of the shock is clearer when you consider that the budgets of the United Nations High Commissioner for Refugees (UNHCR) and the International Organisation for Migration (IOM) are each 40% funded by the United States. Allen Maima, head of public health at the UNHCR, says that 520,000 displaced persons in the DRC are at risk of death from infectious diseases because the 2025 health budget has been cut by 87% compared with 2024. The World Health Organisation (WHO) has been forced to cut its budget and programmes by 20%, as have all the United Nations agencies, to varying degrees.

In eastern Chad, the WFP distributes food to new arrivals from Sudan. Photo WFP / Jacques David

The Secretary General of the NGO Danish Refugee Council (DRC), Charlotte Slente, testifies that on 26 February she received more than 20 notices of termination of grants from USAID and the US State Department for 12 countries, amounting to USD 130 million! The Norwegian Refugee Council (NRC), for its part, said that it had never experienced such a cut in funding in its 79-year history.

Among the humanitarian NGOs in France, Manuel Patrouillard, Director General of Handicap International/Humanité et Inclusion (HI), said that out of a budget of 270 million euros in 2024, 36 million came from USAID and that they had been forced to stop 36 projects overnight.

The same applies to Première Urgence Internationale (PUI), where CEO Thierry Mauricet explains that American funding accounts for around 30% of an annual budget of €130 million. At Solidarités International, the proportion is around 36%, according to its Managing Director, Kevin Goldberg. The same applies to Action Contre la Faim, ACTED, Triangle Génération Humanitaire (TGH) and many other humanitarian NGOs.

But beyond these cuts, uncertainty still reigns, as projects that were granted waiver to continue have subsequently been cancelled and then renewed in contradictory ways.

NGOs recently received letters on 21 March telling them that they could resume the various ‘life-saving’ programmes, without knowing whether these would continue if necessary when they expired. As a result, some NGOs are considering ending these programmes on the scheduled date without planning to follow up, due to the lack of American commitment at this stage.

Finally, the US administration owes a great deal of money to its partners, who have advanced the funds needed to implement the aid, without being reimbursed since December. Around €200 million is owed to 6 French NGOs, and the amount increases every month.

While the US Supreme Court has ruled that this money must be repaid, no one knows when this will happen. As a result, NGOs owed USD 25 or 30 million could find themselves out of business if the money is not repaid by June! So there are also major concerns about the cash flow of these organisations.

US Department of Defense. U.S. Marine Corps photo by Cpl. Isaac Ibarra/Released)

The origins of the earthquake

The US administration set out its position in a twenty-page document entitled ‘Designing a New Architecture for US International Assistance’. It states that ‘the US international assistance apparatus is inefficient and fragmented’ and that it lacks ‘a unified and coordinated delivery system’.

It states that ‘As Secretary Rubio has made clear, all U.S. international assistance efforts should make America safer, stronger and more prosperous’.

According to the new US administration ‘The United States had an archaic system that needed to be dismantled’ and President Trump’s ‘decisive actions’ are an opportunity to ‘restructure the system and establish an architecture for international cooperation that respects the taxpayer and achieves measurable results, particularly through the private sector, and aligns with America’s strategic interests.

In fact, it’s a question of restructuring American aid in depth, and this seems to have been thought out in advance when we discover the very precise and detailed roadmap for its implementation. In particular, USAID is to change its name, following changes to its articles of association, to become the US Agency for International Humanitarian Assistance (IHA). Similarly, the Office of Humanitarian Assistance (OHA) will become the Office of Humanitarian Assistance.

This is clearly a vast plan aimed at redefining the objectives, priorities, partners and organisational and operational methods for implementing this policy.

Press Conference by the President of the United States © NATO

But it is important to understand that this American earthquake in their humanitarian and development aid is part of a much broader and deeper perspective that can be summed up by Donald Trump’s political project of illiberalism. This aims to go beyond the limits of a liberal democracy deemed too slow, contradictory in its compromises and ill-adapted to the challenges of today’s world. A project that calls into question the separation of powers and the hierarchy of standards in the name of popular suffrage embodied by a leader who wields a great deal of power.

At this stage, I wondered whether Donald Trump’s America might not be the consequence of, or even the response to, the autocratic, even totalitarian, regimes of Vladimir Putin, Xi Jinping, Recep Tayyip Erdogan and others, or an American copy of a global trend that is also seeing a diversified global South assert itself and clash in heightened global competition.

In any case, this epochal change means that the humanitarian and development world must take it fully into account and position itself beyond what immediately affects it.

Donald Trump has confirmed and completed this change of era, in which the war in Ukraine has played a triggering role. In a more conflictual and unpredictable world that is disrupting the globalisation of trade, geopolitics is once again asserting itself as the ‘queen of battles’.

The world is changing

When Donald Trump distances himself from Europe and its defence, he is pursuing the American policy initiated by Barack Obama and continued by Joe Biden of refocusing the United States strategically on the Asia-Pacific region, in the face of China’s now global ambitions.

In so doing, he has brought us face to face with Russia and our disarmament in the possible absence of the American umbrella that has prevailed since the creation of NATO.

Public opinion in France is not mistaken when three out of four people support the rearmament of our defence according to a recent poll (1). Similarly, a study (2) shows that 50% of young people aged between 18 and 30 would be prepared to join the army in the event of a conflict threatening our country. This is what Brice Teinturier, CEO of Ipsos, says when he notes that ‘the strict separation between national and international issues is a thing of the past’.

This is borne out by the fact that the defence budget was €32 billion in 2017; it will be €50.5 billion in 2025, and €67 billion in 5 years’ time. But the pace is increasing in line with the risks, and the Minister of Defence, Sébastien Lecornu, is now working at the request of the President of the Republic, Emmanuel Macron, on a budget of €100 billion, or 4% of Gross Domestic Product.

This trend is sweeping across Europe, and summits of Heads of State and Government, as well as Chiefs of Defence Staff, are being held in quick succession in Paris and London to address the threat posed by Ukraine, which could eventually affect the Baltic States and Poland, and consequently the whole of Europe.

© Ministère de la Défense ukrainien
Victory Day Parade in Moscow © mos.ru

 

 

 

 

 

 

 

Faced with the threat posed by Vladimir Putin, backed by China, and the abandonment of Donald Trump’s America, a relatively disarmed Europe seems to be rediscovering General de Gaulle’s vision of strategic independence based on the ultimate nuclear deterrent. In the general upheaval of the usual reference points, let us add that the same General de Gaulle was in favour of a Europe of nation states as a guarantee of its roots and strength, as Ukraine is proving by fighting for its freedom and independence.

Humanitarian conclusion

The change in times we are living through is similar to those we experienced with the fall of the Berlin Wall or the attack on the World Trade Center in New York on 11 September 2001, with the global consequences we are all familiar with.

The future will tell us how the interdependence of ruptures and recompositions will play out over time.

For the time being, although humanitarian aid must first of all cope with the dismantling of USAID, the change of era is profound and general, and it is in this new world that we must pursue our mission with, I believe, two convictions.

The first is that being a French or any other citizen is compatible with international aid in the name of humanism, solidarity, history and even a ‘certain idea’ of one’s country and its responsibilities in the world.

The second is that, whatever the world that lies ahead, solidarity between human beings and nations is still urgently needed to save lives and overcome poverty through sustainable development.

The real humanitarian challenge now is to know how we are going to help and develop with fewer resources in the face of greater needs. That’s the challenge we have to meet.

Alain Boinet.

 

I invite you to read these interviews and articles published in the edition :