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- Title
Predictors of micronutrient powder intake adherence in a pilot programme in Nepal.
- Authors
Mirkovic, Kelsey R.; Perrine, Cria G.; Subedi, Giri Raj; Mebrahtu, Saba; Dahal, Pradiumna; Staatz, Colleen; Jefferds, Maria Elena D.
- Abstract
<bold>Objective: </bold>Poor adherence to recommended intake protocols is common and a top challenge for micronutrient powder (MNP) programmes globally. Identifying modifiable predictors of intake adherence could inform the design and implementation of MNP projects.<bold>Design: </bold>We assessed high MNP intake adherence among children who had received MNP ≥2 months ago and consumed ≥1 sachet (n 771). High MNP intake adherence was defined as maternal report of child intake ≥45 sachets. We used logistic regression to assess demographic, intervention components and perception-of-use factors associated with high MNP intake.<bold>Setting: </bold>Four districts of Nepal piloting an integrated infant and young child feeding and MNP project.<bold>Subjects: </bold>Children aged 6-23 months were eligible to receive sixty MNP sachets every 6 months with suggested intake of one sachet daily for 60 d. Cross-sectional surveys representative of children aged 6-23 months were conducted.<bold>Results: </bold>Receiving a reminder card was associated with increased odds for high intake (OR=2·18, 95 % CI 1·14, 4·18); exposure to other programme components was not associated with high intake. Mothers perceiving ≥1 positive effects in their child after MNP use was also associated with high intake (OR=6·55, 95 % CI 4·29, 10·01). Perceiving negative affects was not associated; however, the child not liking the food with MNP was associated with lower odds of high intake (OR=0·12, 95 % CI 0·08, 0·20).<bold>Conclusions: </bold>Behaviour change intervention strategies tailored to address these modifiable predictors could potentially increase MNP intake adherence.
- Subjects
NEPAL; MICRONUTRIENTS; SCENTED sachets; LOGISTIC regression analysis; DEMOGRAPHIC surveys; INFANT nutrition; DIETARY supplements; INFANTS; NUTRITIONAL requirements; PATIENT compliance; POWDERS; PILOT projects; CROSS-sectional method; NUTRITIONAL status
- Publication
Public Health Nutrition, 2016, Vol 19, Issue 10, p1768
- ISSN
1368-9800
- Publication type
journal article
- DOI
10.1017/S1368980015003572