Adherence and acceptability of community‐based distribution of micronutrient powders in Southern Mali
Bibliographic Data
| ID | 15535559 |
|---|---|
| Authors | Natalie Roschnik (0000-0002-1642-6546, Save the Children, corresponding author), Hawa Diarra (Save the Children), Yahia Dicko (Save the Children), Seybou Diarra (Save the Children), Isobel Stanley (0000-0003-2962-299X, London School of Hygiene & Tropical Medicine), Helen Moestue (0000-0002-0610-7656, Save the Children), Judy McClean (University of British Columbia), Hans Verhoef (0000-0002-9346-9689, London School of Hygiene & Tropical Medicine), Susan E Clarke (0000-0002-3829-9584, London School of Hygiene & Tropical Medicine) |
| Year | 2019 |
| Volume | 15 |
| Issue | S5 |
| Pages | e12831-e12831 |
| Publication date | 2019-10-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Maternal and Child Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1740-8695 • E-ISSN: 1740-8709 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/mcn.12831 |
| PMID | 31622044 |
| OpenAlex | W2980582044 |
| Language | EN |
| Citations received | 6 |
| References cited | 13 |
Home fortification with micronutrient powders (MNP) has been shown to reduce anaemia, with high overall acceptability and adherence, but there is limited evidence from West Africa. Around 80% of children younger than 5 years are anaemic in Mali, and new interventions are needed. This paper reports on the adherence and acceptability of a community-led MNP intervention targeting children aged 6-59 months in Southern Mali. The MNP were delivered by a multidisciplinary group of community volunteers using community-based preschools, cooking demonstrations, and traditional communication networks to promote MNP, nutrition, hygiene, and child stimulation. The MNP were delivered alongside early childhood development interventions and seasonal malaria chemoprevention. Adherence and acceptability were evaluated through two cross-sectional surveys in 2014 and 2016 and a qualitative evaluation in 2015. Over 80% of parents reported ever having given MNP to their child, with 65% having given MNP for four or more days in the last week. Likely contributors to uptake include: perceived positive changes in the children following MNP use, the selection of a food vehicle that was already commonly given to children (morning porridge or bouillie) and the community driven, decentralized and integrated delivery approach. These findings support recommendations from recent reviews of MNP implementation to use community-based delivery approaches and behaviour change components
Behavior change communication · Developing country · Environmental health · Fortification · Health services · Hygiene · Intervention (counseling · Malaria · Micronutrient · Population · Psychological intervention · Child Nutrition and Feeding Issues · Child Nutrition and Water Access · Iron Metabolism and Disorders · Medicine · Nursing · Food Science
Factors associated with nutrition intervention adherence
The association between micronutrient powder delivery patterns and caregiver feeding behaviors in rural China
Prevalence and influencing factors of micronutrient powder adoption among children aged 6–24 months by parental and grandparental caregivers
Diffusion of a micronutrient home fortification program for infants and toddlers in a multi-ethnic population in rural western China
Micronutrient Powders Combined With Malaria Chemoprevention to Improve Anaemia and Cognitive Function in Early Childhood in Mali
Caregiver perceptions of nutrition interventions in infants and children under 24 months of age
| Unique citing works | 6 |
|---|---|
| Citations per year | 1,5 |
| Citation span | 2022 - 2025 (4) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 6 |