Predictors of micronutrient powder sachet coverage and recent intake among children 12–23 months in Eastern Uganda

Bibliographic Data

ID15536702
AuthorsNicole D Ford (0000-0002-6463-5094, Centers for Disease Control and Prevention, corresponding author), Laird J Ruth (Centers for Disease Control and Prevention), Sarah Ngalombi (Ministry of Health), Abdelrahman Lubowa (Makerere University), Siti Halati (World Health Organization - Uganda), Martin Ahimbisibwe (World Food Programme), Carine Mapango (0000-0002-6844-3380, Centers for Disease Control and Prevention), Ralph D Whitehead (0000-0002-0192-5115, The Centers), Ralph D Whitehead Jr (Nutrition Branch, Division of Nutrition, Physical Activity, and Obesity United States Centers of Disease Control and Prevention Atlanta Georgia USA), Maria Elena D Jefferds (0000-0002-2652-4502, Centers for Disease Control and Prevention)
Year2019
Volume15
IssueS5
Pagese12792-e12792
Publication date2019-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMaternal and Child Nutrition (JOURNAL)
Journal identifiersISSN: 1740-8695 • E-ISSN: 1740-8709
PublisherWiley (PUBLISHER • GB)
DOI10.1111/mcn.12792
PMID31622041
OpenAlexW2980534712
LanguageEN
Citations received2
References cited17

We evaluated predictors of micronutrient powder (MNP) sachet coverage and recent intake using data from a cross-sectional survey representative of children aged 12-23 months in Amuria district, Uganda. In June/July 2016, caregivers were interviewed 12 months after implementation of an integrated MNP and infant and young child feeding pilot (N = 761). Logistic regression described predictors of (a) high-MNP sachet coverage (received at least 60 sachets/6 months) and (b) recent intake (consumed MNP during the 2 weeks preceding the survey) among children who had ever received MNP and had complete data (N = 683). Fifty-nine percent (95% Confidence Interval [CI] [53.8, 64.2]) of children had high-MNP sachet coverage, and 65.4% (95% CI [61.0, 69.9]) had recent intake. MNP ration cards (Adjusted Odds Ratio [AOR] 2.67, 95% CI [1.15, 6.23]), organoleptic changes to foods cooked with soda ash (AOR 1.52, 95% CI [1.08, 2.14]), having heard of anaemia (AOR 1.59, 95% CI [1.11, 2.26]), knowledge of correct MNP preparation (AOR 1.89, 95% CI [1.11, 3.19]), and current breastfeeding (AOR 2.04, 95% CI [1.36, 3.08]) were positively associated with MNP coverage whereas older child age (18-23 vs. 12-17 months) was inversely associated with coverage (AOR 0.32, 95% CI [0.23, 0.50]). MNP ration cards (AOR 2.86, 95% CI [1.34, 6.09]), having heard an MNP radio jingle (AOR 1.40, 95% CI [1.01, 1.94]), knowledge of correct MNP preparation (AOR 1.88, 95% CI [1.04, 3.39]), and the child not disliking MNP (AOR 1.90, 95% CI [1.13, 3.22]) were positively associated with recent intake. Interventions that increase caregiver knowledge and skills and focus on older children could improve MNP coverage and recent intake

Animal science · Breastfeeding · Confidence interval · Cross-sectional study · Environmental health · Logistic regression · Micronutrient · Odds ratio · Child Nutrition and Water Access · Food Security and Health in Diverse Populations · Global Maternal and Child Health · Medicine · Internal Medicine · Pediatrics

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