Acceptability of multiple micronutrient powders and iron syrup in Bihar, India
Nearly two thirds of young children are anaemic in Bihar, India. Paediatric iron and folic acid syrup (IFAS) and multiple micronutrient powders (MNPs) are two evidence-based interventions to prevent anaemia. Using a randomized crossover design, we examined the acceptability of IFAS versus MNPs for c...
| Main Authors: | , , , , , , , , |
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| Format: | Journal Article |
| Language: | Inglés |
| Published: |
Wiley
2018
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| Subjects: | |
| Online Access: | https://hdl.handle.net/10568/146876 |
| _version_ | 1855522973267525632 |
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| author | Young, Melissa F. Girard, Amy Webb Mehta, Rushkan Srikantiah, Sridhar Gosdin, Lucas Menon, Purnima Ramakrishnan, Usha Martorell, Reynaldo Avula, Rasmi |
| author_browse | Avula, Rasmi Girard, Amy Webb Gosdin, Lucas Martorell, Reynaldo Mehta, Rushkan Menon, Purnima Ramakrishnan, Usha Srikantiah, Sridhar Young, Melissa F. |
| author_facet | Young, Melissa F. Girard, Amy Webb Mehta, Rushkan Srikantiah, Sridhar Gosdin, Lucas Menon, Purnima Ramakrishnan, Usha Martorell, Reynaldo Avula, Rasmi |
| author_sort | Young, Melissa F. |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Nearly two thirds of young children are anaemic in Bihar, India. Paediatric iron and folic acid syrup (IFAS) and multiple micronutrient powders (MNPs) are two evidence-based interventions to prevent anaemia. Using a randomized crossover design, we examined the acceptability of IFAS versus MNPs for children 6–23 months. In a catchment area of 2 health centres in Bihar, health front-line workers (FLWs) delivered either (a) IFAS twice weekly or (b) MNPs for 1 month followed by the other supplementation strategy for 1 month to the same families (NCT02610881). Household surveys were conducted at baseline (N = 100), 1 month after receiving the first intervention (1 month; N = 95), and 1 month after the second intervention (2 months; N = 93). Focus group discussions (10 FLWs) and in-depth interviews (20 mothers) were held at 1 and 2 months. We used chi-square and Fisher exact tests to test mothers' product preferences. Qualitative data were analysed using MaxQDA and Excel employing a thematic analysis approach. There was high adherence and acceptability for both products (>80%). There was no significant difference in preference (p < .05) on perceived benefits (39% MNPs, 40% IFAS), side effects (30% MNPs, 30% IFAS), ease of use (42% IFAS, 31% MNPs), child preference (45% IFAS, 37% MNPs), and maternal preference (44% IFAS, 34% MNPs). Mothers and FLWs indicated that the direct administration of IFAS ensured that children consumed the full dose, and MNPs intake depended on the quantity of food consumed, especially among younger children, which emphasizes the need to integrate supplementation with the promotion of optimal child feeding practices. |
| format | Journal Article |
| id | CGSpace146876 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2018 |
| publishDateRange | 2018 |
| publishDateSort | 2018 |
| publisher | Wiley |
| publisherStr | Wiley |
| record_format | dspace |
| spelling | CGSpace1468762025-02-24T06:48:14Z Acceptability of multiple micronutrient powders and iron syrup in Bihar, India Young, Melissa F. Girard, Amy Webb Mehta, Rushkan Srikantiah, Sridhar Gosdin, Lucas Menon, Purnima Ramakrishnan, Usha Martorell, Reynaldo Avula, Rasmi food supplements anaemia nutrient deficiencies iron supplementation micronutrient deficiencies malnutrition supplements nutrition children iron iron deficiency folic acid Nearly two thirds of young children are anaemic in Bihar, India. Paediatric iron and folic acid syrup (IFAS) and multiple micronutrient powders (MNPs) are two evidence-based interventions to prevent anaemia. Using a randomized crossover design, we examined the acceptability of IFAS versus MNPs for children 6–23 months. In a catchment area of 2 health centres in Bihar, health front-line workers (FLWs) delivered either (a) IFAS twice weekly or (b) MNPs for 1 month followed by the other supplementation strategy for 1 month to the same families (NCT02610881). Household surveys were conducted at baseline (N = 100), 1 month after receiving the first intervention (1 month; N = 95), and 1 month after the second intervention (2 months; N = 93). Focus group discussions (10 FLWs) and in-depth interviews (20 mothers) were held at 1 and 2 months. We used chi-square and Fisher exact tests to test mothers' product preferences. Qualitative data were analysed using MaxQDA and Excel employing a thematic analysis approach. There was high adherence and acceptability for both products (>80%). There was no significant difference in preference (p < .05) on perceived benefits (39% MNPs, 40% IFAS), side effects (30% MNPs, 30% IFAS), ease of use (42% IFAS, 31% MNPs), child preference (45% IFAS, 37% MNPs), and maternal preference (44% IFAS, 34% MNPs). Mothers and FLWs indicated that the direct administration of IFAS ensured that children consumed the full dose, and MNPs intake depended on the quantity of food consumed, especially among younger children, which emphasizes the need to integrate supplementation with the promotion of optimal child feeding practices. 2018-01-10 2024-06-21T09:09:14Z 2024-06-21T09:09:14Z Journal Article https://hdl.handle.net/10568/146876 en https://doi.org/10.1096/fasebj.31.1_supplement.786.42 Open Access Wiley Young, Melissa F.; Girard, Amy Webb; Mehta, Rushkan; Srikantiah, Sridhar; Gosdin, Lucas; Menon, Purnima; Ramakrishnan, Usha; Martorell, Reynaldo; and Avula, Rasmi. Acceptability of multiple micronutrient powders and iron syrup in Bihar, India. Maternal and Child Nutrition 14(2): e12572. https://doi.org/10.1111/mcn.12572 |
| spellingShingle | food supplements anaemia nutrient deficiencies iron supplementation micronutrient deficiencies malnutrition supplements nutrition children iron iron deficiency folic acid Young, Melissa F. Girard, Amy Webb Mehta, Rushkan Srikantiah, Sridhar Gosdin, Lucas Menon, Purnima Ramakrishnan, Usha Martorell, Reynaldo Avula, Rasmi Acceptability of multiple micronutrient powders and iron syrup in Bihar, India |
| title | Acceptability of multiple micronutrient powders and iron syrup in Bihar, India |
| title_full | Acceptability of multiple micronutrient powders and iron syrup in Bihar, India |
| title_fullStr | Acceptability of multiple micronutrient powders and iron syrup in Bihar, India |
| title_full_unstemmed | Acceptability of multiple micronutrient powders and iron syrup in Bihar, India |
| title_short | Acceptability of multiple micronutrient powders and iron syrup in Bihar, India |
| title_sort | acceptability of multiple micronutrient powders and iron syrup in bihar india |
| topic | food supplements anaemia nutrient deficiencies iron supplementation micronutrient deficiencies malnutrition supplements nutrition children iron iron deficiency folic acid |
| url | https://hdl.handle.net/10568/146876 |
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