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Determinants of adherence to micronutrient powder use among young children in Ethiopia

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dc.contributor.author Samuel, Aregash
dc.contributor.author D. Brouwer, Inge
dc.contributor.author P. Pamungkas, Nindya
dc.contributor.author Terra, Tosca
dc.contributor.author Lelisa, Azeb
dc.contributor.author Kebede, Amha
dc.contributor.author M. Osendarp, Saskia J.
dc.date.accessioned 2022-12-02T11:40:44Z
dc.date.available 2022-12-02T11:40:44Z
dc.date.issued 2020-10-25
dc.identifier.uri http://ephispace.ephi.gov.et/xmlui/handle/123456789/469
dc.description.abstract In Ethiopia, home fortification of complementary foods with micronutrient powders (MNPs) was introduced in 2015 as a new approach to improve micronutrient intakes. The objective of this study was to assess factors associated with intake adherence and drivers for correct MNP use over time to inform scale-up of MNP interventions. Mixed methods including questionnaires, interviews and focus group discussions were used. Participants, 1,185 children (6–11 months), received bimonthly 30 MNP sachets for 8 months, with instruction to consume 15 sachets/month, that is, a sachet every other day and maximum of one sachet per day. Adherence to distribu tion (if child receives ≥14 sachets/month) and adherence to instruction (if child receives exactly 15[±1] sachets/month) were assessed monthly by counting used sachets. Factors associated with adherence were examined using generalized esti mating equations. Adherence fluctuated over time, an average of 58% adherence to distribution and 28% for adherence to instruction. Average MNP consumption was 79% out of the total sachets provided. Factors positively associated with adherence included ease of use (instruction), child liking MNP and support from community (dis tribution and instruction) and mother's age >25 years (distribution). Distance to health post, knowledge of correct use (OR = 0.74, 95% CI = 0.66–0.81), perceived negative effects (OR = 0.73, 95% CI = 0.54–0.99) and living in Southern Nations, Nationalities and People Region (OR = 0.59, 95% CI = 0.52–0.67) were inversely associated with adherence to distribution. Free MNP provision, trust in the govern ment and field staff played a role in successful implementation. MNP is promising to be scaled-up, by taking into account factors that positively and negatively determine adherence en_US
dc.language.iso en en_US
dc.publisher John Wiley en_US
dc.subject ADHERENCE en_US
dc.subject DETERMINANTS en_US
dc.subject MICRONUTRIENT POWDER en_US
dc.title Determinants of adherence to micronutrient powder use among young children in Ethiopia en_US
dc.type Journal Article en_US
ep.contributor.affiliation Ethiopian Public Health Institute en_US
ep.contributor.affiliation Division of Human Nutrition and Health, Wageningen University, Wageningen, The Netherlands en_US
ep.contributor.affiliation Nutrition International, Ethiopia, C/O Ethiopia-Canada Cooperation Office (CIDA-ECCO), Addis Ababa, Ethiopia en_US
ep.identifier.status Open Access en_US
ep.identifier.status Open Access
ep.identifier.doi https://doi.org/10.1111/mcn.13111 en_US
ep.journal Maternal and Child Nutrition en_US
ep.issue 2 en_US
ep.volume 17 en_US


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