Adherence and acceptability of community-based distribution of micronutrient powders in Southern Mali

Natalie Roschnik*, Hawa Diarra, Yahia Dicko, Seybou Diarra, Isobel Stanley, Helen Moestue, Judy McClean, Hans Verhoef, Sian E. Clarke

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Scopus)

Abstract

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.

Original languageEnglish
Article numbere12831
JournalMaternal and Child Nutrition
Volume15
DOIs
Publication statusPublished - 1 Oct 2019

Fingerprint

Mali
Micronutrients
Powders
Delivery of Health Care
Choice Behavior
Food Preferences
Western Africa
Chemoprevention
Cooking
Hygiene
Malaria
Anemia
Volunteers
Cross-Sectional Studies
Parents
Communication

Keywords

  • cluster randomised controlled trial
  • community-based
  • complementary feeding
  • infant and child nutrition
  • malaria
  • Mali
  • micronutrients
  • preschool children

Cite this

Roschnik, N., Diarra, H., Dicko, Y., Diarra, S., Stanley, I., Moestue, H., ... Clarke, S. E. (2019). Adherence and acceptability of community-based distribution of micronutrient powders in Southern Mali. Maternal and Child Nutrition, 15, [e12831]. https://doi.org/10.1111/mcn.12831
Roschnik, Natalie ; Diarra, Hawa ; Dicko, Yahia ; Diarra, Seybou ; Stanley, Isobel ; Moestue, Helen ; McClean, Judy ; Verhoef, Hans ; Clarke, Sian E. / Adherence and acceptability of community-based distribution of micronutrient powders in Southern Mali. In: Maternal and Child Nutrition. 2019 ; Vol. 15.
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abstract = "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.",
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author = "Natalie Roschnik and Hawa Diarra and Yahia Dicko and Seybou Diarra and Isobel Stanley and Helen Moestue and Judy McClean and Hans Verhoef and Clarke, {Sian E.}",
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Roschnik, N, Diarra, H, Dicko, Y, Diarra, S, Stanley, I, Moestue, H, McClean, J, Verhoef, H & Clarke, SE 2019, 'Adherence and acceptability of community-based distribution of micronutrient powders in Southern Mali', Maternal and Child Nutrition, vol. 15, e12831. https://doi.org/10.1111/mcn.12831

Adherence and acceptability of community-based distribution of micronutrient powders in Southern Mali. / Roschnik, Natalie; Diarra, Hawa; Dicko, Yahia; Diarra, Seybou; Stanley, Isobel; Moestue, Helen; McClean, Judy; Verhoef, Hans; Clarke, Sian E.

In: Maternal and Child Nutrition, Vol. 15, e12831, 01.10.2019.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Adherence and acceptability of community-based distribution of micronutrient powders in Southern Mali

AU - Roschnik, Natalie

AU - Diarra, Hawa

AU - Dicko, Yahia

AU - Diarra, Seybou

AU - Stanley, Isobel

AU - Moestue, Helen

AU - McClean, Judy

AU - Verhoef, Hans

AU - Clarke, Sian E.

PY - 2019/10/1

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N2 - 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.

AB - 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.

KW - cluster randomised controlled trial

KW - community-based

KW - complementary feeding

KW - infant and child nutrition

KW - malaria

KW - Mali

KW - micronutrients

KW - preschool children

U2 - 10.1111/mcn.12831

DO - 10.1111/mcn.12831

M3 - Article

VL - 15

JO - Maternal and Child Nutrition

JF - Maternal and Child Nutrition

SN - 1740-8695

M1 - e12831

ER -