ArticleMaternal & child nutrition2019
Bottlenecks and predictors of coverage and adherence outcomes for a micronutrient powder program in Ethiopia.
Article in Maternal & child nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Caregiver perceptions of nutrition interventions in infants and children under 24 months of age: a systematic review.Public health nutrition · 2023Pooled it
- The effect of interventions distributing home fortification products on infant and young child feeding (IYCF) practices: A systematic narrative review.Maternal & child nutrition · 2023Pooled it
- Comparing costs and cost-efficiency of platforms for micronutrient powder (MNP) delivery to children in rural Uganda.Annals of the New York Academy of Sciences · 2021Article
- A Mixed-Methods Study of Factors Influencing Access to and Use of Micronutrient Powders in Rwanda.Global health, science and practice · 2021Article
- High Coverage and Low Utilization of the Double Fortified Salt Program in Uttar Pradesh, India: Implications for Program Implementation and Evaluation.Current developments in nutrition · 2020Article
- Barriers to and Facilitators of Iron and Folic Acid Supplementation within a School-Based Integrated Nutrition and Health Promotion Program among Ghanaian Adolescent Girls.Current developments in nutrition · 2020Article
- Assessing the Coverage of Biofortified Foods: Development and Testing of Methods and Indicators in Musanze, Rwanda.Current developments in nutrition · 2020Article
- Program Impact Pathways and Contexts: A Commentary on Theoretical Issues and Research Applications to Support the EsIAN Component of Mexico's Conditional Cash Transfer Program.The Journal of nutrition · 2019Article
- Micronutrient powder programs: New findings and future directions for implementation science.Maternal & child nutrition · 2019Review
- Ethiopian mothers' experiences with micronutrient powders: Perspectives from continuing and noncontinuing users.Maternal & child nutrition · 2019Article
- Bottlenecks and predictors of coverage and adherence outcomes for a micronutrient powder program in Ethiopia.Maternal & child nutrition · 2019Article
- Designing an ethnographic interview for evaluation of micronutrient powder trial: Challenges and opportunities for implementation science.Maternal & child nutrition · 2019Review
- Mixed methods evaluation explains bypassing of vouchers in micronutrient powder trial in Mozambique.Maternal & child nutrition · 2019Article
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A theory-driven evaluation was conducted to assess performance of a trial to deliver micronutrient powder (MNP) through the Ethiopian Ministry of Health. We adapted an approach to coverage assessment, originally developed to identify bottlenecks in health service delivery, to examine sequential program outcomes and their correlates using cross-sectional survey data of caregivers of children 6-23 months (N = 1915). Separate multivariable Poisson regression models were used to estimate adjusted risk ratios of conceptually relevant determinants of coverage and adherence. Caregivers of children >11 months were more likely to have received MNP than caregivers of younger infants, yet children 12-17 months were 32% (P < 0.001) and children 18-23 months 38% (P < 0.001) less likely to have been fed MNP in the 14 days preceding the survey than children 6-11 months. Among caregivers who initiated feeding MNP, the most frequently reported reasons for discontinuing use were not obtaining additional supply (36.1%) and perceived child rejection of food with MNP (22.9%). For each additional time a caregiver met with frontline workers in the 3 months preceding the survey, they were 13% more likely to have recently fed MNP (P < 0.001). Caregivers' perception that MNP produced positive changes in children was associated with a 14% increase in the likelihood of having recently fed it (P < 0.001). These results emphasize the importance of counselling for MNP and infant and young child feeding for initial use and the importance of multiple contacts with frontline workers for continued use.
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