Trial reportMaternal & child nutrition2019
Adherence and acceptability of community-based distribution of micronutrient powders in Southern Mali.
Trial report 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 21 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 4 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- The value of qualitative research in randomized controlled trials involving drugs and medical devices: a systematic mapping review.International journal of technology assessment in health care · 2026Pooled it
- Pooled it
- Caregiver perceptions of nutrition interventions in infants and children under 24 months of age: a systematic review.Public health nutrition · 2023Pooled it
- High adherence and its influencing factors on multiple micronutrient powders (MNPs).Maternal & child nutrition · 2022Pooled it
- Micronutrient Powders Combined With Malaria Chemoprevention to Improve Anaemia and Cognitive Function in Early Childhood in Mali: A Cluster-Randomised Trial.Maternal & child nutrition · 2025Trial
- Trial
- Adherence and acceptability of community-based distribution of micronutrient powders in Southern Mali.Maternal & child nutrition · 2019Trial
- Prevalence and influencing factors of micronutrient powder adoption among children aged 6-24 months by parental and grandparental caregivers: an analysis from rural China.BMC public health · 2025Article
- Article
- Barriers and enablers in the micronutrient powder supply chain: lessons from a process evaluation of a home fortification programme in Bangladesh.Frontiers in nutrition · 2024Article
- Seasonal malaria chemoprevention in Africa and China's upgraded role as a contributor: a scoping review.Infectious diseases of poverty · 2023Article
- Article
- Diffusion of a micronutrient home fortification program for infants and toddlers in a multi-ethnic population in rural western China.BMC public health · 2023Article
- [Micronutrient Powders Feeding Behaviors of Baby Caregivers in Remote Rural Areas of Sichuan Province: A Study Based on the Theory of Reasoned Action].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2023Article
- Prevalence and contributing factors of anaemia among children aged 6-24 months and 25-59 months in Mali.Journal of nutritional science · 2023Article
- Beneficiary and Local Stakeholder Participation in Community-Based Nutrition Interventions.Current developments in nutrition · 2022Article
- The association between micronutrient powder delivery patterns and caregiver feeding behaviors in rural China.BMC public health · 2022Article
- Women's health: optimal nutrition throughout the lifecycle.European journal of nutrition · 2022Article
- A Mixed-Methods Study of Factors Influencing Access to and Use of Micronutrient Powders in Rwanda.Global health, science and practice · 2021Article
- Lessons learned from implementing the pilot Micronutrient Powder Initiative in four districts in Ghana.BMC nutrition · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 4 institutions in 7 countries.
Funding
No grant is acknowledged in the PubMed record.
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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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.