SynthesisMaternal & child nutrition2022
High adherence and its influencing factors on multiple micronutrient powders (MNPs).
Synthesis in Maternal & child nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- High adherence and its influencing factors on multiple micronutrient powders (MNPs).Maternal & child nutrition · 2022Pooled it
- 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
- The association between micronutrient powder delivery patterns and caregiver feeding behaviors in rural China.BMC public health · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Adherence to home fortification of foods with multiple micronutrient powders (MNPs) is an essential indicator of effective implementation of MNP programmes. A meta-analysis was conducted to evaluate the high adherence rate (HAR) to MNPs and further investigate the factors that influence HAR. We searched PubMed, Web of Science, Embase, CAB Abstracts, MEDLINE (OVID), Cochrane Library, China National Knowledge Infrastructure, Wanfang and VP, from the date of database inception to 9 November 2020. We included peer-reviewed observational studies that investigated adherence to MNPs. Data on the HAR to MNPs and influencing factors on HAR were extracted and then pooled together. A total of 10 studies were included. The pooled HAR to MNPs was 63.28% (51.12%-74.64%). Among HARs, rates were higher in middle-income countries (65.21%) than low-income countries (55.23%). Parental age over 30 years (maternal age OR = 1.25, 95% CI: 1.08-1.44; paternal age OR = 1.17, 95% CI: 1.04-1.32), children aged 18-36 months (OR = 1.45, 95% CI: 1.12-1.88), maternal educational attainment of college or above (OR = 1.38, 95% CI:1.10-1.73), caregiver with the perception that other mothers use MNPs (OR = 1.52, 95% CI:1.19-1.95), caregiver being aware of the importance of iron (OR = 1.42, 95% CI: 1.18-1.71), caregiver having correct knowledge of MNPs (OR = 1.36, 95% CI:1.19-1.57) and caregiver reporting children have no side effects from MNPs (OR = 2.77, 95% CI: 2.46-3.11) were contributing factors to high adherence to MNPs. The overall HAR to MNPs was relatively low; hence, effective and trusted communication channels need to be established, along with more thorough dissemination of the knowledge of MNPs to caregivers, to improve MNPs adherence rates, especially in low-income countries.
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