A Mixed-Methods Study of Factors Influencing Access to and Use of Micronutrient Powders in Rwanda.
Journal
Global health, science and practice
ISSN: 2169-575X
Titre abrégé: Glob Health Sci Pract
Pays: United States
ID NLM: 101624414
Informations de publication
Date de publication:
30 06 2021
30 06 2021
Historique:
received:
20
07
2020
accepted:
18
02
2021
pubmed:
29
5
2021
medline:
18
11
2021
entrez:
28
5
2021
Statut:
epublish
Résumé
The World Health Organization recommends point-of-use fortification with multiple micronutrients powder (MNP) for foods consumed by children aged 6-23 months in populations where anemia prevalence among children under 2 years or under 5 years of age is 20% or higher. In Rwanda, anemia affects 37% of children under 5 years. The MNP program was implemented to address anemia, but research on factors affecting the implementation of the MNP program is limited. We conducted a mixed-methods study to examine the factors influencing access to and use of MNP among mothers (N=379) in Rutsiro district, northwest Rwanda. Inductive content analysis was used for qualitative data. Logistic regression analysis was used to determine factors associated with the use of MNP. Qualitative results indicated that the unavailability of MNP supplies and distribution issues were major barriers to accessing MNP. Factors influencing the use of MNP included mothers' perceptions of side effects and health benefits of MNP, as well as inappropriate complementary feeding practices. Mothers of older children (aged 12-23 months) were more likely to use MNP than those of younger children (aged 6-11 months) (adjusted odds ratio [aOR]=3.63,
Identifiants
pubmed: 34048359
pii: GHSP-D-20-00422
doi: 10.9745/GHSP-D-20-00422
pmc: PMC8324192
doi:
Substances chimiques
Micronutrients
0
Powders
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
274-285Informations de copyright
© Dusingizimana et al.
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