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. 2016 Apr 7:16:299.
doi: 10.1186/s12889-016-2978-0.

Adherence to and acceptability of home fortification with vitamins and minerals in children aged 6 to 23 months: a systematic review

Samara Fernandes de Barros  1 , Marly Augusto Cardoso  2
Affiliations

Adherence to and acceptability of home fortification with vitamins and minerals in children aged 6 to 23 months: a systematic review

Samara Fernandes de Barros et al. BMC Public Health. .

Abstract

Background: Vitamin and mineral deficiencies affect more than two million people worldwide. In 2011, based on recent scientific evidence and the low effectiveness of current strategies, the World Health Organization recommended home fortification of foods with multiple micronutrients in powder (MNP) as a new strategy to prevent and control anaemia during childhood. This systematic review assessed adherence to and acceptability of home fortification with multiple micronutrients in powder (MNP) in complementary feeding.

Methods: Adherence was assessed based on number or percentage of prescribed sachets that were consumed, and acceptability was assessed according to perceptions of caregivers and children about MNP.

Results: In summary, the studies indicated that home fortification with MNP has good adherence, ranging from 50% to over 90% of the prescribed sachets and that MNP was well accepted by caregivers. Caregivers reported side effects in 3% to 32% of children taking MNP in many studies; diarrhoea, vomiting, and constipation were the most common.

Conclusions: Home fortification with MNP has good adherence and acceptability in infants, with higher adherence in non-daily or flexible administration regimens. Characteristics of the target population and increased diarrhoea burden should be considered for planning public health programs with long term use of MNP. Acceptability of the MNP is satisfactory, when the use and perceived beneficial effects on children's health are considered.

Keywords: Complementary feeding; Home fortification; Multiple micronutrients in powder.

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References

    1. De-Regil LM, Suchdev PS, Vist GE, Walleser S, Peña-Rosas JP. Home fortification of foods with multiple micronutrient powders for health and nutrition in children under two years of age (Review) Cochrane Review Journal. 2013;8:112–201. - PubMed
    1. United Nations Children’s Fund: Delivering essential micronutrients-Iron. http://www.unicef.org/nutrition/23964_iron.html (2003). Accessed 6 Apr 2016.
    1. World Health Organization: Iron Deficiency Anaemia- Assessment, Prevention, and Control. A guide for programme managers. Geneva: World Health Organization; 2001.
    1. World Health Organization. Use of multiple micronutrient powders for home fortification of foods consumed by infants and children 6-23 months of age. Geneva: World Health Organization; 2011. - PubMed
    1. Zlotkin SH, Schauer C, Christofides A, Sharieff W, Tondeur MC. Micronutrient sprinkles to control childhood anaemia. PLoS Medicine. 2005;2:e1. doi: 10.1371/journal.pmed.0020001. - DOI - PMC - PubMed

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