Adherence to and acceptability of home fortification with vitamins and minerals in children aged 6 to 23 months: a systematic review
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 powd...
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doaj-28a3cfbe2e2a4476b5d407981c1337562020-11-25T01:30:57ZengBMCBMC Public Health1471-24582016-04-0116111110.1186/s12889-016-2978-0Adherence to and acceptability of home fortification with vitamins and minerals in children aged 6 to 23 months: a systematic reviewSamara Fernandes de Barros0Marly Augusto Cardoso1Department of Nutrition, School of Public Health, University of São PauloDepartment of Nutrition, School of Public Health, University of São PauloAbstract 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.http://link.springer.com/article/10.1186/s12889-016-2978-0Multiple micronutrients in powderComplementary feedingHome fortification |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Samara Fernandes de Barros Marly Augusto Cardoso |
spellingShingle |
Samara Fernandes de Barros Marly Augusto Cardoso Adherence to and acceptability of home fortification with vitamins and minerals in children aged 6 to 23 months: a systematic review BMC Public Health Multiple micronutrients in powder Complementary feeding Home fortification |
author_facet |
Samara Fernandes de Barros Marly Augusto Cardoso |
author_sort |
Samara Fernandes de Barros |
title |
Adherence to and acceptability of home fortification with vitamins and minerals in children aged 6 to 23 months: a systematic review |
title_short |
Adherence to and acceptability of home fortification with vitamins and minerals in children aged 6 to 23 months: a systematic review |
title_full |
Adherence to and acceptability of home fortification with vitamins and minerals in children aged 6 to 23 months: a systematic review |
title_fullStr |
Adherence to and acceptability of home fortification with vitamins and minerals in children aged 6 to 23 months: a systematic review |
title_full_unstemmed |
Adherence to and acceptability of home fortification with vitamins and minerals in children aged 6 to 23 months: a systematic review |
title_sort |
adherence to and acceptability of home fortification with vitamins and minerals in children aged 6 to 23 months: a systematic review |
publisher |
BMC |
series |
BMC Public Health |
issn |
1471-2458 |
publishDate |
2016-04-01 |
description |
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. |
topic |
Multiple micronutrients in powder Complementary feeding Home fortification |
url |
http://link.springer.com/article/10.1186/s12889-016-2978-0 |
work_keys_str_mv |
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