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Nutrients 2017, 9(6), 581; doi:10.3390/nu9060581

The Impact of Integrated Infant and Young Child Feeding and Micronutrient Powder Intervention on Feeding Practices and Anemia in Children Aged 6–23 Months in Madagascar

1
Harvard TH Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA
2
United Nations Children’s Fund (UNICEF) Headquarters, 3 United Nations Plaza, New York, NY 10017, USA
3
Population Services Internationl (PSI), Fiaro, Antananarivo BP 7748, Madagascar
4
United Nations Children’s Fund (UNICEF), Maison Commune des Nations Unies Zone Galaxy Andraharo, Antananarivo BP 732, Madagascar
5
Boston Children’s Hospital, 333 Longwood Avenue, Boston, MA 02115, USA
*
Author to whom correspondence should be addressed.
Received: 29 March 2017 / Revised: 18 May 2017 / Accepted: 1 June 2017 / Published: 7 June 2017
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Abstract

This study assesses the impact of an integrated infant and young child feeding (IYCF) and micronutrient powder (MNP) intervention on children’s risk of anemia and IYCF practices in Madagascar. Quantitative baseline and endline surveys were conducted in representative households with children 6–23 months from two districts, where an 18-month IYCF-MNP intervention was implemented. Relative risks comparing children’s risk of anemia and maternal IYCF knowledge and practices at baseline versus endline, and also at endline among MNP-users versus non-users were estimated using log-binomial regression models. 372 and 475 children aged 6–23 months were assessed at baseline and endline respectively. Prevalence of anemia fell from 75.3% to 64.9% from baseline to endline (p = 0.002); the reduction in the risk of anemia remained significant in models adjusting for sociodemographic characteristics (ARR (95% CI): 0.86 (0.78, 0.95), p = 0.003). In endline assessments, 229 out of 474 (48.3%) of children had consumed MNPs. MNP-users had a lower risk of anemia (ARR (95% CI): 0.86 (0.74, 0.99), p = 0.04) than non-users, after controlling for child’s dietary diversity and morbidity, maternal counseling by community-health-workers, and sociodemographic characteristics. Mothers interviewed at endline also had greater nutrition knowledge and were more likely to feed their children ≥4 food groups (ARR (95% CI): 2.92 (2.24, 3.80), p < 0.001), and the minimum acceptable diet (ARR (95% CI): 2.88 (2.17, 3.82), p < 0.001) than mothers interviewed at baseline. Integration of MNP into IYCF interventions is a viable strategy for improving children’s consumption of micronutrients and reducing risk of anemia. The addition of MNP does not negatively impact, and may improve, IYCF practices. View Full-Text
Keywords: micronutrient powders (MNP); Infant & Young Child Feeding (IYCF); children; anemia; community health workers micronutrient powders (MNP); Infant & Young Child Feeding (IYCF); children; anemia; community health workers
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Locks, L.M.; Reerink, I.; Tucker Brown, A.; Gnegne, S.; Ramalanjaona, N.; Nanama, S.; Duggan, C.P.; Garg, A. The Impact of Integrated Infant and Young Child Feeding and Micronutrient Powder Intervention on Feeding Practices and Anemia in Children Aged 6–23 Months in Madagascar. Nutrients 2017, 9, 581.

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