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Background: Despite the nationwide micronutrient powder (MNP) supplementation, the Philippines only saw limited success in reducing the prevalence of anemia-a condition that has remained a public health concern among young children. Objective: To assess and explore the acceptability and compliance to MNP and Bigas-Mongo (BigMo) complementary food blend among mothers/caregivers of children aged 6 to 23 months and the promotion of these products by community health workers (CHWs). Methods: This study was part of the randomized controlled trial involving 3 methods of data collection: (1) bimonthly visits to mothers and caregivers for 6 months to determine the level of acceptability and compliance of the 4 intervention groups; (2) initial and final interviews with mothers/ caregivers (initial ¼ 141; final ¼ 130) to gather their experiences and difficulties in MNP and BigMo preparation and feeding; and (3) focus group discussion (n ¼ 4) among CHWs (n ¼ 13) to understand their perceptions and difficulties in promoting MNP and BigMo. Results: The overall compliance to MNP consumption was 74.7%, with some difference between the groups. Analysis of the information received from mothers/caregivers showed that maternal adaptive strategies in preparing and feeding MNP to their children could affect MNP use, while nonreceptiveness of mothers to integrating MNP into the child's feeding routine, perceived side effects, and perceived unfavorable taste and smell were key factors considered to limit MNP use.

The field trial was conducted to establish the reliability in producing similar results between evaluators of the proposed new tools for Monitoring and Evaluation (M&E) of the nutrition plans and programs in the Local Government Units (LGUs). To do this, orientation activities were conducted to familiarize the 46 M&E team (MET) members evaluating the provincial, municipal, city, and barangay levels in two regions with the proposed tools during the field trial. After the event, the perceptions of the MET members of the tools were gathered by asking them to rate the tools through a self-administered questionnaire, and by noting their written and verbal commentaries about the proposed system. During the field trial, each MET member, as well as the member of the Project Team (PT), individually evaluated the LGUs using the tools. Secondary data on the LGUs performance scores using the old system were also gathered. The MET members' perception was examined based on the median rank of their ratings and content analysis of their insights about the tools, whereas the reliability of the tools was assessed based on the interrater reliability of the MET members' scores for the LGUs analyzed through paired samples t-Test, Pearson correlation coefficient, intraclass correlation coefficient, and technical error of measurement. The weighted scores of the MET and PT members were also compared. Moreover, the difference in the generated scores between the old and the new system was determined. The findings revealed that the MET members generally have a positive perception of the new system but raised some issues and concerns. Although the reliability of the tools was generally observed, actions are warranted for improvement. The tools generated statistically different scores when used by MET and PT members, and when compared to the existing system. Steps should be taken to improve the reliability of the proposed tools.

Introduction: Folate deficiency is associated with many complications of pregnancy. A cross-sectional survey was conducted to determine the prevalence and factors associated with deficiency in red blood cell (RBC) folate among Filipino women of child-bearing age in the Province of Batangas, Philippines. Methods: A total of 184 Filipino women aged 15 to 49 years were interviewed on their socio-economic and demographic profiles. Mean energy and folate intakes were obtained using food recalls over a three-month period. RBC folate was used to measure long-term folate status and analysed through immuno-assay method. Results: About two in ten women were folate deficient based on the normal cut-off points (<400 ng/mL) preventive of neural tube defect-affected pregnancies. Respondents have very low intake of folate at 81 and 239 micrograms dietary folate equivalent (µg DFE) from dietary sources and with folic acid supplementation, respectively. Vegetable gardening and livestock raising (p<0.10) and use of folic-acid containing supplements showed significant correlations with folate status (p<0.05). Further, regression analysis showed that among the significant factors, the non-usage of folic acid-containing supplements showed increased likelihood of RBC folate deficiency by six times compared to users (OR=6.391, p<0.10). Conclusion: The findings of the study suggest a high prevalence of folate deficiency among Filipino women. Folate is an essential nutrient for healthy pregnancy. It is important that women, capable of bearing a child must assure adequate folate intake from foods and folic-acid containing supplements. The study recommends a more aggressive campaign on the importance of folate among women of child-bearing age.

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