Home Fortification in Emergency Response and Transition Programming: Experiences in Aceh and Nias, Indonesia

Pee, Saskia de; Moench-Pfanner, Regina; Martini, Elviyanti; Zlotkin, Stanley; Darnton‐Hill, Ian; Bloem, Martin W.

doi:10.1177/156482650702800208

Cited by 42 publications

(25 citation statements)

References 5 publications

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“…The vast majority of published papers report on evaluations in the context of a pilot project (Creed‐Kanashiro, Bartolini, Abad, & Arevalo, 2015; Harris et al, 2012; Jefferds et al, 2015; Korenromp et al, 2015; Loechl et al, 2009; Mirkovic, Perrine, Subedi, Mebrahtu, Dahal, & Jefferds, 2016; Mirkovic, Perrine, Subedi, Mebrahtu, Dahal, Staatz, et al, 2015; Nguyen et al, 2016; Suchdev et al, 2010, 2013; Sun et al, 2011), with the exception of Bangladesh which reports on national programmes (Afsana, Haque, Sobhan, & Shahin, 2014; Angdembe, Choudhury, Haque, & Ahmed) and three large‐scale MNP distribution in refugee camps and in emergency contexts (de Pee et al, 2007; Kodish, Rah, Kraemer, de Pee, & Gittelsohn, 2011; Rah et al, 2012). …”

Section: Resultsmentioning

confidence: 99%

“…We identified 15 peer-reviewed papers in the published literature that included activities to investigate and describe factors (positive and negative) affecting programme implementation and ultimately programme impact ( (Afsana, Haque, Sobhan, & Shahin, 2014;Angdembe, Choudhury, Haque, & Ahmed) and three large-scale MNP distribution in refugee camps and in emergency contexts (de Pee et al, 2007;Kodish, Rah, Kraemer, de Pee, & Gittelsohn, 2011;Rah et al, 2012).…”

Section: Adequate Allocation Of Financial and Human Resources For Mmentioning

confidence: 99%

See 1 more Smart Citation

Experiences and lessons learned for programme improvement of micronutrient powders interventions

Vossenaar¹,

Tumilowicz

D’Agostino

et al. 2017

Maternal & Child Nutrition

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Continual course correction during implementation of nutrition programmes is critical to address factors that might limit coverage and potential for impact. Programme improvement requires rigorous scientific inquiry to identify and address implementation pathways and the factors that affect them. Under the auspices of “The Micronutrient Powders Consultation: Lessons Learned for Operational Guidance,” 3 working groups were formed to summarize experiences and lessons across countries regarding micronutrient powder (MNP) interventions for young children. This paper focuses on how MNP interventions undertook key elements of programme improvement, specifically, the use of programme theory, monitoring, process evaluation, and supportive supervision. Methods included a review of published and grey literature, interviews with key informants, and deliberations throughout the consultation process. We found that although much has been written and published about the use of monitoring and process evaluation to inform MNP interventions at small scale, there has been little formal documentation of lessons for the transition from pilot to scaled implementation. Supervision processes and experiences are not documented, and to our knowledge, there is no evidence of whether they have been effective to improve implementation. Improving the efficiency and effectiveness of interventions requires identification of critical indicators for detecting implementation challenges and drivers of impact, integration with existing programmes and systems, strengthened technical capacity, and financing for implementation of effective monitoring systems. Our understanding of programme improvement for MNP interventions is still incomplete, especially outside of the pilot stage, and we propose a set of implementation research questions that require further investigation.

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Section: Resultsmentioning

confidence: 99%

Section: Adequate Allocation Of Financial and Human Resources For Mmentioning

confidence: 99%

Experiences and lessons learned for programme improvement of micronutrient powders interventions

Vossenaar¹,

Tumilowicz

D’Agostino

et al. 2017

Maternal & Child Nutrition

View full text Add to dashboard Cite

show abstract

“…Although MNPs generally have high acceptability in field settings [ 17 , 18 ], there are documented reports of changes to sensory properties of foods with MNP. Studies describing the acceptability of the sensory attributes of MNP in community settings typically rely on the caregiver’s perceptions of the child’s reaction to the food with MNP; these document some children “liking” [ 19 , 20 ], “disliking” [ 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 ], or even refusing to consume [ 24 , 25 , 26 , 27 , 28 , 29 ] foods with added MNP. Few studies in programmatic settings confirm that MNPs do not affect organoleptic properties of food [ 30 , 31 , 32 , 33 , 34 ], and a greater number report changes to the color, taste or appearance of foods [ 19 , 26 , 27 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 ].…”

Section: Introductionmentioning

confidence: 99%

Sensory Evaluation of Foods with Added Micronutrient Powder (MNP) “Taburia” to Assess Acceptability among Children Aged 6–24 Months and Their Caregivers in Indonesia

et al. 2017

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Although it is generally accepted that the addition of micronutrient powders (MNPs) to foods causes no or negligible changes to organoleptic properties, there are anecdotal reports of low acceptability of the MNP (locally known as “Taburia”) distributed in Indonesia. We hypothesized that the organoleptic properties of Taburia do not reduce the acceptability of foods if used as recommended. Acceptability of Taburia and a comparison MNP (MixMe™) were evaluated among 232 children aged 6–24 months and their caregivers. Both caregivers’ perceptions of child acceptance, and their own assessments of organoleptic qualities when added to rice porridge or meals commonly consumed by young children, were assessed. Changes to the organoleptic properties of foods mixed with Taburia and comparison MNP were reported by caregivers, even when following preparation instructions. Taburia was found to enhance texture, sweetness, saltiness, and umami taste, but was also perceived as slightly bitter. Ratings for overall appearance and taste did not differ between rice porridge, plain or with Taburia, but the overall taste of Taburia was preferred over comparison MNP (p = 0.012). Meals consumed by children were preferred without the addition of MNP (p < 0.001). We demonstrate that the addition of Taburia to foods, commonly consumed by Indonesian infants and young children, affects organoleptic properties of the foods, even when prepared according to recommendations. However, these changes are unlikely to be the cause of reported adherence problems in Indonesia. This needs to be taken into consideration for product development and communication strategies promoting adherence.

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“…In a rapid health assessment conducted by the World Health Organization young children had one of the highest mortality rates following the tsunami, along with adults aged 70 and older (Doocy et al, 2007). This may be attributed to a lack of adequate nutrition post tsunami, which had been shown in other post-natural disaster contexts to lead to up to 50 per cent of childhood deaths (Pee et al, 2007). With respect to schooling, while most schools were running two weeks after the tsunami, only 50 to 60 per cent of children actually attended them out of fear of another tsunami (Pairojkul et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Assessing the impact of microfinance programming on children: an evaluation from post‐tsunami Aceh

et al. 2014

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This paper presents an evaluation of the long-term impact of microfinance programmes on Acehnese children during the post-tsunami recovery. The study, conducted from June to August 2010, examined the impact of microfinance programming six years after the tsunami. The sample consisted of 185 microfinance participants, with a comparison group of 192 individuals who did not participate in microfinance programmes. All respondents were parents, interviewed through a structured survey. The study used four child protection indicators—diet, health, childcare and education—in contrast to traditional repayment rate indicators. The primary results were insignificant with respect to all four child protection indicators, suggesting that, with respect to these indicators, there was no long-term difference between the impact of microfinance on beneficiaries' children and non-beneficiaries' children. These findings signify a need for microfinance actors to move beyond traditional indicators of economic success to evaluate the social changes microfinance programmes are presumed to effect.

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Home Fortification in Emergency Response and Transition Programming: Experiences in Aceh and Nias, Indonesia

Cited by 42 publications

References 5 publications

Experiences and lessons learned for programme improvement of micronutrient powders interventions

Experiences and lessons learned for programme improvement of micronutrient powders interventions

Sensory Evaluation of Foods with Added Micronutrient Powder (MNP) “Taburia” to Assess Acceptability among Children Aged 6–24 Months and Their Caregivers in Indonesia

Assessing the impact of microfinance programming on children: an evaluation from post‐tsunami Aceh

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