Monitoring the Marketing, Distribution, and Use of Sprinkles Micronutrient Powders in Rural Western Kenya

Suchdev, Parminder S.; Ruth, Laird J.; Obure, Alfredo; Were, Vincent; Ochieng, Cliff; Ogange, Lorraine; Owuor, Mercy; Ngure, Frances; Quick, Robert; Juliao, Patricia; Jung, Christina; Teates, Kathryn S.; Jefferds, Maria Elena

doi:10.1177/15648265100312s209

Cited by 54 publications

(70 citation statements)

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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%

“…Among the 15 published papers in Table 4, seven relied on a mixture of quantitative and qualitative activities (Afsana et al, 2014; Korenromp et al, 2015; Loechl et al, 2009; Nguyen et al, 2016; Suchdev et al, 2010), or solely qualitative activities (Creed‐Kanashiro et al, 2015; Kodish et al, 2011). The vast majority of published papers relied on one or more surveys with caregivers for data collection; four used direct observations at the delivery stage or in the household (Creed‐Kanashiro et al, 2015; Kodish et al, 2011; Korenromp et al, 2015; Loechl et al, 2009), and three conducted in‐depth interviews with key informants or focus groups (Kodish et al, 2011; Loechl et al, 2009; Suchdev et al, 2010). …”

Section: Resultsmentioning

confidence: 99%

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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: Resultsmentioning

confidence: 99%

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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“…Para evaluar esta situación hay que considerar varios aspectos, en primer lugar tener en cuenta que a pesar de que los suplementos tipo multimicronutrientes tienen una mejor adherencia que el tratamiento con sulfato ferroso (19) , esta es muy variable en programas de uso masivo, donde es relevante monitorear la aceptabilidad y uso, conocer los motivos de no uso para mitigarlo y supervisarlo en forma continua, como se ha demostrado en estudios realizados en Kenya (20)(21)(22) .…”

Section: Discussionunclassified

Consumo de suplementos con multimicronutrientes Chispitas® y anemia en niños de 6 a 35 meses: estudio transversal en el contexto de una intervención poblacional en Apurímac, Perú

Huamán-Espino¹,

Aparco²,

Nuñez-Robles³

et al. 2012

Rev Peru Med Exp Salud Publica

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RESUMENObjetivos. Evaluar la implementación del programa de suplementación universal con multimicronutrientes "Chispitas ® " en la región Apurímac a través de la cantidad y calidad de sobres consumidos y su relación con la anemia, en niños de 6 a 35 meses. Materiales y métodos. Se realizó un estudio transversal usando un muestreo multietápico en el 2010. Se consideró como anemia a los valores de hemoglobina ajustados por altitud menores de 110 g/L. El consumo de multimicronutrientes se categorizó en: menor de 30; de 30 a 59, y 60 o más sobres. La calidad del consumo fue adecuada cuando la madre refería que el niño consumía toda la comida con el suplemento. Se calculó las razones de prevalencia (RPa) ajustadas por regresión de Poisson. Resultados. Se incluyó 714 participantes, 25,3% vivía en hogares pobres y 59,2% en extrema pobreza; 52,6% residía a más de 3000 m de altitud. La prevalencia de anemia fue de 51,3% (IC95%: 47,1-55,4%), 5,4% no recibió la intervención; 60,3% consumió 60 o más sobres y 49,0% los consumió en forma adecuada. No se encontró asociación entre la cantidad de sobres recibidos o consumidos y la anemia (p<0,05). Aquellos niños que consumieron el suplemento en forma adecuada tuvieron menor prevalencia de anemia que aquellos que no lo hicieron (RPa: 0,81; IC95%: 0,68-0,96) Conclusiones. No basta con entregar o consumir la cantidad necesaria de los multimicronutrientes, sino asegurar que el proceso de consumo sea adecuado para lograr una reducción de la prevalencia de anemia, aspecto que debe ser trabajado para mejorar esta intervención. CONSUMPTION OF CHISPITAS ® MULTIMICRONUTRIENT SUPPLEMENTS AND ANEMIA IN 6 -35-MONTH-OLD CHILDREN: CROSS-CUT STUDY IN THE CONTEXT OF A POPULATIONAL HEALTH INTERVENTION IN APURIMAC, PERU ABSTRACT Objectives.To assess the implementation of the Universal "Chispitas®" Multimicronutrient Supplement Program in Apurimac by determining the quantity and quality of sachets consumed and their connection with anemia, in 6 -35-monthold children. Materials and methods. A crosscut study was conducted by using a multistage sample in 2010. Anemia was considered to be related to altitude-adjusted hemoglobin values below 110 g/L. The consumption of multimicronutrients was classified as follows: less than 30; 30 to 59, and 60 or more sachets. The quality of consumption was considered to be adequate when the mother indicated that the child ate all his food with the supplement. The rationale for prevalence (RPa) adjusted by Poisson regression was calculated. Results. 714 participants were included, 25.3% of which lived in poor houses and 59.2% in extreme poverty; 52.6% lived at over 3000 m of altitude. The prevalence of anemia was 51.3% (CI95%: 47.1-55.4%), 5.4% did not receive intervention; 60.3% consumed 60 or more sachets and 49.0% consumed them adequately. No association between the number of sachets received or consumed and anemia (p<0.05) was found. Children who consumed the supplement adequately showed lower prevalence of anemia than those who did not (RPa: 0.81; CI95%: 0.68-0....

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“…20 In the first stage of sampling, 30 intervention and 30 comparison villages were randomly selected, with probability of selection proportional to size, using the 1999 Nyando Division census. Intervention and comparison villages were chosen from separate political jurisdictions (sublocations) to reduce the likelihood that interventions implemented in intervention villages would bleed into comparison villages.…”

Section: Methodsmentioning

confidence: 99%

Impact of a Hygiene Curriculum and the Installation of Simple Handwashing and Drinking Water Stations in Rural Kenyan Primary Schools on Student Health and Hygiene Practices

Patel

Harris²,

Juliao³

et al. 2012

The American Society of Tropical Medicine and Hygiene

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Abstract. School-based hygiene and water treatment programs increase student knowledge, improve hygiene, and decrease absenteeism, however health impact studies of these programs are lacking. We collected baseline information from students in 42 schools in Kenya. We then instituted a curriculum on safe water and hand hygiene and installed water stations in half ("intervention schools"). One year later, we implemented the intervention in remaining schools. Through biweekly student household visits and two annual surveys, we compared the effect of the intervention on hygiene practices and reported student illness. We saw improvement in proper handwashing techniques after the school program was introduced. We observed a decrease in the median percentage of students with acute respiratory illness among those exposed to the program; no decrease in acute diarrhea was seen. Students in this school program exhibited sustained improvement in hygiene knowledge and a decreased risk of respiratory infections after the intervention.

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Monitoring the Marketing, Distribution, and Use of Sprinkles Micronutrient Powders in Rural Western Kenya

Abstract: Background. In 2007, the US Centers for Disease Control and Prevention partnered with local Kenyan institutions to implement the Nyando Integrated Child

Cited by 54 publications

References 19 publications

Experiences and lessons learned for programme improvement of micronutrient powders interventions

Experiences and lessons learned for programme improvement of micronutrient powders interventions

Consumo de suplementos con multimicronutrientes Chispitas® y anemia en niños de 6 a 35 meses: estudio transversal en el contexto de una intervención poblacional en Apurímac, Perú

Impact of a Hygiene Curriculum and the Installation of Simple Handwashing and Drinking Water Stations in Rural Kenyan Primary Schools on Student Health and Hygiene Practices

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