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Acceptability by mothers and children of two fortified, processed complementary foods for use in an upcoming efficacy trial in Tanzania.
Author(s) -
Paul Keriann H.,
Dickin Katherine L.,
Ali Nadra Subeit,
Stoltzfus Rebecca J.
Publication year - 2007
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.21.5.a677
Subject(s) - tanzania , environmental health , malnutrition , meal , medicine , focus group , nutrient density , taste , anemia , food science , toxicology , nutrient , geography , biology , business , environmental planning , ecology , pathology , marketing
Malnutrition in children under five is well documented in Pemba Island, Tanzania where rates of stunting (27%) and anemia (80%) are high. In advance of an efficacy trial with two fortified, processed complementary foods, we assessed the acceptability of the two soy/rice based instant foods, SR and SRM (the latter with dry skim milk), relative to usual feeding practices of children aged 10–15 months. Focus group discussions (FGDs) on infant feeding and taste tests were conducted in 1 urban and 3 rural sites with mother/child dyads (n=72). Trials of Improved Practices (TIPS) and 24 hour dietary recalls were completed in 1 urban and 2 rural sites to evaluate at‐home acceptability and consumption over 2 weeks (n=54). FGDs revealed problems in meal frequency, energy density, nutrient content, and food safety which were more common in the rural sites than the urban one. The taste tests showed an overall willingness to feed both SR and SRM including the two grains that were tested (flour and grit), but a preference for SRM (73%) and the flour (62%). TIPS results showed no difference in mean daily consumptions for the SR (97g) and the SRM (91g), and mean daily consumptions exceeded the recommended 50g/day in all sites. Insight into current feeding problems and dietary changes caused by provision of SR and SRM will inform the design of the upcoming efficacy trial of these foods to ensure safety and validity.