Open AccessPredictors of micronutrient powder sachet coverage and recent intake among children 12–23 months in Eastern Uganda
Author(s) -
Ford Nicole D.,
Ruth Laird J.,
Ngalombi Sarah,
Lubowa Abdelrahman,
Halati Siti,
Ahimbisibwe Martin,
Mapango Carine,
Whitehead Jr Ralph D.,
Jefferds Maria Elena
Publication year - 2019
Publication title -
maternal and child nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 63
eISSN - 1740-8709
pISSN - 1740-8695
DOI - 10.1111/mcn.12792
Subject(s) - medicine , micronutrient , breastfeeding , confidence interval , odds ratio , logistic regression , cross sectional study , pediatrics , environmental health , zoology , pathology , biology
We evaluated predictors of micronutrient powder (MNP) sachet coverage and recent intake using data from a cross‐sectional survey representative of children aged 12–23 months in Amuria district, Uganda. In June/July 2016, caregivers were interviewed 12 months after implementation of an integrated MNP and infant and young child feeding pilot ( N = 761). Logistic regression described predictors of (a) high‐MNP sachet coverage (received at least 60 sachets/6 months) and (b) recent intake (consumed MNP during the 2 weeks preceding the survey) among children who had ever received MNP and had complete data ( N = 683). Fifty‐nine percent (95% Confidence Interval [CI] [53.8, 64.2]) of children had high‐MNP sachet coverage, and 65.4% (95% CI [61.0, 69.9]) had recent intake. MNP ration cards (Adjusted Odds Ratio [AOR] 2.67, 95% CI [1.15, 6.23]), organoleptic changes to foods cooked with soda ash (AOR 1.52, 95% CI [1.08, 2.14]), having heard of anaemia (AOR 1.59, 95% CI [1.11, 2.26]), knowledge of correct MNP preparation (AOR 1.89, 95% CI [1.11, 3.19]), and current breastfeeding (AOR 2.04, 95% CI [1.36, 3.08]) were positively associated with MNP coverage whereas older child age (18–23 vs. 12–17 months) was inversely associated with coverage (AOR 0.32, 95% CI [0.23, 0.50]). MNP ration cards (AOR 2.86, 95% CI [1.34, 6.09]), having heard an MNP radio jingle (AOR 1.40, 95% CI [1.01, 1.94]), knowledge of correct MNP preparation (AOR 1.88, 95% CI [1.04, 3.39]), and the child not disliking MNP (AOR 1.90, 95% CI [1.13, 3.22]) were positively associated with recent intake. Interventions that increase caregiver knowledge and skills and focus on older children could improve MNP coverage and recent intake.