Adherence to multiple micronutrient powder among young children in rural Bangladesh: a cross-sectional study Global health
This article was published in BMC Public Health [© 2015 BioMed Central Ltd.] and the definite version is available at: http://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-015-1752-z
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10361-74022018-03-15T05:11:26Z Adherence to multiple micronutrient powder among young children in rural Bangladesh: a cross-sectional study Global health Raj Angdembe, Mirak Choudhury, Nuzhat Raisul Haque, Mohammad Ahmed, Tahmeed James P Grant School of Public Health, BRAC University Adherence Bangladesh Multiple micronutrient powder Young children This article was published in BMC Public Health [© 2015 BioMed Central Ltd.] and the definite version is available at: http://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-015-1752-z Background: Multiple micronutrient powder (MMNP) can be sprinkled onto any semisolid food and can be given to young children to address iron deficiency anemia. The female community health volunteers of BRAC (an NGO) known as Shasthya Shebikas (SS) sell MMNP sachets during their regular household visits. Currently there are no data on adherence or real uptake of MMNP by children. The objective of the study was to assess adherence to MMNP and associated factors among children aged 6-59 months in rural Bangladesh. Methods: A cross sectional study was conducted in Saturia Sub-district among 78 children aged 6-59 months who were fed MMNP supplied by BRAC SS in the past 60 days. A one stage cluster sampling technique was used to select mothers with eligible children. Semi-structured questionnaire was used for interviews. A logistic regression model was developed to obtain adjusted odds ratios (AOR) with 95% CI. Results: Sample mean adherence was calculated to be 70%. In multivariate analysis, age of mother in years (AOR∈=∈0.74, 95% CI: 0.61-0.88), households belonging to poorer (AOR∈=∈0.01, 95% CI: 0.00-0.68), middle (AOR∈=∈0.04, 95% CI: 0.00-0.35) and richer (AOR∈=∈0.11, 95% CI: 0.01-0.84) wealth quintiles and mothers who prefer to feed flexibly (AOR∈=∈0.03, 95% CI: 0.00-0.26) were significantly associated with high adherence. Further, for every one unit increase in visit by BRAC SS in the past 60 days, the odds of having high adherence significantly increased by 55% (AOR∈=∈1.55, 95% CI: 1.09-2.20). Conclusions: SS are the key to improving adherence through regular visits to households of MMNP users. However, expanding coverage beyond the vicinity of the SS's household is a challenge. Perception of families whose children have low adherence should be studied. Published 2016-12-28T09:25:25Z 2016-12-28T09:25:25Z 2015 Article Angdembe, M. R., Choudhury, N., Haque, M. R., & Ahmed, T. (2015). Adherence to multiple micronutrient powder among young children in rural bangladesh: A cross-sectional study global health. BMC Public Health, 15(1) doi:10.1186/s12889-015-1752-z 14712458 http://hdl.handle.net/10361/7402 http://doi.org/10.1186/s12889-015-1752-z en http://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-015-1752-z © 2015 BioMed Central Ltd. |
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Brac University |
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English |
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Adherence Bangladesh Multiple micronutrient powder Young children |
spellingShingle |
Adherence Bangladesh Multiple micronutrient powder Young children Raj Angdembe, Mirak Choudhury, Nuzhat Raisul Haque, Mohammad Ahmed, Tahmeed Adherence to multiple micronutrient powder among young children in rural Bangladesh: a cross-sectional study Global health |
description |
This article was published in BMC Public Health [© 2015 BioMed Central Ltd.] and the definite version is available at: http://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-015-1752-z |
author2 |
James P Grant School of Public Health, BRAC University |
author_facet |
James P Grant School of Public Health, BRAC University Raj Angdembe, Mirak Choudhury, Nuzhat Raisul Haque, Mohammad Ahmed, Tahmeed |
format |
Article |
author |
Raj Angdembe, Mirak Choudhury, Nuzhat Raisul Haque, Mohammad Ahmed, Tahmeed |
author_sort |
Raj Angdembe, Mirak |
title |
Adherence to multiple micronutrient powder among young children in rural Bangladesh: a cross-sectional study Global health |
title_short |
Adherence to multiple micronutrient powder among young children in rural Bangladesh: a cross-sectional study Global health |
title_full |
Adherence to multiple micronutrient powder among young children in rural Bangladesh: a cross-sectional study Global health |
title_fullStr |
Adherence to multiple micronutrient powder among young children in rural Bangladesh: a cross-sectional study Global health |
title_full_unstemmed |
Adherence to multiple micronutrient powder among young children in rural Bangladesh: a cross-sectional study Global health |
title_sort |
adherence to multiple micronutrient powder among young children in rural bangladesh: a cross-sectional study global health |
publisher |
© 2015 BioMed Central Ltd. |
publishDate |
2016 |
url |
http://hdl.handle.net/10361/7402 http://doi.org/10.1186/s12889-015-1752-z |
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