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    Adherence to multiple micronutrient powder among young children in rural Bangladesh: a cross-sectional study Global health

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    Date
    2015
    Publisher
    © 2015 BioMed Central Ltd.
    Author
    Raj Angdembe, Mirak
    Choudhury, Nuzhat
    Raisul Haque, Mohammad
    Ahmed, Tahmeed
    Metadata
    Show full item record
    URI
    http://hdl.handle.net/10361/7402
    Citation
    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
    Abstract
    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.
    Keywords
    Adherence; Bangladesh; Multiple micronutrient powder; Young children
     
    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
    Publisher Link
    http://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-015-1752-z
    DOI
    http://doi.org/10.1186/s12889-015-1752-z
    Department
    James P Grant School of Public Health, BRAC University
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