Adherence to and acceptability of home fortification with vitamins and minerals in children aged 6 to 23 months

Added March 13, 2018

Citation: Barros S.F., & Cardoso, M. A. Adherence to and acceptability of home fortification with vitamins and minerals in children aged 6 to 23 months: a systematic review. BMC Public Health, 2016;16(299):1-11.

Home fortification with multiple micronutrient powders (MNP) has good adherence and acceptability in infants, with higher adherence in non-daily or flexible administration regimens. Characteristics of the target population and increased diarrhea burden should be considered for planning public health programs with long term use of MNP. Acceptability of the MNP is satisfactory, when the use and perceived beneficial effects on children’s health are considered.

WHO guidelines have, since 2011, recommended home fortified foods with MNP to prevent and control anaemia during childhood. This review aimed to assess adherence to and acceptability of home fortification with MNP in complementary feeding. Seventeen articles were included, strict quality criteria were not implemented. Results showed good adherence in fortified foods with MNP, ranging from 50 % to over 90 % of the prescribed sachets. Caregivers reported side effects in 3 % to 32 % of children taking MNP in many studies; diarrhoea, vomiting, and constipation were the most common. MNP fortified foods show good adherence in infants, however side effects should be considered when planning for public long-term use in treating anaemia.


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