Improved Information and Educational Messages on Outer Packaging of Micronutrient Powders Distributed in Indonesia Increase Caregiver Knowledge and Adherence to Recommended Use

Overview

Journal Nutrients

Date 2018 Jun 13

PMID 29890670

Citations 3

Authors

Aang Sutrisna

Marieke Vossenaar

Alia Poonawala

Agnes Mallipu

Doddy Izwardy

Ravi Menon

Alison Tumilowicz

Affiliations

Soon will be listed here.

Abstract

The objective of this study was to examine the influence of improved information and educational messages on outer packaging of a micronutrient powder (MNP), locally known as “”, on knowledge and adherence to recommended use. A community-based cluster randomized controlled trial was conducted among 1149 caregivers and their children aged 6⁻36 months. Caregiver⁻child dyads were randomized by their villages to receive 30 sachets of with the: (i) original outer packaging; (ii) improved outer packaging; or (iii) improved outer packaging combined with cooking demonstrations. Adherence to use was assessed through caregiver interviews and observation of unused sachets during home visits; “high” adherence was defined as consuming 13⁻17 sachets in the previous month. Data collection included surveys and focus groups discussions. The majority of caregivers (>80%) preferred the improved packaging because it was more attractive and contained more comprehensive information. Caregivers who received the improved packaging had better knowledge regarding the recommended use of ( < 0.001) and higher adherence with the prescribed use of (43% with “high” adherence) ( < 0.001) than those who received the original packaging (29% with “high” adherence). Caregivers who participated in cooking demonstrations generally had better knowledge regarding the benefits of and recommended use, but this did not lead to higher adherence to recommended use. “Underconsumption” of (≤7 sachets) was much less prevalent than “overconsumption” (≥23 sachets), and original packaging users were more likely to consume daily instead of every two days as recommended. We conclude that the design of the outer packaging and comprehensiveness of information provided are important influencers of recommended MNP use by caregivers.

Citing Articles

Barriers to and Facilitators of the Implementation of a Micronutrient Powder Program for Children: A Systematic Review Based on the Consolidated Framework for Implementation Research.

Sun Y, Ma J, Wei X, Dong J, Wu S, Huang Y Nutrients. 2023; 15(24).

PMID: 38140331 PMC: 10745920. DOI: 10.3390/nu15245073.

Lessons learned from implementing the pilot Micronutrient Powder Initiative in four districts in Ghana.

Kyei-Arthur F, Situma R, Aballo J, Mahama A, Selenje L, Amoaful E BMC Nutr. 2020; 6(1):50.

PMID: 33292686 PMC: 7650146. DOI: 10.1186/s40795-020-00382-3.

Micronutrient powder programs: New findings and future directions for implementation science.

Pelletier D, dePee S Matern Child Nutr. 2019; 15(S5):e12802.

PMID: 30828965 PMC: 6857038. DOI: 10.1111/mcn.12802.

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