The effect of interventions distributing home fortification products on infant and young child feeding (IYCF) practices: A systematic narrative review.

Autor: Locks LM; Department of Health Sciences, College of Health and Rehabilitation Sciences: Sargent College, Boston University, Boston, Massachusetts, USA.; Department of Global Health, Boston University, Boston, Massachusetts, USA., Newell KB; Department of Health Sciences, College of Health and Rehabilitation Sciences: Sargent College, Boston University, Boston, Massachusetts, USA., Imohe A; United Nation Children's Fund (UNICEF) Headquarters, New York City, New York, USA., Moloney GM; United Nation Children's Fund (UNICEF) Headquarters, New York City, New York, USA., Shaker-Berbari L; United Nation Children's Fund (UNICEF) Headquarters, New York City, New York, USA., Paudyal N; United Nation Children's Fund (UNICEF) Nepal Country Office, Kathmandu, Nepal., Jefferds MED; Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Jazyk: angličtina
Zdroj: Maternal & child nutrition [Matern Child Nutr] 2023 Jul; Vol. 19 (3), pp. e13488. Date of Electronic Publication: 2023 Feb 26.
DOI: 10.1111/mcn.13488
Abstrakt: Interventions distributing micronutrient powders (MNPs) and small-quantity lipid-based nutrient supplements (SQ-LNS), or home fortification products (HFPs), have the potential to improve infant and young child feeding (IYCF) practices and children's nutrition. We systematically searched for studies on the effect of interventions distributing HFP on IYCF practices. We identified 12 (8 MNP, 4 SQ-LNS) studies: seven programmes with IYCF behaviour change communications (BCC) and MNP (IYCF-MNP) and one provided MNP without IYCF BCC (MNP only). Three SQ-LNS studies came from randomised trials without an IYCF component (SQ-LNS only) and one from a programme with both IYCF BCC and SfQ-LNS (IYCF-SQ-LNS). Five IYCF-MNP programmes reported positive associations with some IYCF practices-four with minimum dietary diversity, two with minimum meal frequency, four with minimum acceptable diet, and three with the initiation of complementary foods at 6 months. Two reported no association between MNP and IYCF indicators, and one reported a decline in IYCF practices during the intervention, although it also reported significant changes to the IYCF programme during the evaluation period. Two studies from interventions that distributed SQ-LNS (one from a related set of randomised controlled trials and the sole IYCF-SQ-LNS programme) reported a positive association with IYCF practices; one trial reported no change in breast milk intake with the provision of SQ-LNS and one found no association with IYCF practices. SQ-LNS and MNP can address nutrient gaps for young children in low-resource settings; our findings indicate that programmes that combine HFP with IYCF interventions may also contribute to improved IYCF practices in some settings.
(© 2023 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd. This article has been contributed to by U.S. Government employees and their work is in the public domain in the USA.)
Databáze: MEDLINE
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