High Awareness but Low Coverage of a Locally Produced Fortified Complementary Food in Abidjan, Côte d'Ivoire: Findings from a Cross-Sectional Survey
| Autor: | Grant J Aaron, Augusto Norte, Bassirou Bonfoh, Magali Leyvraz, Fabian Rohner, Bradley A. Woodruff, Lasme J. C. E. Esso, Amoin Georgette Konan, Adiko F. Adiko |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
0301 basic medicine Pediatrics Sanitation Cross-sectional study Maternal Health Psychological intervention lcsh:Medicine Complementary food Families 0302 clinical medicine Surveys and Questionnaires Natural Resources Prevalence Medicine and Health Sciences Medicine Public and Occupational Health 030212 general & internal medicine Young adult Child Infant Nutritional Physiological Phenomena lcsh:Science Children Family Characteristics Multidisciplinary Child Health Awareness Breast Feeding Child Preschool Food Fortified Physical Sciences Water Resources Female Infants Environmental Health Statistics (Mathematics) Research Article Adult medicine.medical_specialty Adolescent Young Adult 03 medical and health sciences Environmental health Confidence Intervals Humans Product (category theory) Nutrition 030109 nutrition & dietetics business.industry Malnutrition Ecology and Environmental Sciences lcsh:R Infant Biology and Life Sciences medicine.disease Health Care Cote d'Ivoire Cross-Sectional Studies Age Groups People and Places Women's Health Population Groupings lcsh:Q Neonatology business Breast feeding Mathematics |
| Zdroj: | PLoS ONE, Vol 11, Iss 11, p e0166295 (2016) PLoS ONE |
| ISSN: | 1932-6203 |
| Popis: | Poor complementary feeding practices among infants and young children in Côte d'Ivoire are major contributing factors to the country's high burden of malnutrition. As part of a broad effort to address this issue, an affordable, nutritious, and locally produced fortified complementary food product was launched in the Côte d'Ivoire in 2011. The objective of the current research was to assess various levels of coverage of the program and to identify coverage barriers. A cross-sectional household survey was conducted among caregivers of children less than 2-years of age living in Abidjan, Côte d'Ivoire. Four measures of coverage were assessed: "message coverage" (i.e., has the caregiver ever heard of the product?), "contact coverage" (i.e., has the caregiver ever fed the child the product?), "partial coverage" (i.e., has the caregiver fed the child the product in the previous month?), and "effective coverage" (i.e., has the caregiver fed the child the product in the previous 7 days?). A total of 1,113 caregivers with children between 0 and 23 months of age were interviewed. Results showed high message coverage (85.0%), moderate contact coverage (37.8%), and poor partial and effective coverages (8.8% and 4.6%, respectively). Product awareness was lower among caregivers from poorer households, but partial and effective coverages were comparable in both poor and non-poor groups. Infant and young child feeding (IYCF) practices were generally poor and did not appear to have improved since previous assessments. In conclusion, the results from the present study indicate that availability on the market and high awareness among the target population is not sufficient to achieve high and effective coverage. With market-based delivery models, significant efforts are needed to improve demand. Moreover, given the high prevalence of malnutrition and poor IYCF practices, additional modes of delivering IYCF interventions and improving IYCF practices should be considered. |
| Databáze: | OpenAIRE |
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