Impact of market-based home fortification with micronutrient powder on childhood anemia in Bangladesh: a modified stepped wedge design

Autor: Haribondhu Sarma, Mahfuzur Rahman, Md. Tariqujjaman, Mohammad Ashraful Islam, Mduduzi N. N. Mbuya, Grant J. Aaron, Sufia Askari, Catherine Harbour, Rudaba Khondker, Moniruzzaman Bipul, Sabiha Sultana, Mohammad Ashikur Rahman, Shaima Arzuman Shahin, Morseda Chowdhury, Kaosar Afsana, Samik Ghosh, Cathy Banwell, Catherine D’Este, Mihretab Salasibew, Lynnette M. Neufeld, Tahmeed Ahmed
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Frontiers in Nutrition, Vol 10 (2024)
Druh dokumentu: article
ISSN: 2296-861X
DOI: 10.3389/fnut.2023.1271931
Popis: BackgroundAnemia poses a significant public health problem, affecting 1.6 billion people and contributing to the loss of 68.4 million disability-adjusted life years. We assessed the impact of a market-based home fortification program with micronutrient powder (MNP) called Pushtikona-5 implemented by Bangladesh Rural Advancement Committee (BRAC) on the prevalence of anemia among children aged 6–59 months in Bangladesh.MethodsWe used a modified stepped wedged design and conducted three baseline, two midline, and three endline surveys to evaluate the Pushtikona-5 program implemented through three BRAC program platforms. We interviewed children’s caregivers, and collected finger-prick blood samples from children to measure hemoglobin concentration. We also collected data on coverage of Pushtikona-5 and infant and young child feeding (IYCF) practices. We performed bivariate and multivariable analysis and calculated adjusted risk ratios (ARRs) to assess the effect of program outcomes.ResultsA total of 16,936 households were surveyed. The prevalence of anemia was 46.6% at baseline, dropping to 32.1% at midline and 31.2% at endline. These represented adjusted relative reductions of 34% at midline (RR 0.66, 95%CI 0.62 to 0.71, value of p
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