التفاصيل البيبلوغرافية
| العنوان: |
Maternal knowledge and use of a micronutrient supplement was improved with a programmatically feasible intervention in Mexico. |
| المؤلفون: |
Bonvecchio, Anabelle1 bonvecchio@insp.mx., Pelto, Gretel H.2, Escalante, Erika1, Monterrubio, Erick1, Habicht, J. P.2, Nava, Fernanda1, Villanueva, Maria-Angeles1, Safdie, Margarita1, Rivera, J. A.1 |
| المصدر: |
Journal of Nutrition. Feb2007, Vol. 137 Issue 2, p440-446. 7p. 5 Charts, 1 Graph. |
| مصطلحات موضوعية: |
*MICRONUTRIENTS, *DIETARY supplements, *MALNUTRITION in children, *CHILD nutrition, *MALNUTRITION, *NUTRITION, *COMPARATIVE studies, *HEALTH behavior, *HEALTH education, *RESEARCH methodology, *MEDICAL cooperation, *PSYCHOLOGY of mothers, *NUTRITIONAL requirements, *RESEARCH, *RESEARCH funding, *EVALUATION research, *RANDOMIZED controlled trials |
| مصطلحات جغرافية: |
VERACRUZ (Veracruz-Llave, Mexico), CHIAPAS (Mexico), MEXICO |
| مستخلص: |
In Mexico, the potential impact on child malnutrition from a nutritional supplement (papilla) delivered through a conditional transfer program (Oportunidades) was attenuated by problems of household utilization. A behavioral change through communication intervention was developed to improve supplement utilization. Our study assessed the efficacy of this intervention through the results of a randomized trial. In 2 states (Veracruz and Chiapas) 2 clusters of communities were randomly assigned to intervention or control groups. Data were obtained from 176-198 mothers in intervention and control communities using a survey questionnaire at preintervention baseline and at a 5-mo follow-up. Concordance between reported and observed behaviors was examined through an observational substudy. The 4 behavioral recommendations were: 1) prepare papilla as a pap; 2) administer the preparation every day; 3) administer it between breakfast and dinner; and 4) administer it only to target children. The intervention resulted in a significant increase (P<0.05) in the prevalence of reported correct behaviors in the intervention group compared with the control for 3 of the behaviors: a mean increase of 42.5% for preparing papilla as pap, 64.4% for daily administration, and 61.5% for giving papilla between breakfast and dinner. Administering to a target child increased significantly in Veracruz (from 51.5% to 90.6%), but not in Chiapas (20.6% to 33.3%). Reported behaviors agreed with observed behaviors in the substudy. With the exception of the target-child administration in Chiapas, adopting the recommendations was culturally acceptable and feasible. The results indicate that improvements in household utilization of the supplement can be achieved with a communication intervention that is potentially feasible for implementation on a large scale within the Oportunidades Program. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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