Bruyeron Olivier, Denizeau Mirrdyn, Berger Jacques, Trèche Serge
Programme Nutridev, Gret, Campus du Jardin Tropical, 45 bis Avenue de la Belle Gabrielle, 94736 Nogent sur Marne, Paris, France.
Food Nutr Bull. 2010 Jun;31(2 Suppl):S154-67. doi: 10.1177/15648265100312S208.
Sustainable approaches to improving infant and young child feeding are needed. The Nutridev program worked in Vietnam, Madagascar, and Burkina Faso to test different strategies to improve complementary feeding using fortified products sold to families.
To review the experiences of programs producing and marketing fortified complementary foods and to report on the feasibility of local production and marketing of fortified complementary foods to increase usage of high-quality foods among children of low-income families in a self-sustaining manner.
Project documents, surveys of mothers, and production and sales reports were reviewed.
Nutridev experience in Vietnam, Madagascar, and Burkina Faso demonstrates that it is possible to produce affordable, high-quality complementary foods and supplements locally in developing countries. Strategies to make products readily available to the targeted population and to convince this population to consume them yielded mixed results, varying greatly based on the strategy utilized and the context in which it was implemented.
In several contexts, the optimal approach appears to be strengthening the existing food distribution network to sell complementary foods and supplements, with the implementation of a temporary promotion and nutrition education network in partnership with local authorities (e.g., health services) to increase awareness among families about the fortified complementary food product and optimal feeding practices. In urban areas, where the density of the population is high, design and implementation of specific networks very close to consumers seems to be a good way to combine economic sustainability and good consumption levels.
需要采用可持续的方法来改善婴幼儿喂养。Nutridev项目在越南、马达加斯加和布基纳法索开展工作，以测试使用向家庭销售的强化产品来改善辅食喂养的不同策略。
回顾生产和销售强化辅食项目的经验，并报告以自给自足的方式在当地生产和销售强化辅食以增加低收入家庭儿童对优质食品摄入量的可行性。
查阅了项目文件、对母亲的调查以及生产和销售报告。
Nutridev在越南、马达加斯加和布基纳法索的经验表明，发展中国家有可能在当地生产价格合理、质量上乘的辅食和补充剂。使目标人群能够方便获取产品并说服他们食用的策略产生了不同的结果，这很大程度上取决于所采用的策略及其实施背景。
在多种情况下，最佳方法似乎是加强现有的食品分销网络来销售辅食和补充剂，并与地方当局（如卫生服务机构）合作建立一个临时的推广和营养教育网络，以提高家庭对强化辅食产品和最佳喂养方式的认识。在人口密度高的城市地区，设计和实施非常贴近消费者的特定网络似乎是兼顾经济可持续性和良好消费水平的好方法。
