Division of Nutrition, Physical Activity and Obesity, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Matern Child Nutr. 2011 Oct;7 Suppl 3(Suppl 3):82-95. doi: 10.1111/j.1740-8709.2011.00352.x.
The objective of this formative research was to assess the acceptability of a micronutrient powder (Sprinkles(®)) and a lipid-based nutrient supplement (Nutributter(®)), and to explore people's willingness to pay for these products in a resource-poor context like Niger. In four sites, 84 focus group discussions among mothers, fathers and grandmothers of children 6-23 months were conducted, as well as 80 key informant interviews of mothers who participated in a home study where their children 6-23 months were given either Sprinkles(®) or Nutributter(®) to use either for a period of 4 weeks, or they were given both products over the 4-week period, i.e. Sprinkles(®) for 2 weeks and Nutributter(®) for an additional 2 weeks. The mothers understood how to use the products and generally used the products correctly. Both products were highly acceptable to adults and most children. In Niamey, where the 4-week home study used both products for 2 weeks each, the mothers tended to prefer Nutributter(®). The mothers who used either product were pleased with the improvements they saw in their children's health, including increased appetite, weight gain and increased energy and activity. A few mothers were concerned with how they would be able to provide for their child's increased appetite. Most participants across all four sites reported that they would be willing and able to afford to buy a single sachet of either Sprinkles(®) at a cost of US$0.03 or Nutributter(®) at a cost of US$0.08 several times a week. This study provides evidence that both of these products were are highly acceptable in different settings in Niger and suggests that delivery of Nutributter(®) or Sprinkles(®) at a low or subsidized cost through a market-based system may be possible in Niger, if an appropriate distribution system can be identified.
这项形成性研究的目的是评估一种微量营养素粉（Sprinkles(®)）和一种基于脂质的营养补充剂（Nutributter(®)）的可接受性，并探索在尼日尔这样资源匮乏的环境下，人们愿意为这些产品支付多少钱。在四个地点，对 6-23 个月大的儿童的母亲、父亲和祖母进行了 84 次焦点小组讨论，以及对 80 名参加家庭研究的母亲进行了 80 次关键信息访谈，这些母亲的 6-23 个月大的孩子在为期 4 周的研究中使用了 Sprinkles(®)或 Nutributter(®)，或者在 4 周内同时使用了这两种产品，即前两周使用 Sprinkles(®)，后两周使用 Nutributter(®)。母亲们了解如何使用这些产品，并且通常能够正确使用。这两种产品都深受成年人和大多数儿童的欢迎。在尼亚美，为期 4 周的家庭研究中两种产品每种使用两周，母亲们倾向于更喜欢 Nutributter(®)。使用这两种产品的母亲都对孩子健康状况的改善感到满意，包括食欲增加、体重增加、精力和活动增加。少数母亲担心自己如何满足孩子增加的食欲。四个地点的大多数参与者都表示，他们愿意并且有能力购买 Sprinkles(®)或 Nutributter(®)，价格分别为每包 0.03 美元或 0.08 美元，每周购买几次。这项研究提供了证据表明，这两种产品在尼日尔的不同环境中都非常受欢迎，并表明如果能够确定适当的分配系统，通过市场为基础的系统以低价或补贴的价格提供 Nutributter(®)或 Sprinkles(®)是可行的。
