Independent Consultant, Geneva, Switzerland.
Strengthening Partnerships, Results, and Innovations in Nutrition Globally, Arlington, Virginia, USA.
Matern Child Nutr. 2017 Sep;13 Suppl 1(Suppl 1). doi: 10.1111/mcn.12493.
Iron deficiency anaemia is estimated to be the leading cause of years lived with disability among children. Young children's diets are often inadequate in iron and other micronutrients, and provision of essential vitamin and minerals has long been recommended. With the limited programmatic success of iron drop/syrup interventions, interest in micronutrient powders (MNP) has increased. MNP are a mixture of vitamins and minerals, enclosed in single-dose sachets, which are stirred into a child's portion of food immediately before consumption. MNP are an efficacious intervention for reducing iron deficiency anaemia and filling important nutrient gaps in children 6-23 months of age. As of 2014, 50 countries have implemented MNP programmes including 9 at a national level. This paper provides an overview of a 3-paper series, based on findings from the "Micronutrient Powders Consultation: Lessons Learned for Operational Guidance" held by the USAID-funded Strengthening Partnerships, Results, and Innovations in Nutrition Globally (SPRING) Project. The objectives of the Consultation were to identify and summarize the most recent MNP programme experiences and lessons learned for operationalizing MNP for young children and prioritize an implementation research agenda. The Consultation was composed of 3 working groups that used the following methods: deliberations among 49 MNP programme implementers and experts, a review of published and grey literature, questionnaires, and key informant interviews, described in this overview. The following articles summarize findings in 3 broad programme areas: planning, implementation, and continual programme improvement. The papers also outline priorities for implementation research to inform improved operationalization of MNP.
缺铁性贫血估计是导致儿童伤残调整寿命年的主要原因。幼儿的饮食通常缺乏铁和其他微量营养素，长期以来一直建议提供必需的维生素和矿物质。由于铁滴剂/糖浆干预措施的方案实施效果有限，人们对微量营养素粉末（MNP）的兴趣有所增加。MNP 是维生素和矿物质的混合物，装在单个剂量的小袋中，在食用前立即搅拌到儿童的食物部分中。MNP 是减少缺铁性贫血和填补 6-23 个月儿童重要营养缺口的有效干预措施。截至 2014 年，已有 50 个国家实施了 MNP 方案，其中 9 个是国家级方案。本文概述了基于美国国际开发署资助的“加强全球营养伙伴关系、成果和创新（SPRING）”项目开展的“微量营养素粉末协商：为实施婴幼儿微量营养素粉末提供经验教训和操作指南”的三部分系列论文。协商的目的是确定和总结最近的 MNP 方案经验教训，为实施婴幼儿 MNP 提供操作指南，并确定实施研究议程的优先事项。协商由三个工作组组成，他们使用了以下方法：49 名 MNP 方案实施者和专家之间的审议、对已发表和灰色文献的审查、问卷调查和关键知情者访谈，本概述对此进行了描述。以下文章总结了三个广泛的方案领域的调查结果：规划、实施和持续方案改进。这些论文还概述了实施研究的优先事项，以提供更好的 MNP 操作化信息。
