Program in International and Community Nutrition, Department of Nutrition, University of California, Davis, Davis, California, USA.
Department of Nutrition, University of California, Davis, Davis, California, USA.
Matern Child Nutr. 2018 Oct;14(4):e12608. doi: 10.1111/mcn.12608. Epub 2018 Apr 15.
Small-quantity lipid-based nutrient supplements (SQ-LNS) have been studied in efficacy and effectiveness trials, but little is known about how parents perceive the products and their effects. In a randomised trial in Ghana, efficacy of SQ-LNS provided to women during pregnancy and the first 6 months postpartum and to their children from 6 to 18 months of age was assessed by comparison with iron-folic acid (IFA) capsules and multiple micronutrient (MMN) capsules provided to women. In a follow-up study conducted when the index children from the original trial were between 4 and 6 years of age, we used survey-based methods to assess retrospective and current parental perceptions of nutrient supplements generally and of SQ-LNS and their effects compared with perceptions IFA and MMN capsules. Most parents perceived that the assigned supplements (SQ-LNS, IFA, or MMN) positively impacted the mother during pregnancy (approximately 89% of both mothers and fathers) and during lactation (84% of mothers and 86% of fathers). Almost all (≥90%) of mothers and fathers perceived that the assigned supplement positively impacted the index child and expected continued positive impacts on the child's health and human capital into the future. A smaller percentage of parents perceived negative impacts of the supplements (7%-17% of mothers and 4%-12% of fathers). Perceptions of positive impacts and of negative impacts did not differ by intervention group. The results suggest that similar populations would likely be receptive to programs to deliver SQ-LNS or micronutrient capsules.
小剂量脂质营养素补充剂（SQ-LNS）已在功效和效果试验中进行了研究，但对于父母如何看待这些产品及其影响知之甚少。在加纳进行的一项随机试验中，通过与铁叶酸（IFA）胶囊和多种微量营养素（MMN）胶囊为孕妇和产后 6 个月内的儿童提供的比较，评估了 SQ-LNS 在怀孕期间和儿童 6 至 18 个月时的功效。在原始试验的索引儿童年龄在 4 至 6 岁之间时进行的一项随访研究中，我们使用基于调查的方法评估了父母对一般营养素补充剂以及 SQ-LNS 的回顾性和当前看法，以及与 IFA 和 MMN 胶囊的看法相比，它们的效果。大多数父母认为分配的补充剂（SQ-LNS、IFA 或 MMN）对母亲在怀孕期间（约 89%的母亲和父亲）和哺乳期（84%的母亲和 86%的父亲）有积极影响。几乎所有（≥90%）的母亲和父亲都认为指定的补充剂对索引儿童有积极影响，并期望对儿童的健康和人力资本产生持续的积极影响。一小部分父母（7%-17%的母亲和 4%-12%的父亲）认为补充剂有负面影响。对积极影响和负面影响的看法不因干预组而异。结果表明，类似的人群可能会接受提供 SQ-LNS 或微量营养素胶囊的计划。
