de Kok Brenda, Moore Katie, Jones Leslie, Vanslambrouck Katrien, Toe Laeticia Celine, Ouédraogo Moctar, Ganaba Rasmané, de Pee Saskia, Bedford Juliet, Lachat Carl, Kolsteren Patrick, Isanaka Sheila
Department of Food Technology, Safety and Health, Faculty of Bioscience Engineering, Ghent University, Ghent, Belgium.
Anthrologica, Oxford, UK.
Matern Child Nutr. 2021 Jul;17(3):e13134. doi: 10.1111/mcn.13134. Epub 2021 Jan 6.
Balanced energy protein (BEP) supplementation for pregnant and lactating women in low- and middle-income countries is a promising strategy to improve birth outcomes and child growth. The objective of this study was to assess and compare the acceptability of new formulations of two fortified BEP supplements, a lipid-based peanut paste and a vanilla biscuit, among 80 pregnant women in rural Burkina Faso, prior to an efficacy trial. A 10-week individually randomized cross-over study was designed, in which women received a weekly supply of each supplement for 4 weeks, and a daily choice between the supplements in the last 2 weeks. Questionnaires to assess daily consumption and supplement acceptability (n = 80) and home observations (n = 20) were combined with focus group discussions (n = 6) and in-depth interviews with women (n = 80) and stakeholders (n = 24). Results showed that the two supplements were well accepted. Quantitative findings indicated high compliance (>99.6%) and high overall appreciation (Likert score >6 out of 7) of both supplements. The assessment of preferred choice in Weeks 9 and 10 indicated a slight preference for the vanilla biscuit. Qualitative findings indicated that perceived health benefits, support from household members and educational messages from health professionals were important drivers for acceptance and compliance. Sharing was not often reported but was identified during interviews as a possible risk. We recommend that future studies use a combination of methods to identify appropriate food supplements and context-specific factors that influence acceptability, compliance and subsequent impact of nutritious food supplements.
在低收入和中等收入国家，为孕妇和哺乳期妇女补充平衡能量蛋白（BEP）是改善出生结局和儿童生长的一项有前景的策略。本研究的目的是在一项疗效试验之前，评估和比较两种强化BEP补充剂的新配方——一种基于脂质的花生酱和一种香草饼干——在布基纳法索农村地区80名孕妇中的可接受性。设计了一项为期10周的个体随机交叉研究，其中妇女每周领取每种补充剂4周，并在最后2周每天在两种补充剂之间进行选择。评估每日摄入量和补充剂可接受性的问卷（n = 80）以及家庭观察（n = 20）与焦点小组讨论（n = 6）以及对妇女（n = 80）和利益相关者（n = 24）的深入访谈相结合。结果表明，这两种补充剂都很受欢迎。定量研究结果表明，两种补充剂的依从性都很高（>99.6%），总体评价也很高（李克特量表得分>7分中的6分）。第9周和第10周对首选的评估表明，对香草饼干略有偏好。定性研究结果表明，感知到的健康益处、家庭成员的支持以及卫生专业人员的教育信息是接受和依从的重要驱动因素。分享的情况并不常见，但在访谈中被确定为一种可能的风险。我们建议未来的研究采用多种方法相结合，以确定合适的食品补充剂以及影响营养食品补充剂可接受性、依从性和后续影响的具体背景因素。
