Nutrition and Clinical Services Division, icddr,b, Mohakhali, Dhaka, Bangladesh.
Research School of Population Health, Australian National University, Canberra, Australian Capital Territory, Australia.
PLoS One. 2021 Dec 2;16(12):e0260773. doi: 10.1371/journal.pone.0260773. eCollection 2021.
The effectiveness of micronutrient powder (MNP) on the health outcome of children is yet to be proved. Although studies identified the barriers to the use of MNP the underlying factors related to the barriers to the use of MNP are still unexplored. We examined the underlying factors associated with the barriers reported by the caregivers of the children aged 6-59 months in Bangladesh.
We analyzed pooled data of 3, 634 caregiver-child dyads extracted from eight cross-sectional surveys. The surveys were conducted as part of an evaluation of the Maternal, Infant and Young Children Nutrition programme (phase 2) in Bangladesh. We performed univariate analysis to find the barriers reported by the caregivers of the children. We identified the underlying factors related to the reported barriers by performing multiple logistic regression analysis.
The mostly reported barrier was perceived lack of need for MNP among the caregivers of the children (39.9%), followed by lack of awareness of the product (21.7%) and cost of the product (18.1%). Caregivers of older children (adjusted odds ratio (aOR): 1.69; 95% CI: 1.43, 2.00) and caregivers who maintained good infant and young child feeding practices (aOR: 1.32; 95% CI: 1.12, 1.57) perceived more lack of need for MNP. Caregivers of the female children (aOR: 0.79; 95% CI: 0.63, 0.98) were less likely to report that their children disliked MNP compared to the caregivers of the male children.
Programmes intended to effectively promote MNP among the caregivers of children aged 6-59 months should carefully consider the factors that could underlie the barriers to the use of MNP.
目前，尚无法证明微量营养素粉（MNP）对儿童健康结果的有效性。尽管研究已经确定了使用 MNP 的障碍，但与使用 MNP 相关的潜在因素仍未得到探索。我们研究了孟加拉国 6-59 月龄儿童照顾者报告的障碍相关的潜在因素。
我们分析了从 8 项横断面调查中提取的 3634 对照顾者-儿童对的数据。这些调查是作为孟加拉国母婴和幼儿营养方案（第二阶段）评估的一部分进行的。我们对儿童照顾者报告的障碍进行了单变量分析，通过多因素逻辑回归分析确定了与报告障碍相关的潜在因素。
儿童照顾者报告的最主要障碍是认为儿童不需要 MNP（39.9%），其次是缺乏对产品的认识（21.7%）和产品成本（18.1%）。年龄较大的儿童照顾者（调整后的优势比（aOR）：1.69；95%置信区间（CI）：1.43，2.00）和保持良好婴幼儿喂养实践的照顾者（aOR：1.32；95%CI：1.12，1.57）更认为儿童不需要 MNP。与男童照顾者相比，女童照顾者认为其儿童不喜欢 MNP 的可能性较低（aOR：0.79；95%CI：0.63，0.98）。
旨在有效促进 6-59 月龄儿童照顾者使用 MNP 的方案应仔细考虑可能导致使用 MNP 障碍的潜在因素。
