H-DAV NDMC EPHI

Effectiveness of a Program Intervention with Reduced-Iron Multiple Micronutrient Powders on Iron Status, Morbidity and Growth in Young Children in Ethiopia


Description
Id EPHI-DS0441
Name Effectiveness of a Program Intervention with Reduced-Iron Multiple Micronutrient Powders on Iron Status, Morbidity and Growth in Young Children in Ethiopia
Format .dta
Coverage Location Subnational
Coverage Sex Both
Abstract

Despite the potential for improving iron status and child growth in low- and middle-income settings, concerns about the safety of high iron dosages of Micronutrient Powders (MNP) currently limit their applicability in programs. Therefore, this study examined the effectiveness and risks of an integrated complementary feeding program with low iron dose (6 mg/serving) MNP among 6–23-month-old Ethiopian children using a quasi-experimental study design comparing children from five intervention districts (n = 1172) to those from four matched non-intervention districts (n = 1137). Hemoglobin concentrations increased in intervention and decreased in non-intervention children (group-difference +3.17 g/L), but without improvement in iron stores. Intervention children were 2.31 times more likely to have diarrhea and 2.08 times more likely to have a common cold and flu, but these differences decreased towards the end of the intervention. At the end-line, intervention children had a higher mean Height-for-Age Z score (HAZ) and 51% reduced odds of being stunted compared to non-intervention children. MNP with low iron dose, when provided combined with other Infant and Young Child Feeding (IYCF) interventions, marginally improved hemoglobin status and resulted in a remarkable improvement in linear growth in 6–23-month-old children. These benefits likely outweigh the relatively small increase in the risk of diarrhea.

Additional Material No
Keywords
  • intervention; iron; morbidity; young children; micronutrient powders; program effectiveness; infant and young child feeding; growth
Recommended Yes
Location
Cleaned Yes
Cleaned Format . csdb
RawFormat . csdb
Comment
Remark
Note
Treatment
Date Data Collection Started 2015-03-06
Date Data Collection End 2018-08-12
Title Effectiveness of a Program Intervention with Reduced-Iron Multiple Micronutrient Powders on Iron Status, Morbidity and Growth in Young Children in Ethiopia
Data Type Laboratory
PublicationYear 2018
SugestedCitation

Not mentioned by the data generating unit.

OtherIdType
Description

This research paper aimed to assess the safety of low iron dose micronutrient powders (MNP) for 6-23-month-old children in Ethiopia. A quasi-experimental study design was used to compare children who received the intervention to those who did not. It was found that children who received the intervention were likely to experience diarrhea and have cold and flu symptoms at the beginning of the intervention, however, this likelihood decreased as the intervention continued. Ultimately, it was found that the benefits of MNP outweigh the small risk of diarrhea.

Dataset study design Experimental study
Date Data Archived 2022-05-17
Date Data Cataloged 2022-05-18
Data Generating Unit Food Science and Nutrition Research Directorate
URL https://rtds.ephi.gov.et/public/showdetail/441

Tags
Published

Open Access