Research Article | | Peer-Reviewed

Effect of Nutrition Education Intervention on the Use of Micronutrients Powders for Children Aged 6-59 Months in Zanzibar City

Received: 2 August 2024     Accepted: 2 September 2024     Published: 20 September 2024
Views:       Downloads:
Abstract

The Micronutrient Powder (MNP) program in Tanzania, introduced by the Feed the Future Project in 2013, aimed to reduce the prevalence of micronutrient deficiencies among children under five years old. This study, conducted in Zanzibar City, where iron deficiency anemia is highly prevalent, assessed the effect of a Nutrition Education Intervention on the use of MNPs for children aged 6-59 months, focusing on hemoglobin levels and anthropometric measures. The study explored the potential of MNPs, coupled with proper education, to alleviate iron deficiency anemia and other nutrient deficiencies. The longitudinal study involved 363 mothers/caregivers and their children, with data collected at baseline, midline (4 weeks), and endline (8 weeks) using structured questionnaires that captured socio-economic and demographic information, nutrition-related data, and measurements of anthropometrics and hemoglobin concentrations. The intervention included individual counseling and the distribution of MNP brochures during clinic visits. Descriptive statistics, chi-square tests, and one-way ANOVA were performed using IBM SPSS Version 26. Results showed significant changes in several indicators post-intervention: moderate anemia in children decreased from 64.7% at baseline to 59.5% at endline, with marginal decreases in severe anemia and slight improvements in weight-for-height and weight-for-age indicators, though height-for-age remained largely unchanged. The ANOVA results revealed variations in hemoglobin levels correlated with MNP intake, with those receiving moderate MNP showing the highest mean hemoglobin levels. The study concludes that MNP distribution programs should incorporate educational components to enhance compliance and effectiveness. Future strategies should consider appropriate dosing and consistent intake tailored to community-specific needs, alongside more holistic public health nutrition programs that address food security, water, sanitation, and mainstream health initiatives for sustained child health improvement. Further research is recommended to explore factors affecting long-term adherence and the intervention's impact across different settings to inform more precise public health strategies.

Published in Journal of Food and Nutrition Sciences (Volume 12, Issue 5)
DOI 10.11648/j.jfns.20241205.11
Page(s) 205-212
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Hemoglobin Concentrations, Nutrition Education Intervention, Anemia, MNPs

References
[1] Aguayo, V. M., & Menon, P. (2023). Strategies for achieving universal coverage with vitamin and mineral supplements for children under five. The Lancet Global Health, 11(1), e32-e41.
[2] Bharaniidharan, J. and Reshmi, S. K. (2019). Review on Malnutrition: Impact and Prevention International Journal of Advance Research and Innovation Volume 7 Issue 3 240-243.
[3] Bhutta, Z. A., Das, J. K., Rizvi, A., Gaffey, M. F., Walker, N., Horton, S. & Black, R. E. (2013). Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost? The Lancet, 382(9890), 452-477.
[4] Dewey, K. G., & Adu-Afarwuah, S. (2008). Systematic review of the efficacy and effectiveness of complementary feeding interventions in developing countries. Maternal & Child Nutrition, 4, 24-85.
[5] Dewey, K. G., & Adu-Afarwuah, S. (2022). Systematic review of the efficacy and effectiveness of complementary feeding interventions in developing countries. Maternal & Child Nutrition, 18(1), e13264.
[6] Food and Agricultural Organization (FAO). (2010). Fruits and Vegetables Essential for Healthy lives.
[7] Jardí, C., Casanova, B. D., & Arija, V. (2021). Nutrition Education Programs Aimed at African Mothers of Infant Children: A Systematic Review. International journal of environmental research and public health, 18(14), 7709.
[8] Kajjura R. B., Veldman F. J. & Kassier S. M. (2019) Maternal socio-demographic characteristics and associated complementary feeding practices of children aged 6–18 months with moderate acute malnutrition in Arua, Uganda. J Hum Nutr Diet. 32, 303–310
[9] Kejo, D., Martin, H., Mosha, T. C. E., Petrucka, P. and Kimanya, M., (2018). Factors influencing willingness to pay for multiple micronutrient powder (Virutubishi) Supplements for Young Children in Arusha, Tanzania. Journal of Health and Medical Economics 2471-9927.
[10] Kejo, D., Petrucka, P., Martin, H., Mosha, T., and Kimanya, M. E. (2019). Efficacy of Different Doses of Multiple Micronutrient Powder on Haemoglobin Concentration in Children Aged 6-59 Months in Arusha District. Scientifica, 2019, 8979456.
[11] Lanou H. B., Osendarp J. M. S., Argaw A., De Polnay K., Ouédraogo C., Kouanda S. and Kolsteren P. (2019) Micronutrient powder supplements combined with nutrition education marginally improve growth amongst children aged6–23 months in rural Burkina Faso: A cluster randomizedcontrolled trial. Maternal and child nutrition e12820.
[12] Mitra, M., Susmaneli, H., Septiani, W., and Nurlisis, N. (2020). Effect of Nutritional Education on Improving Mother's Knowledge and Nutritional Status of Malnourished Toddlers in Pekanbaru City Indonesia 2020 International Journal of Sciences: Basic and Applied Research (IJSBAR) 53(2): 244-253.
[13] Ngesa, O., and Mwambi, H. (2014). Prevalence and risk factors of anaemia among children aged between 6 months and 14 years in Kenya. PloS one, 9(11), e113756.
[14] Prendergast, A. J., & Humphrey, J. H. (2019). The stunting syndrome in developing countries. Paediatrics and International Child Health, 34(4), 250-265.
[15] Rehema, M. (2018). Efficacy of home-made foods fortified with micro-nutrient powder in reducing iron deficiency anaemia among children aged 6-59 months in Kilosa district. Dissertation for Award of MSc Degree at Sokoine University of Agriculture, Morogoro, Tanzania, 97pp.
[16] Salam, R. A., MacPhail, C., J. K. and Bhutta Z. A. (2013). Effectiveness of Micronutrients Powders (MNP) in women and children. Public Health 2013, 13(Suppl 3): S22
[17] Samuel, A., Brouwer, I. D., Pamungkas, N. P., Terra, T., Lelisa, A., Kebede, A. and Osendarp, S. J. M. (2021). Determinants of adherence to micronutrient powder use among young children in Ethiopia. Maternal & child nutrition, 17(2), e13111.
[18] Suchdev, P. S., Williams, A. M., Mei, Z., Flores-Ayala, R., Pasricha, S. R., Rogers, L. M., & Namaste, S. (2021). Assessment of iron status in settings of inflammation: Challenges and potential approaches. The American Journal of Clinical Nutrition, 114(2), 368S-376S.
[19] Sun, C., Ye, R., Akhtar, M., Dill, S. E., Yuan, P., Zhou, H., & Rozelle, S. (2022). Adherence to micronutrient powder for home fortification of foods among infants and toddlers in rural China: a structural equation modeling approach. BMC public health, 22(1), 2250.
[20] Tam, E., Keats, E. C., Rind, F., Das, J. K., & Bhutta, A. Z. A. (2020). Micronutrient Supplementation and Fortification Interventions on Health and Development Outcomes among Children Under-Five in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis. Nutrients, 12(2), 289.
[21] Tanzania Demographic and Health Survey and Malaria Indicator (2022)
[22] Tanzania: Nutrition Profile (2018) USAID
[23] UNICEF. (2023). Home Fortification with Multiple Micronutrient Powders for the Prevention of Iron Deficiency Anaemia in Early Childhood Brief Guidance Note July 2023 Retrieved from.
[24] World Health Organization (2016). Multiple Micronutrient Powders For Point-of-Use Fortification of Foods Consumed by Infants and Children 6-23 Months of Age and Children Aged 2-12 Years. WHO, Department Of Nutrition for Health and Development.
[25] World Health Organization (2017). Malnutrition
[26] Yue, T., Zhang, Q., Li, G. and Qin, H. (2022). Global Burden of Nutritional Deficiencies among Children under 5 Years of Age from 2010 to 2019. Nutrients, 14(13), 2685.
[27] Zlotkin, S. H., Schauer, C., Christofides, A., Sharieff, W., Tondeur, M. C., & Hyder, S. M. (2005). Micronutrient sprinkles to control childhood anaemia. PLOS Medicine, 2(1)
Cite This Article
  • APA Style

    Nahdi, R., Mosha, T. (2024). Effect of Nutrition Education Intervention on the Use of Micronutrients Powders for Children Aged 6-59 Months in Zanzibar City. Journal of Food and Nutrition Sciences, 12(5), 205-212. https://doi.org/10.11648/j.jfns.20241205.11

    Copy | Download

    ACS Style

    Nahdi, R.; Mosha, T. Effect of Nutrition Education Intervention on the Use of Micronutrients Powders for Children Aged 6-59 Months in Zanzibar City. J. Food Nutr. Sci. 2024, 12(5), 205-212. doi: 10.11648/j.jfns.20241205.11

    Copy | Download

    AMA Style

    Nahdi R, Mosha T. Effect of Nutrition Education Intervention on the Use of Micronutrients Powders for Children Aged 6-59 Months in Zanzibar City. J Food Nutr Sci. 2024;12(5):205-212. doi: 10.11648/j.jfns.20241205.11

    Copy | Download

  • @article{10.11648/j.jfns.20241205.11,
      author = {Rania Nahdi and Theobald Mosha},
      title = {Effect of Nutrition Education Intervention on the Use of Micronutrients Powders for Children Aged 6-59 Months in Zanzibar City
    },
      journal = {Journal of Food and Nutrition Sciences},
      volume = {12},
      number = {5},
      pages = {205-212},
      doi = {10.11648/j.jfns.20241205.11},
      url = {https://doi.org/10.11648/j.jfns.20241205.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfns.20241205.11},
      abstract = {The Micronutrient Powder (MNP) program in Tanzania, introduced by the Feed the Future Project in 2013, aimed to reduce the prevalence of micronutrient deficiencies among children under five years old. This study, conducted in Zanzibar City, where iron deficiency anemia is highly prevalent, assessed the effect of a Nutrition Education Intervention on the use of MNPs for children aged 6-59 months, focusing on hemoglobin levels and anthropometric measures. The study explored the potential of MNPs, coupled with proper education, to alleviate iron deficiency anemia and other nutrient deficiencies. The longitudinal study involved 363 mothers/caregivers and their children, with data collected at baseline, midline (4 weeks), and endline (8 weeks) using structured questionnaires that captured socio-economic and demographic information, nutrition-related data, and measurements of anthropometrics and hemoglobin concentrations. The intervention included individual counseling and the distribution of MNP brochures during clinic visits. Descriptive statistics, chi-square tests, and one-way ANOVA were performed using IBM SPSS Version 26. Results showed significant changes in several indicators post-intervention: moderate anemia in children decreased from 64.7% at baseline to 59.5% at endline, with marginal decreases in severe anemia and slight improvements in weight-for-height and weight-for-age indicators, though height-for-age remained largely unchanged. The ANOVA results revealed variations in hemoglobin levels correlated with MNP intake, with those receiving moderate MNP showing the highest mean hemoglobin levels. The study concludes that MNP distribution programs should incorporate educational components to enhance compliance and effectiveness. Future strategies should consider appropriate dosing and consistent intake tailored to community-specific needs, alongside more holistic public health nutrition programs that address food security, water, sanitation, and mainstream health initiatives for sustained child health improvement. Further research is recommended to explore factors affecting long-term adherence and the intervention's impact across different settings to inform more precise public health strategies.
    },
     year = {2024}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Effect of Nutrition Education Intervention on the Use of Micronutrients Powders for Children Aged 6-59 Months in Zanzibar City
    
    AU  - Rania Nahdi
    AU  - Theobald Mosha
    Y1  - 2024/09/20
    PY  - 2024
    N1  - https://doi.org/10.11648/j.jfns.20241205.11
    DO  - 10.11648/j.jfns.20241205.11
    T2  - Journal of Food and Nutrition Sciences
    JF  - Journal of Food and Nutrition Sciences
    JO  - Journal of Food and Nutrition Sciences
    SP  - 205
    EP  - 212
    PB  - Science Publishing Group
    SN  - 2330-7293
    UR  - https://doi.org/10.11648/j.jfns.20241205.11
    AB  - The Micronutrient Powder (MNP) program in Tanzania, introduced by the Feed the Future Project in 2013, aimed to reduce the prevalence of micronutrient deficiencies among children under five years old. This study, conducted in Zanzibar City, where iron deficiency anemia is highly prevalent, assessed the effect of a Nutrition Education Intervention on the use of MNPs for children aged 6-59 months, focusing on hemoglobin levels and anthropometric measures. The study explored the potential of MNPs, coupled with proper education, to alleviate iron deficiency anemia and other nutrient deficiencies. The longitudinal study involved 363 mothers/caregivers and their children, with data collected at baseline, midline (4 weeks), and endline (8 weeks) using structured questionnaires that captured socio-economic and demographic information, nutrition-related data, and measurements of anthropometrics and hemoglobin concentrations. The intervention included individual counseling and the distribution of MNP brochures during clinic visits. Descriptive statistics, chi-square tests, and one-way ANOVA were performed using IBM SPSS Version 26. Results showed significant changes in several indicators post-intervention: moderate anemia in children decreased from 64.7% at baseline to 59.5% at endline, with marginal decreases in severe anemia and slight improvements in weight-for-height and weight-for-age indicators, though height-for-age remained largely unchanged. The ANOVA results revealed variations in hemoglobin levels correlated with MNP intake, with those receiving moderate MNP showing the highest mean hemoglobin levels. The study concludes that MNP distribution programs should incorporate educational components to enhance compliance and effectiveness. Future strategies should consider appropriate dosing and consistent intake tailored to community-specific needs, alongside more holistic public health nutrition programs that address food security, water, sanitation, and mainstream health initiatives for sustained child health improvement. Further research is recommended to explore factors affecting long-term adherence and the intervention's impact across different settings to inform more precise public health strategies.
    
    VL  - 12
    IS  - 5
    ER  - 

    Copy | Download

Author Information
  • Department of Human Nutrition and Consumer Sciences, Sokoine University of Agriculture, Morogoro, Tanzania

  • Department of Human Nutrition and Consumer Sciences, Sokoine University of Agriculture, Morogoro, Tanzania

  • Sections