Micronutrient powder use and infant and young child feeding practices in an integrated program

婴幼儿综合喂养（IYCF）/微量营养素粉（MNP）被越来越多地在贫穷地区婴幼儿综合喂养和低收入人群微量营养素缺乏人群中推崇。然而，很少有人知道MNP的使用如何影响IYCF的实施。我们选择尼泊尔地区6-23月龄幼儿为对象，将免费使用MNP添加到现有的IYCF平台中，描述试点地区MNP的使用与IYCF实施的关系。在试点地区开展有代表性的横断面调查，选择符合条件的3个月龄孩子的母亲（平原生态区，n=1054）或实施综合MNP/IYCF方案15个月龄孩子的母亲（仅限农村山区生态区，n=654）。用logistic回归模型评估IYCF 方案如何随着MNP的使用而变化（未使用、1-30袋、30-60袋）。消耗30-60袋MNP与未使用MNP在这两个时间点比较，实现最低饮食多样性和最低可接受饮食有关。在3 个月的调查中，消耗30-60袋MNP与未使用MNP与实现最低饮食频次和2 年的持续母乳喂养有关。在这一背景下，添加MNP对现有IYCF平台的运行并未出现不利的影响。

關鍵字

微量营养奶粉；尼泊尔；婴幼儿喂养；母乳喂养；儿童营养

並列摘要

Integrated infant and young child feeding (IYCF)/micronutrient powder (MNP) programs are increasingly used to address poor IYCF practices and micronutrient deficiencies in low-income settings; however, little is known about how MNP use may affect IYCF practices. We describe how MNP use was associated with IYCF practices in a pilot program in select districts of Nepal where free MNP for children 6-23 months were added to an existing IYCF platform. Representative cross-sectional surveys were conducted in pilot districts with mothers of eligible children at 3 months (plains ecozone, n=1054) or 15 months (hill ecozone, rural only, n=654) after implementation of an integrated MNP/IYCF program. We used logistic regression to assess how IYCF practices varied by MNP use (none, 1-30, 30-60 sachets). At both time points, consuming 30-60 MNP sachets vs. none was associated with achieving minimum dietary diversity and minimum acceptable diet. In the 3 month survey consuming 30- 60 MNP sachets vs none was also associated with achieving minimum meal frequency and continued breastfeeding at 2 years. In this setting, addition of MNP to an existing platform of IYCF messaging did not appear detrimental to IYCF practices.

並列關鍵字

micronutrient powders ； Nepal ； infant and young child feeding ； breastfeeding, child nutrition

國際替代計量

Micronutrient powder use and infant and young child feeding practices in an integrated program

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