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Program changes are effective and cost-effective in increasing the amount of oil used in preparing corn soy blend porridge for treatment of moderate acute malnutrition in Malawi.
- Source :
- Maternal & Child Nutrition; Oct2017, Vol. 13 Issue 4, pn/a-N.PAG, 1p
- Publication Year :
- 2017
-
Abstract
- Corn Soy Blend (CSB) porridge is commonly prepared with oil for treatment of moderate acute malnutrition (MAM). A recent review recommended that 30 g of oil be used with 100 g of CSB to increase energy density and micronutrient absorption. This study assessed the effectiveness and cost-effectiveness of program changes aimed at achieving that target oil:CSB ratio in prepared porridge. Caregivers of children in MAM supplementary feeding programs were assigned to three groups: a control group received monthly rations of 1 L oil, 8 kg CSB in bulk, and social and behavior change communication (SBCC); intervention groups received 2.6 L oil, 8 kg CSB provided either in bulk (Group 1) or four 2-kg packages with printed messages (Group 2), and enhanced SBCC emphasizing the target oil:CSB ratio. Compared to the control, both intervention groups had higher mean added oil per 100 g CSB (18 g, p < 0.01, and 13 g, p= 0.04, higher in groups 1 and 2, respectively), and greater odds of meeting or exceeding the target ratio (28.4, p< 0.01, and 12.7, p= 0.02, in groups 1 and 2, respectively). Cost per caregiver reaching the target ratio was most favorable in Group 1 ($391 in Group 1, $527 in Group 2, and $1,666 in the control). Enhanced SBCC combined with increased oil ration resulted in increased use of oil in CSB porridge in a supplementary feeding program. Modified packaging did not improve effectiveness. However, both interventions were more cost-effective than standard programming. [ABSTRACT FROM AUTHOR]
- Subjects :
- CAREGIVER education
ENRICHED foods
MALNUTRITION
ANALYSIS of variance
CHI-squared test
CHILD nutrition
CONFIDENCE intervals
CORN
COST effectiveness
FOOD chemistry
INFANTS
INTERVIEWING
LIPIDS
RESEARCH methodology
NUTRITIONAL requirements
PROBABILITY theory
REGRESSION analysis
RESEARCH funding
SOYBEAN
LOGISTIC regression analysis
COST analysis
STATISTICAL power analysis
EFFECT sizes (Statistics)
CROSS-sectional method
DATA analysis software
DESCRIPTIVE statistics
ODDS ratio
KRUSKAL-Wallis Test
INTRACLASS correlation
CHILDREN
Subjects
Details
- Language :
- English
- ISSN :
- 17408695
- Volume :
- 13
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Maternal & Child Nutrition
- Publication Type :
- Academic Journal
- Accession number :
- 125350107
- Full Text :
- https://doi.org/10.1111/mcn.12393