Formulation and acceptability of local nutrient-dense foods for young children: A formative study for the Child Health, Agriculture and Integrated Nutrition (CHAIN) Trial in rural Zimbabwe
Formulation and acceptability of local nutrient-dense foods for young children: A formative study for the Child Health, Agriculture and Integrated Nutrition (CHAIN) Trial in rural Zimbabwe
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DOI：
10.1111/mcn.13605
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发表时间：
2023-12-13
影响因子：
3.4
通讯作者：
Smith，Laura E.
中科院分区：
文献类型：
--
作者：
Chagwena，Dexter T.;Fernando，Shamiso;Smith，Laura E.
发育迟缓影响了全球近四分之一的儿童，导致人类能力下降，并增加了患慢性病的长期风险。尽管采取了强化婴幼儿喂养(IYCF)干预措施，但许多儿童没有达到他们对基本营养素的要求。这项研究旨在评估在津巴布韦农村地区利用来自鸡蛋、生物强化糖豆和辣木叶的高营养粉末实施IYCF干预的可行性。开展了一项混合方法形成研究，包括以下内容：(1)配方制定试验；(2)改进做法试验，以评估干预措施的可接受性；(3)参与性信息制定过程，为国际儿童基金会+干预活动开发咨询模块。在2019年11月至2020年4月期间，招募了27对母婴。影响国际年林业做法的关键领域是时间、情感和物质空间、文化和宗教信仰、土著知识体系和性别动态。家庭观察和感官评估表明，新成分的可接受性很高。参与者的食谱制定和参与性信息制定向社区灌输所有权，并有助于揭开对新食品的现有误解。家庭注意到干预可持续性的潜力，因为这些食物可以在当地种植。用营养密集的当地食品成分作为粉末补充补充食品，有可能可持续地解决生活在农村、中低收入国家的幼儿饮食中的营养缺口问题。采用性别视角方法、家庭支持和土著知识系统或资源的综合国际儿童基金会咨询是支持辅助性喂养干预措施中积极行为改变的关键要素。
Stunting affects almost one‐quarter of children globally, leading to reduced human capacity and increased long‐term risk of chronic disease. Despite intensive infant and young child feeding (IYCF) interventions, many children do not meet their requirements for essential nutrients. This study aimed to assess the feasibility of implementing an IYCF intervention utilizing nutrient‐dense powders from egg, biofortified sugar beans andMoringa oleiferaleaf in rural Zimbabwe. A mixed‐methods formative study was conducted comprising the following: (i) a recipe formulation trial, (ii) trials of improved practices to assess acceptability of the intervention, and (iii) a participatory message formulation process to develop counselling modules for the IYCF‐plus intervention. Twenty‐seven mother–baby pairs were recruited between November 2019 and April 2020. Key domains affecting IYCF practices that emerged were time, emotional and physical space, cultural and religious beliefs, indigenous knowledge systems and gender dynamics. Household observations and sensory evaluation indicated high acceptability of the new ingredients. Recipe formulation and participatory message formulation by participants instilled community ownership and served to demystify existing misconceptions about the new food products. Families noted the potential for intervention sustainability because the foods could be grown locally. Supplementing complementary foods with nutrient‐dense local food ingredients as powders has the potential to sustainably address nutrient‐gaps in the diets of young children living in rural lower‐ and middle‐income countries. Comprehensive IYCF counselling utilizing a gender‐lens approach, family support and indigenous knowledge systems or resources are key elements to support positive behaviour change in complementary feeding interventions.