Formative research to explore the acceptability and use of infant food grinders for the promotion of animal source foods and micronutrient powders in rural Peru
Formative research to explore the acceptability and use of infant food grinders for the promotion of animal source foods and micronutrient powders in rural Peru
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DOI：
10.1111/mcn.12600
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发表时间：
2018-10-01
影响因子：
3.4
通讯作者：
Bentley, Margaret E.
中科院分区：
文献类型：
--
作者：
Creed-Kanashiro, Hilary;Wasser, Heather M.;Bentley, Margaret E.
根据全球建议，补充喂养(CF)的优质饮食应包括多种食物，包括富含维生素A的水果和蔬菜，以及高质量蛋白质和基本营养素的来源，特别是动物性食品(ASF)。喂养ASF的一个关键障碍是人们认为，准备稠度较高的食物可能会导致消化问题、“沉重”或胃部问题、吞咽和窒息。这项研究的目的是通过系统的形成性研究，探索在秘鲁两个农村地区使用一种简单的技术--商用婴儿食品粉碎机--的可接受性、使用率和可行性，在这两个环境中，包括ASF在内的稠密补充食品的消费延迟和低消费。第一阶段探讨了与提供稠度更高的食品有关的障碍、限制和机会，重点是ASF。第二阶段包括对母亲和婴儿进行家庭行为试验，以评估家庭环境中研磨机的可接受性和使用情况，使用根据第一阶段获得的信息开发的关键概念和信息。该技术被高度接受，大多数母亲(87.8%)使用，并导致文化观念的变化，有助于增加适当质地(厚泥)、ASF和多种微量营养素粉末的喂养。在家庭行为试验后，能量、蛋白质和微量营养素的摄入量都显著增加。这项简单的技术与系统的形成性研究相结合，适当地促进其在不同文化中的使用，可能会对改善全球的CF实践产生重大影响，特别是对于6个月大的婴儿。
According to global recommendations, quality diets for complementary feeding (CF) should include a diversity of foods including vitamin A-rich fruits and vegetables and sources of high-quality proteins and essential nutrients, particularly animal-source foods (ASF). A key barrier to feeding ASF surrounds beliefs that the preparation of foods of a thicker consistency may cause problems of digestion, "heaviness" or stomach problems, swallowing, and choking. The objective of this study was to explore, through systematic formative research, the acceptability, use, and feasibility of a simple technology, commercial infant food grinders, in two rural Peruvian settings where there is delayed and low consumption of complementary foods of a thick consistency, including ASF. Phase I explored the barriers, constraints, and opportunities related to the provision of foods of a thicker consistency with a focus on ASF. Phase II encompassed household behavioural trials with mothers and infants to assess the acceptability and use of the grinders in the home setting, using key concepts and messages developed from the information obtained during Phase I. The technology was highly acceptable, used by the majority of mothers (87.8%), and led to changes in cultural perceptions, facilitating increased feeding of appropriate textures (thick purees), ASF, and multimicronutrient powders. Energy, protein, and micronutrient intakes were all significantly greater after the household behavioural trials. This simple technology, paired with systematic formative research to appropriately promote its use across cultures, may have a significant effect on improving CF practices globally, particularly for young infants beginning CF at 6 months.