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High Awareness but Low Coverage of a Locally Produced Fortified Complementary Food in Abidjan, Côte d’Ivoire: Findings from a Cross-Sectional Survey

Poor complementary feeding practices among infants and young children in Côte d’Ivoire are major contributing factors to the country’s high burden of malnutrition. As part of a broad effort to address this issue, an affordable, nutritious, and locally produced fortified complementary food product wa...

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Autores principales: Leyvraz, Magali, Rohner, Fabian, Konan, Amoin G., Esso, Lasme J. C. E., Woodruff, Bradley A., Norte, Augusto, Adiko, Adiko F., Bonfoh, Bassirou, Aaron, Grant J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5100976/
https://www.ncbi.nlm.nih.gov/pubmed/27824917
http://dx.doi.org/10.1371/journal.pone.0166295
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author Leyvraz, Magali
Rohner, Fabian
Konan, Amoin G.
Esso, Lasme J. C. E.
Woodruff, Bradley A.
Norte, Augusto
Adiko, Adiko F.
Bonfoh, Bassirou
Aaron, Grant J.
author_facet Leyvraz, Magali
Rohner, Fabian
Konan, Amoin G.
Esso, Lasme J. C. E.
Woodruff, Bradley A.
Norte, Augusto
Adiko, Adiko F.
Bonfoh, Bassirou
Aaron, Grant J.
author_sort Leyvraz, Magali
collection PubMed
description Poor complementary feeding practices among infants and young children in Côte d’Ivoire are major contributing factors to the country’s high burden of malnutrition. As part of a broad effort to address this issue, an affordable, nutritious, and locally produced fortified complementary food product was launched in the Côte d’Ivoire in 2011. The objective of the current research was to assess various levels of coverage of the program and to identify coverage barriers. A cross-sectional household survey was conducted among caregivers of children less than 2-years of age living in Abidjan, Côte d’Ivoire. Four measures of coverage were assessed: “message coverage” (i.e., has the caregiver ever heard of the product?), “contact coverage” (i.e., has the caregiver ever fed the child the product?), “partial coverage” (i.e., has the caregiver fed the child the product in the previous month?), and “effective coverage” (i.e., has the caregiver fed the child the product in the previous 7 days?). A total of 1,113 caregivers with children between 0 and 23 months of age were interviewed. Results showed high message coverage (85.0%), moderate contact coverage (37.8%), and poor partial and effective coverages (8.8% and 4.6%, respectively). Product awareness was lower among caregivers from poorer households, but partial and effective coverages were comparable in both poor and non-poor groups. Infant and young child feeding (IYCF) practices were generally poor and did not appear to have improved since previous assessments. In conclusion, the results from the present study indicate that availability on the market and high awareness among the target population is not sufficient to achieve high and effective coverage. With market-based delivery models, significant efforts are needed to improve demand. Moreover, given the high prevalence of malnutrition and poor IYCF practices, additional modes of delivering IYCF interventions and improving IYCF practices should be considered.
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spelling pubmed-51009762016-11-18 High Awareness but Low Coverage of a Locally Produced Fortified Complementary Food in Abidjan, Côte d’Ivoire: Findings from a Cross-Sectional Survey Leyvraz, Magali Rohner, Fabian Konan, Amoin G. Esso, Lasme J. C. E. Woodruff, Bradley A. Norte, Augusto Adiko, Adiko F. Bonfoh, Bassirou Aaron, Grant J. PLoS One Research Article Poor complementary feeding practices among infants and young children in Côte d’Ivoire are major contributing factors to the country’s high burden of malnutrition. As part of a broad effort to address this issue, an affordable, nutritious, and locally produced fortified complementary food product was launched in the Côte d’Ivoire in 2011. The objective of the current research was to assess various levels of coverage of the program and to identify coverage barriers. A cross-sectional household survey was conducted among caregivers of children less than 2-years of age living in Abidjan, Côte d’Ivoire. Four measures of coverage were assessed: “message coverage” (i.e., has the caregiver ever heard of the product?), “contact coverage” (i.e., has the caregiver ever fed the child the product?), “partial coverage” (i.e., has the caregiver fed the child the product in the previous month?), and “effective coverage” (i.e., has the caregiver fed the child the product in the previous 7 days?). A total of 1,113 caregivers with children between 0 and 23 months of age were interviewed. Results showed high message coverage (85.0%), moderate contact coverage (37.8%), and poor partial and effective coverages (8.8% and 4.6%, respectively). Product awareness was lower among caregivers from poorer households, but partial and effective coverages were comparable in both poor and non-poor groups. Infant and young child feeding (IYCF) practices were generally poor and did not appear to have improved since previous assessments. In conclusion, the results from the present study indicate that availability on the market and high awareness among the target population is not sufficient to achieve high and effective coverage. With market-based delivery models, significant efforts are needed to improve demand. Moreover, given the high prevalence of malnutrition and poor IYCF practices, additional modes of delivering IYCF interventions and improving IYCF practices should be considered. Public Library of Science 2016-11-08 /pmc/articles/PMC5100976/ /pubmed/27824917 http://dx.doi.org/10.1371/journal.pone.0166295 Text en © 2016 Leyvraz et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Leyvraz, Magali
Rohner, Fabian
Konan, Amoin G.
Esso, Lasme J. C. E.
Woodruff, Bradley A.
Norte, Augusto
Adiko, Adiko F.
Bonfoh, Bassirou
Aaron, Grant J.
High Awareness but Low Coverage of a Locally Produced Fortified Complementary Food in Abidjan, Côte d’Ivoire: Findings from a Cross-Sectional Survey
title High Awareness but Low Coverage of a Locally Produced Fortified Complementary Food in Abidjan, Côte d’Ivoire: Findings from a Cross-Sectional Survey
title_full High Awareness but Low Coverage of a Locally Produced Fortified Complementary Food in Abidjan, Côte d’Ivoire: Findings from a Cross-Sectional Survey
title_fullStr High Awareness but Low Coverage of a Locally Produced Fortified Complementary Food in Abidjan, Côte d’Ivoire: Findings from a Cross-Sectional Survey
title_full_unstemmed High Awareness but Low Coverage of a Locally Produced Fortified Complementary Food in Abidjan, Côte d’Ivoire: Findings from a Cross-Sectional Survey
title_short High Awareness but Low Coverage of a Locally Produced Fortified Complementary Food in Abidjan, Côte d’Ivoire: Findings from a Cross-Sectional Survey
title_sort high awareness but low coverage of a locally produced fortified complementary food in abidjan, côte d’ivoire: findings from a cross-sectional survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5100976/
https://www.ncbi.nlm.nih.gov/pubmed/27824917
http://dx.doi.org/10.1371/journal.pone.0166295
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