Evaluation of the acceptability of improved supplementary foods for the treatment of moderate acute malnutrition in Burkina Faso using a mixed method approach

Hdl Handle:
http://hdl.handle.net/10144/615395
Title:
Evaluation of the acceptability of improved supplementary foods for the treatment of moderate acute malnutrition in Burkina Faso using a mixed method approach
Authors:
Iuel-Brockdorf, A-S; Draebel, T A; Ritz, C; Fabiansen, C; Cichon, B; Brix Christensen, V; Yameogo, C; Oummani, R; Briend, A; Michaelsen, K F; Ashorn, P; Filteau, S; Friis, H
Journal:
Appetite
Abstract:
The objective of this study was to evaluate, within the context of a randomized controlled trial of product effectiveness, the acceptability of new formulations of six corn-soy blended flours (CSB) and six lipid-based nutrient supplements (LNS) with different quantities of milk and qualities of soy for the treatment of children with moderate acute malnutrition (MAM). Our study included 1546 children aged 6-23 months and involved questionnaires after one month of supplementation home visits and interviews with a sub-sample of 20 trial participants and their caretakers, and nine focus group discussion. All 12 products were well accepted in terms of organoleptic qualities and received good ratings. However, LNS were more appreciated by caretakers and children. Additionally, an effect of soy isolate was detected on child appreciation where products with high milk content also received better ratings. CSB were not consumed as readily; 33.9% (n = 257) of children receiving CSB were reported to have leftovers compared to 17.3% (n = 134) of children receiving LNS (p=<0.001). Both CSB and LNS were referred to as foods with medicinal properties and perceived as beneficial to child health. They were both reported to have high priority in the daily feeding of the child. In conclusion, there were minimal differences in acceptability of the various CSB and LNS formulations, although CSB were less readily consumed and required smaller meal volumes. Since all products were well-accepted, decisions regarding whether the more expensive products should be used for the treatment of MAM will need to be based on their effect on child nutrition, growth and health. Future supplementary feeding programs in similar contexts could furthermore consider introducing supplementary foods as a medical treatment, as this may increase adherence and decrease sharing.
Publisher:
Elsevier
Issue Date:
2-Jan-2016
URI:
http://hdl.handle.net/10144/615395
DOI:
10.1016/j.appet.2015.12.030
PubMed ID:
26752599
Type:
Article
Language:
en
ISSN:
1095-8304
Appears in Collections:
Nutrition

Full metadata record

DC FieldValue Language
dc.contributor.authorIuel-Brockdorf, A-Sen
dc.contributor.authorDraebel, T Aen
dc.contributor.authorRitz, Cen
dc.contributor.authorFabiansen, Cen
dc.contributor.authorCichon, Ben
dc.contributor.authorBrix Christensen, Ven
dc.contributor.authorYameogo, Cen
dc.contributor.authorOummani, Ren
dc.contributor.authorBriend, Aen
dc.contributor.authorMichaelsen, K Fen
dc.contributor.authorAshorn, Pen
dc.contributor.authorFilteau, Sen
dc.contributor.authorFriis, Hen
dc.date.accessioned2016-07-01T19:48:33Z-
dc.date.available2016-07-01T19:48:33Z-
dc.date.issued2016-01-02en
dc.identifier.citationEvaluation of the acceptability of improved supplementary foods for the treatment of moderate acute malnutrition in Burkina Faso using a mixed method approach. 2016, 99:34-45 Appetiteen
dc.identifier.issn1095-8304en
dc.identifier.pmid26752599en
dc.identifier.doi10.1016/j.appet.2015.12.030en
dc.identifier.urihttp://hdl.handle.net/10144/615395-
dc.description.abstractThe objective of this study was to evaluate, within the context of a randomized controlled trial of product effectiveness, the acceptability of new formulations of six corn-soy blended flours (CSB) and six lipid-based nutrient supplements (LNS) with different quantities of milk and qualities of soy for the treatment of children with moderate acute malnutrition (MAM). Our study included 1546 children aged 6-23 months and involved questionnaires after one month of supplementation home visits and interviews with a sub-sample of 20 trial participants and their caretakers, and nine focus group discussion. All 12 products were well accepted in terms of organoleptic qualities and received good ratings. However, LNS were more appreciated by caretakers and children. Additionally, an effect of soy isolate was detected on child appreciation where products with high milk content also received better ratings. CSB were not consumed as readily; 33.9% (n = 257) of children receiving CSB were reported to have leftovers compared to 17.3% (n = 134) of children receiving LNS (p=<0.001). Both CSB and LNS were referred to as foods with medicinal properties and perceived as beneficial to child health. They were both reported to have high priority in the daily feeding of the child. In conclusion, there were minimal differences in acceptability of the various CSB and LNS formulations, although CSB were less readily consumed and required smaller meal volumes. Since all products were well-accepted, decisions regarding whether the more expensive products should be used for the treatment of MAM will need to be based on their effect on child nutrition, growth and health. Future supplementary feeding programs in similar contexts could furthermore consider introducing supplementary foods as a medical treatment, as this may increase adherence and decrease sharing.en
dc.languageENGen
dc.language.isoenen
dc.publisherElsevieren
dc.rightsArchived with thanks to Appetiteen
dc.subjectMalnutritionen
dc.titleEvaluation of the acceptability of improved supplementary foods for the treatment of moderate acute malnutrition in Burkina Faso using a mixed method approachen
dc.typeArticleen
dc.identifier.journalAppetiteen
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