{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T21:41:30Z","timestamp":1792186890197,"version":"4.4.0"},"reference-count":23,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2012,11,20]],"date-time":"2012-11-20T00:00:00Z","timestamp":1353369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>To evaluate the sustainability of market\u2010based community distribution of micronutrient powders (<jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>prinkles<jats:sup>\u00ae<\/jats:sup>, Hexagon Nutrition, Mumbai, India.) among pre\u2010school children in <jats:styled-content style=\"fixed-case\">K<\/jats:styled-content>enya, we conducted in <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ugust 2010 a follow\u2010up survey, 18 months after study\u2010related marketing and household monitoring ended. We surveyed 849 children aged 6\u201335 months randomly selected from 60 study villages. Nutritional biomarkers were measured by fingerstick; demographic characteristics, <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>prinkles purchases and use were assessed through household questionnaires. We compared Sprinkles use, marketing efforts and biomarker levels with the data from surveys conducted in <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>arch 2007, <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>arch 2008 and <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>arch 2009. We used logistic regression to evaluate associations between marketing activities and Sprinkles use in the 2010 survey. At the 2010 follow\u2010up, 21.9% of children used <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>prinkles in the previous 7 days, compared with 64.9% in 2008 (<jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic>\u2009&lt;\u20090.001). Average intake was 3.2 sachets\u2009week<jats:sup>\u22121<\/jats:sup> in 2008, 1.6 sachets\u2009week<jats:sup>\u22121<\/jats:sup> in 2009 and 1.1 sachets\u2009week<jats:sup>\u22121<\/jats:sup> in 2010 (<jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic>\u2009&lt;\u20090.001). Factors associated with recent Sprinkles use in 2010 included young age [6\u201323 months vs. 24\u201335 months, adjusted odds ratio (a<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>)\u2009=\u20091.5, <jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic>\u2009=\u20090.02], lowest 2 quintiles of socio\u2010economic status (a<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u2009=\u20091.7, <jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic>\u2009=\u20090.004), household attendance at trainings or launches (a<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u2009=\u20092.8, <jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic>\u2009&lt;\u20090.001) and ever receiving promotional items including free <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>prinkles, calendars, cups and t\u2010shirts (a<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u2009=\u20091.7, <jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic>\u2009=\u20090.04). In 2010, there was increased prevalence of anaemia and malaria (<jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic>\u2009&lt;\u20090.001), but not iron deficiency (<jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic>\u2009=\u20090.44), compared with that in 2008. <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>prinkles use in 2010 was associated with decreased iron deficiency (<jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic>\u2009=\u20090.03). <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>prinkles coverage reduced after stopping household monitoring and reducing marketing activities. Continued promotion and monitoring of <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>prinkles usage may be important components to sustain the programme.<\/jats:p>","DOI":"10.1111\/j.1740-8709.2012.00450.x","type":"journal-article","created":{"date-parts":[[2012,11,21]],"date-time":"2012-11-21T01:47:23Z","timestamp":1353462443000},"page":"78-88","source":"Crossref","is-referenced-by-count":22,"title":["Sustainability of market\u2010based community distribution of <scp>S<\/scp>prinkles in western <scp>K<\/scp>enya"],"prefix":"10.1111","volume":"9","author":[{"given":"Parminder S.","family":"Suchdev","sequence":"first","affiliation":[{"name":"Nutrition Branch Centers for Disease Control and Prevention  Atlanta Georgia USA"},{"name":"Department of Pediatrics Emory University  Atlanta Georgia USA"},{"name":"Hubert Department of Global Health Rollins School of Public Health Emory University  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ami","family":"Shah","sequence":"additional","affiliation":[{"name":"Hubert Department of Global Health Rollins School of Public Health Emory University  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Elena D.","family":"Jefferds","sequence":"additional","affiliation":[{"name":"Nutrition Branch Centers for Disease Control and Prevention  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alie","family":"Eleveld","sequence":"additional","affiliation":[{"name":"Safe Water and AIDS Project  Kisumu Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minal","family":"Patel","sequence":"additional","affiliation":[{"name":"Enteric Diseases Epidemiology Branch Centers for Disease Control &amp; Prevention  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aryeh D.","family":"Stein","sequence":"additional","affiliation":[{"name":"Hubert Department of Global Health Rollins School of Public Health Emory University  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Macdonald","sequence":"additional","affiliation":[{"name":"Global Alliance for Improved Nutrition  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laird","family":"Ruth","sequence":"additional","affiliation":[{"name":"Nutrition Branch Centers for Disease Control and Prevention  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,11,20]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61693-6"},{"key":"e_1_2_9_3_1","first-page":"1109","article-title":"Baseline data from the Nyando Integrated Child Health and Education Project \u2013 Kenya, 2007","volume":"56","author":"Centers for Disease Control and Prevention (CDC)","year":"2007","journal-title":"MMWR. 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