{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T06:08:22Z","timestamp":1772863702497,"version":"3.50.1"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,2,22]],"date-time":"2016-02-22T00:00:00Z","timestamp":1456099200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000200","name":"United States Agency for International Development","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000200","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Limited knowledge exists on sustained adherence to small\u2010quantity lipid\u2010based nutrient supplements for pregnant and lactating women (LNS\u2010PL) and how this compares with that of other prenatal supplements. To address these gaps, a random subsample of women (<jats:italic>n<\/jats:italic>\u2009=\u2009360) during pregnancy, early (6\u2010 to 12\u2010week post\u2010partum) and late (12\u2010 to 24\u2010week post\u2010partum) lactation, from an ongoing effectiveness trial in Bangladesh, was selected for in\u2010home interviews about LNS\u2010PL or iron\/folic acid (IFA) use and preferences. Prevalence of high adherence (\u226570% of the recommendation) based on self\u2010reported supplement consumption was 67%, 68% and 81% among LNS\u2010PL recipients during pregnancy, early and late lactation, and was 87% and 71% among IFA recipients during pregnancy and early lactation, respectively (<jats:italic>P<\/jats:italic>\u2009=\u20090.044). Programmatic factors (e.g. distribution and visits by programme staff) were consistently statistically significantly associated with reported high adherence. Among LNS\u2010PL recipients, high overall supplement acceptability score [odds ratio (OR): 8.62; 95% confidence interval (CI) 3.53, 20.83] and use of reminder techniques (OR: 4.41; 95%CI 1.65, 11.76) were positively associated, and reported vomiting at enrollment was negatively associated (OR: 0.34; 95%CI 0.14, 0.80), with reported high adherence. Selected women (<jats:italic>n<\/jats:italic>\u2009=\u200916) and key informants (<jats:italic>n<\/jats:italic>\u2009=\u200918) participated in in\u2010depth interviews about perceptions and acceptability of LNS\u2010PL. Women perceived benefits of taking LNS\u2010PL, but some faced barriers to consumption including aversion to odour and taste during pregnancy, forgetfulness and disruptions in supply. To achieve high adherence, results from this study suggest that maternal supplementation programmes should focus on programmatic barriers and consider incorporating reminder techniques. Organoleptic acceptability of LNS\u2010PL, particularly during pregnancy, may also need to be addressed.<\/jats:p>","DOI":"10.1111\/mcn.12252","type":"journal-article","created":{"date-parts":[[2016,2,22]],"date-time":"2016-02-22T13:03:05Z","timestamp":1456146185000},"source":"Crossref","is-referenced-by-count":16,"title":["Adherence to recommendations on lipid\u2010based nutrient supplement and iron and folic acid tablet consumption among pregnant and lactating women participating in a community health programme in northwest Bangladesh"],"prefix":"10.1111","volume":"13","author":[{"given":"Kassandra L.","family":"Harding","sequence":"first","affiliation":[{"name":"Program in International and Community Nutrition University of California  Davis California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susana L.","family":"Matias","sequence":"additional","affiliation":[{"name":"Program in International and Community Nutrition University of California  Davis California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malay K.","family":"Mridha","sequence":"additional","affiliation":[{"name":"Program in International and Community Nutrition University of California  Davis California USA"},{"name":"International Centre for Diarrhoeal Disease Research, Bangladesh  Dhaka Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Md.","family":"Moniruzzaman","sequence":"additional","affiliation":[{"name":"International Centre for Diarrhoeal Disease Research, Bangladesh  Dhaka Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen A.","family":"Vosti","sequence":"additional","affiliation":[{"name":"Program in International and Community Nutrition University of California  Davis California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sohrab","family":"Hussain","sequence":"additional","affiliation":[{"name":"Save the Children  Dhaka Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn G.","family":"Dewey","sequence":"additional","affiliation":[{"name":"Program in International and Community Nutrition University of California  Davis California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine P.","family":"Stewart","sequence":"additional","affiliation":[{"name":"Program in International and Community Nutrition University of California  Davis California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,2,22]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.114.091546"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1740-8709.2010.00286.x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1079\/PHN2005665"},{"key":"e_1_2_11_5_1","first-page":"323","article-title":"Compliance to intake of prenatal supplements among rural pregnant women \u2013 observational study in two sub\u2010districts in rural Bangladesh","volume":"16","author":"Am W.H.","year":"2010","journal-title":"Malaysian Journal of Nutrition"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.114.088617"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-277X.2011.01216.x"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(13)70160-8"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1740-8709.2009.00224.x"},{"key":"e_1_2_11_10_1","volume-title":"Household Food Insecurity Access Scale (HFIAS) for Measurement of Food Access: Indicator Guide V.3","author":"Coates J.","year":"2007"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15430421tip3903_2"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(01)00185-X"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(94)90135-X"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/156482650202300109"},{"key":"e_1_2_11_15_1","volume-title":"Health Behavior and Health Education: Theory, Research, and Practice","author":"Glanz K.","year":"2008"},{"key":"e_1_2_11_16_1","volume-title":"The Discovery of Grounded Theory: Strategies for Qualitative Research","author":"Glaser B.G.","year":"1967"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0065-2601(06)38002-1"},{"issue":"2","key":"e_1_2_11_18_1","article-title":"Interventions for enhancing medication adherence","author":"Haynes R.B.","year":"2008","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.2009.28253"},{"key":"e_1_2_11_20_1","first-page":"175","article-title":"Do side\u2010effects reduce compliance to iron supplementation? 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