{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T15:45:48Z","timestamp":1762875948862,"version":"3.41.2"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,12,6]],"date-time":"2017-12-06T00:00:00Z","timestamp":1512518400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000865","name":"Bill and Melinda Gates Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000865","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Nearly two thirds of young children are anaemic in Bihar, India. Paediatric iron and folic acid syrup (IFAS) and multiple micronutrient powders (MNPs) are two evidence\u2010based interventions to prevent anaemia. Using a randomized crossover design, we examined the acceptability of IFAS versus MNPs for children 6\u201323\u00a0months. In a catchment area of 2 health centres in Bihar, health front\u2010line workers (FLWs) delivered either (a) IFAS twice weekly or (b) MNPs for 1\u00a0month followed by the other supplementation strategy for 1\u00a0month to the same families (NCT02610881). Household surveys were conducted at baseline (<jats:italic>N<\/jats:italic>\u00a0=\u00a0100), 1\u00a0month after receiving the first intervention (1\u00a0month; <jats:italic>N<\/jats:italic>\u00a0=\u00a095), and 1\u00a0month after the second intervention (2\u00a0months; <jats:italic>N<\/jats:italic>\u00a0=\u00a093). Focus group discussions (10 FLWs) and in\u2010depth interviews (20 mothers) were held at 1 and 2\u00a0months. We used chi\u2010square and Fisher exact tests to test mothers' product preferences. Qualitative data were analysed using MaxQDA and Excel employing a thematic analysis approach. There was high adherence and acceptability for both products (&gt;80%). There was no significant difference in preference (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.05) on perceived benefits (39% MNPs, 40% IFAS), side effects (30% MNPs, 30% IFAS), ease of use (42% IFAS, 31% MNPs), child preference (45% IFAS, 37% MNPs), and maternal preference (44% IFAS, 34% MNPs). Mothers and FLWs indicated that the direct administration of IFAS ensured that children consumed the full dose, and MNPs intake depended on the quantity of food consumed, especially among younger children, which emphasizes the need to integrate supplementation with the promotion of optimal child feeding practices.<\/jats:p>","DOI":"10.1111\/mcn.12572","type":"journal-article","created":{"date-parts":[[2017,12,6]],"date-time":"2017-12-06T10:12:48Z","timestamp":1512555168000},"source":"Crossref","is-referenced-by-count":9,"title":["Acceptability of multiple micronutrient powders and iron syrup in Bihar, India"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2768-1673","authenticated-orcid":false,"given":"Melissa F.","family":"Young","sequence":"first","affiliation":[{"name":"Doctoral Program in Nutrition and Health Sciences, Laney Graduate School Emory University  Atlanta Georgia USA"},{"name":"Hubert Department of Global Health, Rollins School of Public Health Emory University  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy Webb","family":"Girard","sequence":"additional","affiliation":[{"name":"Doctoral Program in Nutrition and Health Sciences, Laney Graduate School Emory University  Atlanta Georgia USA"},{"name":"Hubert Department of Global Health, Rollins School of Public Health Emory University  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rukshan","family":"Mehta","sequence":"additional","affiliation":[{"name":"Doctoral Program in Nutrition and Health Sciences, Laney Graduate School Emory University  Atlanta Georgia USA"},{"name":"Hubert Department of Global Health, Rollins School of Public Health Emory University  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sridhar","family":"Srikantiah","sequence":"additional","affiliation":[{"name":"CARE India  Patna Bihar India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5896-3403","authenticated-orcid":false,"given":"Lucas","family":"Gosdin","sequence":"additional","affiliation":[{"name":"Doctoral Program in Nutrition and Health Sciences, Laney Graduate School Emory University  Atlanta Georgia USA"},{"name":"Hubert Department of Global Health, Rollins School of Public Health Emory University  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Purnima","family":"Menon","sequence":"additional","affiliation":[{"name":"International Food Policy Research Institute  Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Usha","family":"Ramakrishnan","sequence":"additional","affiliation":[{"name":"Doctoral Program in Nutrition and Health Sciences, Laney Graduate School Emory University  Atlanta Georgia USA"},{"name":"Hubert Department of Global Health, Rollins School of Public Health Emory University  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reynaldo","family":"Martorell","sequence":"additional","affiliation":[{"name":"Doctoral Program in Nutrition and Health Sciences, Laney Graduate School Emory University  Atlanta Georgia USA"},{"name":"Hubert Department of Global Health, Rollins School of Public Health Emory University  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rasmi","family":"Avula","sequence":"additional","affiliation":[{"name":"International Food Policy Research Institute  Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,12,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/0019-557X.200250"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60996-4"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60937-X"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0151097"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-2978-0"},{"key":"e_1_2_8_7_1","first-page":"CD008959","article-title":"Home fortification of foods with multiple micronutrient powders for health and nutrition in children under two years of age","volume":"9","author":"De\u2010Regil L. M.","year":"2011","journal-title":"The Cochrane Database of Systematic Reviews"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2012.04.016"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2008.11.003"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/jsfa.7526"},{"key":"e_1_2_8_11_1","article-title":"National Family Health Survey (NFHS\u20104) India 2015\u201316: Bihar","author":"International Institute for Population Sciences and Macro International (IIPSMI)","year":"2017","journal-title":"Mumbai."},{"key":"e_1_2_8_12_1","unstructured":"Ministry of Health and Family Welfare. (2013). Government of India.Guidelines for control of iron deficiency anemia. National Iron Plus Initiative: Towards infinite potential in an anaemia free India."},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/132.4.853S"},{"key":"e_1_2_8_14_1","unstructured":"Nestel P. Alnwick D.(1997).Iron\/multi\u2010micronutrient supplements for young children. Summary and conclusions of a consultation held at UNICEF Copenhagen August 19\u201320 1996."},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0950-3293(93)90166-4"},{"key":"e_1_2_8_16_1","unstructured":"SPRING. (2015).Micronutrient powders consultation: Lessons learned for operational guidance\u2014meeting report. Arlington VA: Strengthening Partnerships Results and Innovations in Nutrition Globally (SPRING) project."},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(13)70001-9"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1740-8709.2011.00352.x"},{"volume-title":"WHO guideline: Use of multiple micronutrient powders for home fortification of foods consumed by infants and children 6\u201323\u00a0months of age","year":"2011","author":"WHO","key":"e_1_2_8_19_1"},{"key":"e_1_2_8_20_1","unstructured":"WHO. (2016).WHO guideline: Use of multiple micronutrient powders for point\u2010of\u2010use fortification of foods consumed by infants and young children aged 6\u201323\u00a0months and children aged 2\u201312\u00a0years. Geneva: World Health Organization. Licence: CC BY\u2010NC\u2010SA 3.0 IGO."},{"key":"e_1_2_8_21_1","doi-asserted-by":"crossref","unstructured":"Young M. F. Kekre P. Verma P. Sheth M. Kumar A. D Trehan S. \u2026Martorell R.(2014).A formative research study for home fortification of complementary foods under Integrated Family Health Program: Process and methodology. Micronutrient Forum. Addis Ababa Ethiopia.","DOI":"10.9734\/EJNFS\/2015\/20950"},{"key":"e_1_2_8_22_1","first-page":"108","article-title":"Use of microencapsulated iron (II) fumarate sprinkles to prevent recurrence of anaemia in infants and young children at high risk","volume":"81","author":"Zlotkin S.","year":"2003","journal-title":"Bulletin of World Health Organization"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/74.6.791"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02828118"}],"container-title":["Maternal &amp; Child Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fmcn.12572","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/mcn.12572","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/mcn.12572","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/mcn.12572","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T03:32:46Z","timestamp":1694143966000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/mcn.12572"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,6]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,4]]}},"alternative-id":["10.1111\/mcn.12572"],"URL":"https:\/\/doi.org\/10.1111\/mcn.12572","archive":["Portico"],"relation":{},"ISSN":["1740-8695","1740-8709"],"issn-type":[{"type":"print","value":"1740-8695"},{"type":"electronic","value":"1740-8709"}],"subject":[],"published":{"date-parts":[[2017,12,6]]},"article-number":"e12572"}}