{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T05:44:20Z","timestamp":1780465460897,"version":"3.54.1"},"reference-count":62,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,6,10]],"date-time":"2019-06-10T00:00:00Z","timestamp":1560124800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Micronutrients powder (MNP) can prevent anaemia amongst children 6\u201323\u00a0months old. However, evidence of an effect on growth is limited and concerns about the safety of iron\u2010containing MNP interventions limits their applicability. In a cluster randomized controlled intervention, we evaluated the effectiveness of a nutritional package including counselling and provision of MNP to improve the nutritional status of children aged 6\u201323\u00a0months and the effect of sustained use of MNP on morbidity in a malaria\u2010endemic area. Child feeding practises and nutritional status were assessed through cross\u2010sectional surveys. Biweekly morbidity surveillance and anthropometry measurements were carried out in a nested cohort study. No significant differences in the prevalence of wasting (\u22120.7% [\u22126.8, 5.3] points; <jats:italic>p<\/jats:italic>\u00a0=\u00a0.805), stunting (+4.6% [\u22122.9, 12.0] points; <jats:italic>p<\/jats:italic>\u00a0=\u00a0.201), or mean length\u2010for\u2010age <jats:italic>z<\/jats:italic>\u2010score and weight\u2010for\u2010length <jats:italic>z<\/jats:italic>\u2010score scores were found between study groups. The proportion of children with a minimum dietary diversity score and those with a minimum acceptable diet significantly increased in the intervention group compared with the control by 6.5% points (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.043) and 5.8% points (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.037), respectively. There were no significant differences in the risk of diarrhoea (RR: 1.68, 95% CI [0.94, 3.08]), fever (RR: 1.20 [0.82, 1.77]), and malaria (RR: 0.68 [0.37, 1.26]) between study groups. In the nested study, the rate of linear growth was higher in the intervention than in the control group by 0.013 SD\/month (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.027). In a programmatic intervention, MNP and nutrition education marginally improved child feeding practises and growth, without increasing morbidity from malaria or fever.<\/jats:p>","DOI":"10.1111\/mcn.12820","type":"journal-article","created":{"date-parts":[[2019,4,3]],"date-time":"2019-04-03T03:32:15Z","timestamp":1554262335000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Micronutrient powder supplements combined with nutrition education marginally improve growth amongst children aged 6\u201323\u00a0months in rural Burkina Faso: A cluster randomized controlled trial"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6780-2700","authenticated-orcid":false,"given":"Hermann B.","family":"Lanou","sequence":"first","affiliation":[{"name":"Ministry of Higher Education, Scientific Research and Innovation Institut de Recherche en Sciences de la Sant\u00e9  Ouagadougou Burkina Faso"},{"name":"Department of Food Technology, Safety and Health Ghent University  Ghent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3847-5584","authenticated-orcid":false,"given":"Saskia J.M.","family":"Osendarp","sequence":"additional","affiliation":[{"name":"Nutrition International  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alemayehu","family":"Argaw","sequence":"additional","affiliation":[{"name":"Nutrition International  Ottawa Ontario Canada"},{"name":"Department of Food Technology, Safety and Health Ghent University  Ghent Belgium"},{"name":"Department of Population and Family Health Jimma University  Jimma Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirrily","family":"De Polnay","sequence":"additional","affiliation":[{"name":"Child Health and Nutrition Unit, Department of Public Health Institute of Tropical Medicine  Antwerp Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Ou\u00e9draogo","sequence":"additional","affiliation":[{"name":"Nutrition International  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seni","family":"Kouanda","sequence":"additional","affiliation":[{"name":"Ministry of Higher Education, Scientific Research and Innovation Institut de Recherche en Sciences de la Sant\u00e9  Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Kolsteren","sequence":"additional","affiliation":[{"name":"Child Health and Nutrition Unit, Department of Public Health Institute of Tropical Medicine  Antwerp Belgium"},{"name":"Department of Food Technology, Safety and Health Ghent University  Ghent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,6,10]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/86.2.412"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60996-4"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/156482651103200312"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60937-X"},{"key":"e_1_2_10_6_1","first-page":"1","article-title":"Effect of providing multiple micronutrients in powder through primary healthcare on anemia in young Brazilian children: A multicentre pragmatic controlled trial","volume":"63","author":"Cardoso M. 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