{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T05:46:00Z","timestamp":1780465560581,"version":"3.54.1"},"reference-count":34,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2017,6,7]],"date-time":"2017-06-07T00:00:00Z","timestamp":1496793600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>This study assesses the impact of an integrated infant and young child feeding (IYCF) and micronutrient powder (MNP) intervention on children\u2019s risk of anemia and IYCF practices in Madagascar. Quantitative baseline and endline surveys were conducted in representative households with children 6\u201323 months from two districts, where an 18-month IYCF-MNP intervention was implemented. Relative risks comparing children\u2019s risk of anemia and maternal IYCF knowledge and practices at baseline versus endline, and also at endline among MNP-users versus non-users were estimated using log-binomial regression models. 372 and 475 children aged 6\u201323 months were assessed at baseline and endline respectively. Prevalence of anemia fell from 75.3% to 64.9% from baseline to endline (p = 0.002); the reduction in the risk of anemia remained significant in models adjusting for sociodemographic characteristics (ARR (95% CI): 0.86 (0.78, 0.95), p = 0.003). In endline assessments, 229 out of 474 (48.3%) of children had consumed MNPs. MNP-users had a lower risk of anemia (ARR (95% CI): 0.86 (0.74, 0.99), p = 0.04) than non-users, after controlling for child\u2019s dietary diversity and morbidity, maternal counseling by community-health-workers, and sociodemographic characteristics. Mothers interviewed at endline also had greater nutrition knowledge and were more likely to feed their children \u22654 food groups (ARR (95% CI): 2.92 (2.24, 3.80), p &lt; 0.001), and the minimum acceptable diet (ARR (95% CI): 2.88 (2.17, 3.82), p &lt; 0.001) than mothers interviewed at baseline. Integration of MNP into IYCF interventions is a viable strategy for improving children\u2019s consumption of micronutrients and reducing risk of anemia. The addition of MNP does not negatively impact, and may improve, IYCF practices.<\/jats:p>","DOI":"10.3390\/nu9060581","type":"journal-article","created":{"date-parts":[[2017,6,7]],"date-time":"2017-06-07T10:01:20Z","timestamp":1496829680000},"page":"581","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["The Impact of Integrated Infant and Young Child Feeding and Micronutrient Powder Intervention on Feeding Practices and Anemia in Children Aged 6\u201323 Months in Madagascar"],"prefix":"10.3390","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0019-9545","authenticated-orcid":false,"given":"Lindsey","family":"Locks","sequence":"first","affiliation":[{"name":"Harvard TH Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA"},{"name":"United Nations Children\u2019s Fund (UNICEF) Headquarters, 3 United Nations Plaza, New York, NY 10017, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ietje","family":"Reerink","sequence":"additional","affiliation":[{"name":"Population Services Internationl (PSI), Fiaro, Antananarivo BP 7748, Madagascar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amal","family":"Tucker Brown","sequence":"additional","affiliation":[{"name":"United Nations Children\u2019s Fund (UNICEF), Maison Commune des Nations Unies Zone Galaxy Andraharo, Antananarivo BP 732, Madagascar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Smaila","family":"Gnegne","sequence":"additional","affiliation":[{"name":"United Nations Children\u2019s Fund (UNICEF), Maison Commune des Nations Unies Zone Galaxy Andraharo, Antananarivo BP 732, Madagascar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noelimanjaka","family":"Ramalanjaona","sequence":"additional","affiliation":[{"name":"Population Services Internationl (PSI), Fiaro, Antananarivo BP 7748, Madagascar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simeon","family":"Nanama","sequence":"additional","affiliation":[{"name":"United Nations Children\u2019s Fund (UNICEF), Maison Commune des Nations Unies Zone Galaxy Andraharo, Antananarivo BP 732, Madagascar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Duggan","sequence":"additional","affiliation":[{"name":"Harvard TH Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA"},{"name":"Boston Children\u2019s Hospital, 333 Longwood Avenue, Boston, MA 02115, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aashima","family":"Garg","sequence":"additional","affiliation":[{"name":"United Nations Children\u2019s Fund (UNICEF) Headquarters, 3 United Nations Plaza, New York, NY 10017, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2017,6,7]]},"reference":[{"key":"ref_1","unstructured":"Micronutrient Initiative (2009). 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