Action - CDC IMMPaCt: Effectiveness of selling micronutrient powders (Sprinkles) in Western Kenya - NICHE Project - Multiple micronutrient powder (point-of-use fortification) - Infants and young children

Programme: CDC IMMPaCt: Effectiveness of selling micronutrient powders (Sprinkles) in Western Kenya - NICHE Project

Programme description

Although efficacy of micronutrient powders (e.g., Sprinkles) in reducing anemia rates has been established, their effectiveness in real-world programs has seldom been assessed. In 2007, CDC joined with local Kenyan institutions to implement the Nyando Integrated Child Health and Education Project (NICHE) to evaluate the effectiveness of selling Sprinkles and other health products through community vendors who promote health.

Objective/Purpose(s): 1) Evaluate the effectiveness of distributing Sprinkles through community vendors who promote heal 2) Monitor Sprinkles sales and coverage 3) Measure the impact of Sprinkles use on anemia, iron deficiency and vitamin A deficincy. Potential Impact: Effectiveness data for use of micronutrient powders in intervention and program settings. Even with relatively low and infrequent use, micronutrient powder use through community vendor sales in resource-poor settings may decrease rates of anemia and iron and vitamin A deficiencies among children Contribution to evidence-base for malaria and iron recommendations.

Programme type

Community/sub-national

References

Suchdev PS, Ruth L, Woodruff BA et al. Selling Sprinkles micronutrient powder reduces anemia, iron deficiency, and vitamin A deficiency in young children in Western Kenya: a cluster-randomized controlled trial. Am J Clin Nutr. 2012 May;95(5):1223-30. Suchdev PS, Ruth L, Obure A Were V, Ochieng C, Ogange L, Owuor M, Ngure F, Quick R, Juliao P, Jung C, Teates K, Cruz K, Jefferds ME.. Monitoring the marketing, distribution and use of micronutrient Sprinkles in rural western Kenya. Food & Nutrition Bulletin 2010; 31:S168-S178. Jefferds MD, Ogange L, Owuor M, Cruz K, Person B, Obure A, Suchdev P, Ruth L. Formative research exploring acceptability, utilization, and promotion in order to develop a micronutrient powders (Sprinkles) intervention among Luo families in western Kenya. Food and Nutrition Bulletin 2010; 31:S179-S185.

Status: 
Completed

Start date:

January
2006

End date:

January
2012
Area: 
Peri-urban
Place: 
Nyando Division, population 80,000 in Western Kenya
Target group: 
Infants and young children
Preschool-age children (Pre-SAC)
Stunted child
Delivery: 
Community-based
Other delivery: 
Community based women's groups
Implementation details : 

1 sachet daily

Target population size : 
81000, 0.2
Outcome indicator(s): 

anemia, iron deficiency, vitamin A

M&E system: 

Evaluate the effectiveness of distributing Sprinkles through community vendors who promote health Monitor Sprinkles sales and coverage; To measure program effectiveness, 60 villages were randomly assigned to either intervention or control groups. Biweekly household visits measured Sprinkles purchases and use, and annual cross-sectional surveys measured biological impact

Baseline: 
(N=561) Hb (g/dL): 10.3 ± 1.5; Anaemic (Hb <11.0 g/dL): 64.7%;
Post-intervention: 

2008: Results show high demand and uptake; significant reduction in anemia, iron deficiency and vitamin A deficiency; and no adverse effects. 2010:sales and use of Sprinkles decreased significantly, and there was an increase in anemia and iron deficiency, due to reduced marketing efforts.

Tabs

Revision log

DateUserLogState
Tue, 10/04/2016 - 08:07engesveenkAction edited by engesveenk.published
Tue, 10/04/2016 - 08:07engesveenkAction edited by engesveenk.published
Tue, 10/04/2016 - 08:05engesveenkAction edited by engesveenk.published
Tue, 10/04/2016 - 08:05engesveenkAction edited by engesveenk.draft
Wed, 03/12/2014 - 12:30engesveenkEdited by admin.published
Wed, 03/12/2014 - 09:45engesveenkEdited by admin.published
Wed, 03/27/2013 - 16:12bloessnermEdited by admin.published
Wed, 11/21/2012 - 09:23bloessnermEdited by admin.published
Tue, 11/13/2012 - 12:50ginaContribEdited by admin.draft
Mon, 10/29/2012 - 12:05ginaContribEdited by bloessnerm.published
Mon, 10/29/2012 - 11:15bloessnermEdited by bloessnerm.published
Fri, 10/26/2012 - 11:29bloessnermEdited by bloessnerm.needs_review