Evaluating Acceptability of Fortification Approach for Delivery of Zinc and Iron in Children Aged 6-24 Months - Abstract
Background: Micronutrient deficiencies predispose the infants and children to infections, anemia, impaired growth and development, thus, cost effective strategies are urgently
required to combat these deficiencies. Fortification of iron/zinc appears to be an effective alternative strategy for delivery of these micronutrients, in comparison to short term
supplementary programmes. Acceptability of this concept by mothers is a key determinant for successful implementation of such a fortification program.
Objective: We evaluated the acceptability of two innovative food fortification approaches, by mothers and children.
Methods: In peri-urban settlement of New Delhi, 796 children aged 6-24 months were randomly allocated to receive either micronutrient powder added to regular food (MNP
= 265) or one of three products of pre-fortified weaning food (reconstituted with water) [Ragi (RG) =265; Extruded Rice (EX) =134; Roasted Rice (RR) = 132] once daily for 15
days. Home visits were undertaken twice a week and at the exit interview, information on overall acceptance of these approaches was explored.
Results: The percentage of children who consumed more than 50% of fortified food given in each offering was MNP 62.0%, RG 72.7%, EX 72.6%, RR 67.2%. Evaluation of
overall acceptance from mother’s perspective indicated that they accepted and liked the concept of fortification MNP 97.8%, RG 93.7%, EX 100%, RR 95.3%.
Conclusion: Fortification using both tested approaches is highly acceptable and feasible strategy for delivery of zinc and iron among children. Our findings suggest that
evaluation of the impact of these approaches will not be impeded by poor acceptance of these products.