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Formative research to explore the acceptability and use of infant food grinders for the promotion of animal source foods and micronutrient powders in rural Peru

机译:探索性研究以探索婴儿食品研磨机在秘鲁农村地区促进动物源性食品和微量营养素粉推广的可接受性和用途

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摘要

According to global recommendations, quality diets for complementary feeding (CF) should include a diversity of foods including vitamin A‐rich fruits and vegetables and sources of high‐quality proteins and essential nutrients, particularly animal‐source foods (ASF). A key barrier to feeding ASF surrounds beliefs that the preparation of foods of a thicker consistency may cause problems of digestion, “heaviness” or stomach problems, swallowing, and choking. The objective of this study was to explore, through systematic formative research, the acceptability, use, and feasibility of a simple technology, commercial infant food grinders, in two rural Peruvian settings where there is delayed and low consumption of complementary foods of a thick consistency, including ASF. Phase I explored the barriers, constraints, and opportunities related to the provision of foods of a thicker consistency with a focus on ASF. Phase II encompassed household behavioural trials with mothers and infants to assess the acceptability and use of the grinders in the home setting, using key concepts and messages developed from the information obtained during Phase I. The technology was highly acceptable, used by the majority of mothers (87.8%), and led to changes in cultural perceptions, facilitating increased feeding of appropriate textures (thick purees), ASF, and multimicronutrient powders. Energy, protein, and micronutrient intakes were all significantly greater after the household behavioural trials. This simple technology, paired with systematic formative research to appropriately promote its use across cultures, may have a significant effect on improving CF practices globally, particularly for young infants beginning CF at 6 months.
机译:根据全球建议,优质的辅助喂养饮食应包括多种食物,包括富含维生素A的水果和蔬菜以及高质量蛋白质和必需营养素的来源,尤其是动物源性食物(ASF)。喂养ASF的主要障碍在于,人们认为浓稠食物的制备可能会引起消化,“沉重”或胃部问题,吞咽和窒息等问题。这项研究的目的是通过系统的形成性研究,探索在秘鲁的两个农村地区,一种简单技术,商用婴儿食品研磨机的可接受性,使用和可行性,在这种情况下,补充性食品的延迟和低消费以及浓稠度低,包括ASF。第一阶段探讨了与提供浓稠度较高的食品有关的障碍,制约因素和机会,重点是ASF。第二阶段包括对母亲和婴儿的家庭行为试验,以使用第一阶段获得的信息开发出的关键概念和信息来评估磨床在家庭环境中的可接受性和使用情况。该技术被高度接受,被大多数母亲使用(87.8%),并导致文化观念的变化,有利于增加适当质地(浓浓汤),ASF和多种微量营养素粉的饲喂。家庭行为试验后,能量,蛋白质和微量营养素的摄入均显着增加。这项简单的技术与系统的形成性研究相结合,以适当地促进跨文化的使用,可能对改善全球的CF实践有重大影响,尤其是对于6个月开始CF的婴儿。

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