粮食不安全,社会和行为变化和分配模式:实施少量基于脂质的营养补充计划的关键考虑因素
Akriti Singh1,2, Kali Erickson3, Kavita Sethuraman2,4
1Helen Keller International US, New York, NY, USA.
少量基于脂质的营养补充剂 (SQ-LNS) 的接受度很高,但在各种环境中成功实施需要进行操作改进. 关键因素包括解决粮食不安全问题和产品偏好,以实现更广泛的计划成功.
科学领域:
- 营养科学 营养科学
- 公共卫生干预 公共卫生干预
- 实施科学 实施科学
背景情况:
- 少量基于脂质的营养补充剂 (SQ-LNS) 对于解决儿童和孕妇/哺乳期妇女微量营养素缺陷至关重要.
- 成功实施SQ-LNS计划对于改善母婴营养结果至关重要.
- 了解实施挑战和促进者是扩大SQ-LNS计划的关键.
研究的目的:
- 确定促进或阻碍SQ-LNS在儿童 (6-23个月) 和孕妇/哺乳期妇女 (PLW) 成功实施的因素.
- 收集项目工作人员关于扩大SQ-LNS计划考虑的观点.
- 为未来的SQ-LNS程序设计和交付提供信息.
主要方法:
- 采用采访项目工作人员 (n=23) 的定性研究.
- 与护理人员和PLW (n=15组) 的焦点小组讨论.
- 在洪都拉斯,尼日尔和索马里分布点 (n=9) 进行观察.
主要成果:
- 在护理人员和PLW中观察到SQ-LNS的高可接受性.
- 他们注意到对产品尺寸 (尼日尔,索马里) 和后味 (洪都拉斯) 的不满.
- 确定了程序设计,沟通和解决问题的变化; 人类测量跟踪显示了改进.
结论:
- 运营因素,如食物获取,咨询和基于证据的标准,对于SQ-LNS的实施至关重要.
- 解决产品特定的反和特定环境的挑战 (例如,粮食不安全) 是必不可少的.
- 需要进行程序性调整,以优化SQ-LNS的有效性和覆盖范围.
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