Experiences and lessons learned for planning and supply of micronutrient powders interventions

Claudia Schauer, Nigel Sunley, Carrie Hubbell Melgarejo, Christina Nyhus Dhillon, Claudia Roca, Gustavo Tapia, Pragya Mathema, Shelley Walton, Ruth Situma, Stanley Zlotkin, Rolf DW Klemm

Research output: Contribution to journalArticlepeer-review

Abstract

Realistic planning for a nutrition intervention is a critical component of implementation, yet effective approaches have been poorly documented. Under the auspices of “The Micronutrient Powders Consultation: Lessons Learned for Operational Guidance,” 3 working groups were formed to summarize experiences and lessons across countries regarding micronutrient powders (MNP) interventions for young children. This paper focuses on programmatic experiences in the planning stages of an MNP intervention, encompassing assessment, enabling environment and adaptation, as well as considerations for supply. Methods included a review of published and grey literature, key informant interviews, and deliberations throughout the consultation process. We found that assessments helped justify adopting an MNP intervention, but these assessments were often limited by their narrow scope and inadequate data. Establishing coordinating bodies and integrating MNP into existing policies and programmes have helped foster an enabling environment and support programme stability. Formative research and pilots have been used to adapt MNP interventions to specific contexts, but they have been insufficient to inform scale-up. In terms of supply, most countries have opted to procure MNP through international suppliers, but this still requires understanding and navigating the local regulatory environment at the earliest stages of an intervention. Overall, these findings indicate that although some key planning and supply activities are generally undertaken, improvements are needed to plan for effective scale-up. Much still needs to be learned on MNP planning, and we propose a set of research questions that require further investigation.

Original languageEnglish (US)
Article numbere12494
JournalMaternal and Child Nutrition
Volume13
DOIs
StatePublished - Sep 2017
Externally publishedYes

Keywords

  • assessment of nutritional status
  • infant and child nutrition
  • iron deficiency anaemia
  • micronutrients
  • policy
  • programme components

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology
  • Nutrition and Dietetics
  • Public Health, Environmental and Occupational Health

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