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Home consumption of two fortified balanced energy protein supplements by pregnant women in Burkina Faso

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Abstract
Balanced energy protein (BEP) supplementation for pregnant and lactating women in low- and middle-income countries is a promising strategy to improve birth outcomes and child growth. The objective of this study was to assess and compare the acceptability of new formulations of two fortified BEP supplements, a lipid-based peanut paste and a vanilla biscuit, among 80 pregnant women in rural Burkina Faso, prior to an efficacy trial. A 10-week individually randomized cross-over study was designed, in which women received a weekly supply of each supplement for 4 weeks, and a daily choice between the supplements in the last 2 weeks. Questionnaires to assess daily consumption and supplement acceptability (n = 80) and home observations (n = 20) were combined with focus group discussions (n = 6) and in-depth interviews with women (n = 80) and stakeholders (n = 24). Results showed that the two supplements were well accepted. Quantitative findings indicated high compliance (>99.6%) and high overall appreciation (Likert score >6 out of 7) of both supplements. The assessment of preferred choice in Weeks 9 and 10 indicated a slight preference for the vanilla biscuit. Qualitative findings indicated that perceived health benefits, support from household members and educational messages from health professionals were important drivers for acceptance and compliance. Sharing was not often reported but was identified during interviews as a possible risk. We recommend that future studies use a combination of methods to identify appropriate food supplements and context-specific factors that influence acceptability, compliance and subsequent impact of nutritious food supplements.
Keywords
Obstetrics and Gynaecology, Pediatrics, Perinatology, and Child Health, Nutrition and Dietetics, Public Health, Environmental and Occupational Health, acceptability, balanced energy protein (BEP) supplements, Burkina Faso, cultural context, low birth weight, low&#8208, income countries, maternal nutrition, nutritional interventions, pregnancy outcome, MIDDLE-INCOME COUNTRIES, FOR-GESTATIONAL-AGE, MULTIPLE MICRONUTRIENT SUPPLEMENTATION, NUTRIENT SUPPLEMENTS, ACCEPTABILITY, FOOD, NUTRITION, INFANTS, GROWTH, DETERMINANTS

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MLA
de Kok, Brenda, et al. “Home Consumption of Two Fortified Balanced Energy Protein Supplements by Pregnant Women in Burkina Faso.” MATERNAL AND CHILD NUTRITION, vol. 17, no. 3, 2021, doi:10.1111/mcn.13134.
APA
de Kok, B., Moore, K., Jones, L., Vanslambrouck, K., Toe, L. C., Ouédraogo, M., … Isanaka, S. (2021). Home consumption of two fortified balanced energy protein supplements by pregnant women in Burkina Faso. MATERNAL AND CHILD NUTRITION, 17(3). https://doi.org/10.1111/mcn.13134
Chicago author-date
Kok, Brenda de, Katie Moore, Leslie Jones, Katrien Vanslambrouck, Laeticia Celine Toe, Moctar Ouédraogo, Rasmané Ganaba, et al. 2021. “Home Consumption of Two Fortified Balanced Energy Protein Supplements by Pregnant Women in Burkina Faso.” MATERNAL AND CHILD NUTRITION 17 (3). https://doi.org/10.1111/mcn.13134.
Chicago author-date (all authors)
de Kok, Brenda, Katie Moore, Leslie Jones, Katrien Vanslambrouck, Laeticia Celine Toe, Moctar Ouédraogo, Rasmané Ganaba, Saskia de Pee, Juliet Bedford, Carl Lachat, Patrick Kolsteren, and Sheila Isanaka. 2021. “Home Consumption of Two Fortified Balanced Energy Protein Supplements by Pregnant Women in Burkina Faso.” MATERNAL AND CHILD NUTRITION 17 (3). doi:10.1111/mcn.13134.
Vancouver
1.
de Kok B, Moore K, Jones L, Vanslambrouck K, Toe LC, Ouédraogo M, et al. Home consumption of two fortified balanced energy protein supplements by pregnant women in Burkina Faso. MATERNAL AND CHILD NUTRITION. 2021;17(3).
IEEE
[1]
B. de Kok et al., “Home consumption of two fortified balanced energy protein supplements by pregnant women in Burkina Faso,” MATERNAL AND CHILD NUTRITION, vol. 17, no. 3, 2021.
@article{8686837,
  abstract     = {{Balanced energy protein (BEP) supplementation for pregnant and lactating women in low- and middle-income countries is a promising strategy to improve birth outcomes and child growth. The objective of this study was to assess and compare the acceptability of new formulations of two fortified BEP supplements, a lipid-based peanut paste and a vanilla biscuit, among 80 pregnant women in rural Burkina Faso, prior to an efficacy trial. A 10-week individually randomized cross-over study was designed, in which women received a weekly supply of each supplement for 4 weeks, and a daily choice between the supplements in the last 2 weeks. Questionnaires to assess daily consumption and supplement acceptability (n = 80) and home observations (n = 20) were combined with focus group discussions (n = 6) and in-depth interviews with women (n = 80) and stakeholders (n = 24). Results showed that the two supplements were well accepted. Quantitative findings indicated high compliance (>99.6%) and high overall appreciation (Likert score >6 out of 7) of both supplements. The assessment of preferred choice in Weeks 9 and 10 indicated a slight preference for the vanilla biscuit. Qualitative findings indicated that perceived health benefits, support from household members and educational messages from health professionals were important drivers for acceptance and compliance. Sharing was not often reported but was identified during interviews as a possible risk. We recommend that future studies use a combination of methods to identify appropriate food supplements and context-specific factors that influence acceptability, compliance and subsequent impact of nutritious food supplements.}},
  articleno    = {{e13134}},
  author       = {{de Kok, Brenda and Moore, Katie and Jones, Leslie and Vanslambrouck, Katrien and Toe, Laeticia Celine and Ouédraogo, Moctar and Ganaba, Rasmané and de Pee, Saskia and Bedford, Juliet and Lachat, Carl and Kolsteren, Patrick and Isanaka, Sheila}},
  issn         = {{1740-8695}},
  journal      = {{MATERNAL AND CHILD NUTRITION}},
  keywords     = {{Obstetrics and Gynaecology,Pediatrics,Perinatology,and Child Health,Nutrition and Dietetics,Public Health,Environmental and Occupational Health,acceptability,balanced energy protein (BEP) supplements,Burkina Faso,cultural context,low birth weight,low&#8208,income countries,maternal nutrition,nutritional interventions,pregnancy outcome,MIDDLE-INCOME COUNTRIES,FOR-GESTATIONAL-AGE,MULTIPLE MICRONUTRIENT SUPPLEMENTATION,NUTRIENT SUPPLEMENTS,ACCEPTABILITY,FOOD,NUTRITION,INFANTS,GROWTH,DETERMINANTS}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{13}},
  title        = {{Home consumption of two fortified balanced energy protein supplements by pregnant women in Burkina Faso}},
  url          = {{http://dx.doi.org/10.1111/mcn.13134}},
  volume       = {{17}},
  year         = {{2021}},
}

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