Consumption of chispitas multimicronutrient supplements and anemia in 6-35-month-old children: cross-cut study in the context of a populational health intervention in Apurimac, Peru

Authors

  • Lucio Huamán-Espino Centro Nacional de Alimentación y Nutrición, Instituto Nacional de Salud. Lima, Perú. Sociólogo.
  • Juan Pablo Aparco Centro Nacional de Alimentación y Nutrición, Instituto Nacional de Salud. Lima, Perú. nutricionista
  • Eloisa Nuñez-Robles Centro Nacional de Alimentación y Nutrición, Instituto Nacional de Salud. Lima, Perú. enfermera
  • Elena Gonzáles Centro Nacional de Alimentación y Nutrición, Instituto Nacional de Salud. Lima, Perú. nutricionista.
  • Jenny Pillaca Centro Nacional de Alimentación y Nutrición, Instituto Nacional de Salud. Lima, Perú. estadística
  • Percy Mayta-Tristán Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú. médico.

DOI:

https://doi.org/10.17843/rpmesp.2012.293.363

Keywords:

Anemia, Dietary supplements, Micronutrients, Altitude, Government programs, Public health, Peru

Abstract

Objectives. To assess the implementation of the Universal “Chispitas®” Multimicronutrient Supplement Program in Apurimac by determining the quantity and quality of sachets consumed and their connection with anemia, in 6 – 35-month- old children. Materials and methods. A crosscut study was conducted by using a multistage sample in 2010. Anemia was considered to be related to altitude-adjusted hemoglobin values below 110 g/L. The consumption of multimicronutrients was classified as follows: less than 30; 30 to 59, and 60 or more sachets. The quality of consumption was considered to be adequate when the mother indicated that the child ate all his food with the supplement. The rationale for prevalence (RPa) adjusted by Poisson regression was calculated. Results. 714 participants were included, 25.3% of which lived in poor houses and 59.2% in extreme poverty; 52.6% lived at over 3000 m of altitude. The prevalence of anemia was 51.3% (CI95%: 47.1-55.4%), 5.4% did not receive intervention; 60.3% consumed 60 or more sachets and 49.0% consumed them adequately. No association between the number of sachets received or consumed and anemia (p<0.05) was found. Children who consumed the supplement adequately showed lower prevalence of anemia than those who did not (RPa: 0.81; CI95%: 0.68-0.96) Conclusions. In order to reduce the prevalence of anemia, attention should not only focus on giving or consuming the necessary quantity of multimicronutrients, but also on ensuring that the consumption process is adequate, and work needs to be done in this area in order to im prove this intervention.

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Published

2014-02-03

Issue

Section

Research Articles

How to Cite

1.
Huamán-Espino L, Aparco JP, Nuñez-Robles E, Gonzáles E, Pillaca J, Mayta-Tristán P. Consumption of chispitas multimicronutrient supplements and anemia in 6-35-month-old children: cross-cut study in the context of a populational health intervention in Apurimac, Peru. Rev Peru Med Exp Salud Publica [Internet]. 2014 Feb. 3 [cited 2024 May 20];29(3). Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/363

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