Identifying acceptability and price points for purchasing micronutrient powders for children 2 to 5 years old in Nepal

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Author : Rajni Gunnala, Cria G Perrine, Giriraj Subedi, Saba Mebrahtu, Pradiumna Dahal, Maria Elena Jefferds
Keyword : acceptability to purchase, micronutrient powders, Nepal, price points, iron
DOI : 10.6133/apjcn.102015.07
Issue : Asia Pac J Clin Nutr 2017;26(1):110-117
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Abstract

Background and Objective: Little is known about purchasing micronutrient powders (MNP) for children 2-5 years. We describe acceptability for purchasing and price points for MNP for children 2-5 years among caregivers living in districts where free MNP are distributed for children 6-23 months. Methods and Study Design: Cross- sectional surveys conducted 3 months after MNP program implementation in 2 districts; 15 months after imple- mentation in 2 different districts. Chi square tests and logistic regression describe associations among socio- demographics and program exposure factors and acceptability of purchasing MNP among 1,261 mothers of chil- dren 6-23 months who had heard of MNP. Results: Overall, 77.5% and 86.1% of mothers reported acceptability for purchasing MNP in the 3 and 15 month surveys, respectively. Positive pricing attitude (PPA) about paying 150 Nepali rupees for 60 sachets of MNP was reported by 66.3% and 73.4% of mothers. Acceptability for pur- chasing MNP in both time periods increased with higher wealth quintile and higher maternal education; PPA in- creased with higher maternal education. Controlling for socio-demographics, program exposure factors associated with acceptability for purchasing MNP included: lack of perceived barriers to MNP intake and health worker counselling (3 month surveys); knowledge of benefits of MNP intake and lack of perceived barriers to MNP in- take (15 month surveys). Conclusions: Mothers reported acceptability for purchasing MNP and PPA for older children in Nepal. Differences in acceptability were found across socio-demographics and program exposures. Use of these results and further exploration into actual purchasing behaviour can inform future MNP distribution methods in Nepal.

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