Poster Topical Area: Global Nutrition

Location: Hall D

Poster Board Number: 571

P12-064 - Behaviors Surrounding Ration Use in a Blanket Supplementary Feeding Program in Burkina Faso

Monday, Jun 11
8:00 AM – 3:00 PM

Objective: We aimed to understand the factors that influence comparative effectiveness of four supplementary food aid products by exploring behaviors surrounding use of the foods.


Methods:
From 7/2014 to 12/2016, the Food Aid Quality Review studied the effectiveness of Corn Soy Blend Plus with oil (CSB+), Corn Soy Whey Blend with oil (CSWB), SuperCereal Plus (SC+), and Ready-to-Use Supplementary Food (RUSF) in a blanket Supplementary Feeding Program for prevention of stunting and wasting in Burkina Faso. This was a geographically clustered, four-pronged longitudinal study of children enrolled at ~6 months of age and followed for 18 months. Sub-samples of beneficiaries participated in in-depth interviews and in-home observations.


Results:
A total of 1463 caregivers were interviewed, and 209 households were observed in their homes for four consecutive days. By arm, 43%-75% reported that the ration does not last the entire month as intended, with the highest percentage reported in CSWB. Observations were consistent: the ration was present in 53%-92% of households, with the lowest percentage in CSWB. Reported sharing of the ration (consumption by anyone other than the beneficiary child) was common in all four arms; lowest in RUSF and highest in SC+ (52% to 73%). Observed sharing was highest in CSWB (36%) and was similar among the other arms (24%). Reported consumption of the ration in the recommended form was lowest in CSWB (61%) and highest in RUSF (82%). CSWB had the lowest observed consumption by the beneficiary child (22%). We observed only two households giving away the ration (RUSF) once, compared with 8-13% of households who reported giving the ration away. Twice, we observed ration porridge being shared with other households (CSWB arm). Eighteen to 21% reported and 9 to 20% were observed using the ration oil for other household cooking in CSWB and CSB+, respectively. There was no reported or observed ration selling.


Conclusions:
Diversion of foods was common, indicating they are not used as intended.CSWB was shared more and eaten less frequently by the beneficiary child. These findings are important in understanding the effectiveness of these products. Challenges to proper use should be well understood; supplementary feeding programs should focus on beneficiary adherence to achieve intended impacts.




Funding Source: This research was performed under the extension of the Food Aid Quality Review (FAQR III) project implemented for the USAID Office of Food for Peace by Tufts University Friedman School of Nutrition Science and Policy. This poster is made possible by the generous support of the American people through the United States Agency for International Development (USAID). The contents are the responsibility of Tufts University under the terms of AID-OAA-C-16-00020 and do not necessarily reflect the views of USAID or the United States Government. The partner Title II program, Victoire sur la Malnutrition (ViM) operated in Burkina Faso under the management of ACDI/VOCA was implemented by Save the Children. Institut de Recherche en Sciences de la Sante (IRSS), a research institution within the Centre National de la Recherche Scientifique et Technologique (CNRST) in Burkina Faso served as a research partner and conducted data collection.

CoAuthors: Ilana Cliffer, MPH РFriedman School of Nutrition Science and Policy, Tufts University; Devika Suri, MS, MPH РFriedman School of Nutrition Science and Policy, Tufts University; Ye Shen, MSPH РFriedman School of Nutrition Science and Policy, Tufts University; Laetitia Nikiema, PhD РInstitut de Recherche en Sciences de la Sant̩, Centre National de Recherche de Science et Technologie; Patrick Webb, PhD РFriedman School of Nutrition Science and Policy, Tufts University; Beatrice Rogers, PhD РFriedman School of Nutrition Science and Policy, Tufts University

Breanne Langlois

Data Analyst
Friedman School of Nutrition Science and Policy, Tufts University.
Boston, Massachusetts