To assess the acceptability & feasibility of the introduction of MNP into the current public health system in KwaZulu- Natal, South Africa To inform provincial policy.- To assess the adequacy of training provided, distribution, storage and reporting model To inform provincial policy.
A cross sectional descriptive survey following the implementation of the pilot project which distributed 4857 540 x1g sachets of MNP to 88 876 children between 6-24 months of age. Fifty percent (n = 5) of the piloted districts were targeted. Semi structured questionnaires were admitted to 50 project implementers. Semi-structured group discussions were held with 18 groups (n=125) of community implementers. Focus groups discussions were held with 18 groups of caregivers (n=66) of MNP recipients.
There was a high level of acceptability of the product amongst project implementers (93%). Positive responses were received from caregivers reporting improvement in appetite and general wellbeing of children. The majority of respondents (70 – 81%) reported no problem with regards to delivery, storage, distribution, stock control and reporting. Training for implementers and clarity on the age of the targeted group was listed by implementers as factors that require improvement.
Micronutrient powders have not been used at a public health level in SA. The evaluation of the pilot project in KZN demonstrated that some operational adjustments need to be made to the project, before it could be scaled up for policy development and provincial implementation. The evaluation established the acceptability of micronutrients powders by implementers & recipients.