title: Effectiveness of distribution of multimicronutrient supplements in children and in women and adolescent girls of childbearing age in Chiclayo, Peru.
abstract: BACKGROUND
  There is a need to better understand the coverage of scaled-up multimicronutrient supplementation programs.
  
  
  OBJECTIVE
  The coverage of the distribution of multimicronutrient supplements in 26 urban communities among women and adolescent girls 12 through 44 years of age and children under 5 years of age was evaluated for purposes of scaling-up.
  
  
  METHODS
  Formative research and descriptive statistics were used to analyze the distribution of supplements.
  
  
  RESULTS
  Despite a delayed memorandum of understanding with the health sector and delayed delivery by the producer of the supplement, a high coverage rate of supplement distribution to the children (88% on average during the 3 months of supplementation) was still achieved as a result of the strong commitment of the community and the Integrated Food Security Program. The lower coverage rate among women and adolescent girls (47% on average) was the result of too short a period of enrollment in the program. There was no decrease of coverage during the 3 months of supplementation in both groups.
  
  
  CONCLUSIONS
  Effective, sustainable, large-scale micronutrient supplementation programs require broad partnerships with commitments of governmental and nongovernmental organizations, communities, and the private sector. Availability of the supplements and communication materials must be secured well ahead of the supplementation campaign and distribution of the supplement.
authors: Agencia Internacional de Seguridad Alimentaria (AISA), Lima, Peru. ulragross@aol.com
authors: Ursula
authors: U
authors: Gross
authors: Claudia
authors: C
authors: Valle
authors: Marita Mamani
authors: MM
authors: Diaz
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D019587:Dietary Supplements / Q000706:statistics & numerical data / Q000600:supply & distribution; D005260:Female; D006077:Government Agencies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D018977:Micronutrients / Q000008:administration & dosage* / Q000172:deficiency*; D009747:Nutritional Physiological Phenomena; D009938:Organizations; D010568:Peru; D017149:Private Sector; D015397:Program Evaluation; D011634:Public Health; D012098:Reproduction / Q000502:physiology; D016896:Treatment Outcome
chemical_list: D018977:Micronutrients