title: [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].
abstract: OBJECTIVE
  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.
  
  
  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 improve this intervention.
authors.affiliation: Centro Nacional de Alimentación y Nutrición, Instituto Nacional de Salud, Lima, Perú. luciohuaman@ins.gob.pe
authors.forename: Lucio
authors.initials: L
authors.lastname: Huamán-Espino
authors.forename: Juan Pablo
authors.initials: JP
authors.lastname: Aparco
authors.forename: Eloisa
authors.initials: E
authors.lastname: Nuñez-Robles
authors.forename: Elena
authors.initials: E
authors.lastname: Gonzáles
authors.forename: Jenny
authors.initials: J
authors.lastname: Pillaca
authors.forename: Percy
authors.initials: P
authors.lastname: Mayta-Tristán
mesh_terms: D000740:Anemia / Q000453:epidemiology*; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D019587:Dietary Supplements; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D018977:Micronutrients / Q000008:administration & dosage*; D010568:Peru; D015995:Prevalence
chemical_list: D018977:Micronutrients