@article{fdi:010093430,
  title = {{F}acilitators and barriers to anemia prevention in the urban government childcare program for infants and young children in {P}eru},
  author = {{T}arazona-{M}eza, {C}. and {B}artolini, {R}. {M}. and {R}omero, {K}. and {P}radeilles, {R}ebecca and {G}oya, {C}. and {R}ousham, {E}. {K}. and {G}riffiths, {P}. {L}. and {C}reed-{K}anashiro, {H}. {M}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground{A}nemia is a major public health problem in children under 2 years old in {P}eru and other low- and middle-income countries.{O}bjectives{W}e aimed to explore facilitators and barriers to anemia prevention through feeding strategies in the {C}una {M}as day-care centers in urban {P}eru among infants and young children ({IYC}) aged 6-23 months.{M}ethods{Q}ualitative research in day-care services (n = 14) in {P}eru. {W}e conducted direct observations and semi-structured interviews about consumption of animal source foods ({ASF}) and iron supplementation with day-care staff (technical managers, nursery caregivers and 'mother guides') and caregivers of {IYC}. {W}e applied a grounded approach to data analysis.{R}esults{C}una {M}as staff facilitated {ASF} consumption by introducing small portions of iron-rich foods and serving organ meats in tasty stews. {S}taff also avoided giving carbohydrate-rich foods to {IYC} prior to giving organ meats. {S}taff facilitated giving daily iron supplement by using standardized and personalized strategies, such as using a timed reminder, praising and cheering a child or giving supplements whilst washing a child's hands and face. {T}hese strategies were also shared with primary caregivers to use at home. {S}ome barriers reported by caregivers included difficulties in accessing and preparing specific {ASF} at home.{C}onclusion{T}he {P}eruvian {C}una {M}as complementary feeding program facilitated consumption of iron-rich {ASF} and iron supplements through a range of strategies which they then shared with caregivers for implementation at home. {T}hese institutional behavioral change initiatives could be replicated in other settings whilst considering the facilitators and barriers identified in this study.},
  keywords = {{A}nemia ; complementary feeding ; animal source foods ; iron ; infants ; young ; children ; day-care service ; qualitative ; {LMIC} ; {PEROU}},
  booktitle = {},
  journal = {{G}lobal {H}ealth {A}ction},
  volume = {18},
  numero = {1},
  pages = {2475580 [13 p.]},
  year = {2025},
  DOI = {10.1080/16549716.2025.2475580},
  URL = {https://www.documentation.ird.fr/hor/fdi:010093430},
}