Effectiveness of the communication program on compliance in a weekly multimicronutrient supplementation program in Chiclayo, Peru

Food Nutr Bull. 2006;27(4 Suppl Peru):S130-42. doi: 10.1177/15648265060274S404.


Background: Compliance with daily micronutrient supplementation is usually poor and the question arises whether compliance with a weekly regimen would be better.

Objectives: The inputs (messages and channels), output (increase of knowledge), and outcome (behavior changes) ofa communication campaign in a micronutrient supplementation program for women and adolescent girls 12 through 44 years of age and children under 5 years of age (primary audience) were analyzed.

Methods: The communication program addressed not only the primary, but also the secondary (facilitators) and tertiary audiences. Formative research and descriptive statistics were used to analyze the communication campaign.

Results: Nearly all women and adolescent girls (89%) and children (91%) took at least 75% of the supplements over the 3-month period. The incidence rates of reported negative side effects of supplementation in children and in women and adolescent girls were less than 10%. Knowledge of micronutrient nutrition among facilitators of all ages and education levels increased significantly (p <.001).

Conclusion: . A thoroughly planned and implemented nutrition communication program can secure high compliance of the beneficiaries of micronutrient supplementation programs. The necessary supplies should be available at least 3 months before program implementation. With an adequate communication program, supplementation programs can be used to foster food-based approaches for the target audience.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Communication*
  • Dietary Supplements*
  • Female
  • Health Education
  • Health Knowledge, Attitudes, Practice
  • Health Promotion
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Micronutrients / administration & dosage*
  • Micronutrients / adverse effects
  • Micronutrients / deficiency
  • Patient Compliance*
  • Patient Education as Topic*
  • Peru
  • Program Evaluation*
  • Treatment Outcome


  • Micronutrients