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ORIGINAL ARTICLE
Open Access

Behavioral Insights Into Micronutrient Powder Use for Childhood Anemia in Arequipa, Peru

Jessica D. Brewer, Julianna Shinnick, Karina Román, Maria P. Santos, Valerie A. Paz-Soldan and Alison M. Buttenheim
Global Health: Science and Practice December 2020, 8(4):721-731; https://doi.org/10.9745/GHSP-D-20-00078
Jessica D. Brewer
aDepartment of Global Community Health and Behavioral Sciences, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA.
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  • For correspondence: jbrewer7@tulane.edu
Julianna Shinnick
bDepartment of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
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Karina Román
cDepartment of Health Management, Universidad Peruana Cayetano Heredia Facultad de Salud Pública y Administración Carlos Vidal Layseca, Lima, Peru.
dAsociación Benéfica PRISMA, Lima, Peru.
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Maria P. Santos
aDepartment of Global Community Health and Behavioral Sciences, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA.
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Valerie A. Paz-Soldan
aDepartment of Global Community Health and Behavioral Sciences, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA.
dAsociación Benéfica PRISMA, Lima, Peru.
eZoonotic Disease Research Lab, Universidad Peruana Cayetano Heredia Facultad de Salud Pública y Administración Carlos Vidal Layseca, Arequipa, Peru.
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Alison M. Buttenheim
bDepartment of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
fCenter for Health Incentives and Behavioral Economics, University of Pennsylvania, Philadelphia, PA, USA.
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    FIGURE

    NUDGE Approach as Applied to Analyzing Behavioral Barriers to and Facilitators of Micronutrient Powder Use Among Caregivers

    Abbreviation: NUDGE, narrow, understand, discover, generate, evaluate.

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    TABLE.

    Summary of Discovery of Behavioral Barriers/Facilitators to Micronutrient Powder Use Among Caregivers in Peru

    Decision-making StepPrompt(Cue, Action, or Meaning)Contextual FactorBehavioral ConstructBarrier or Facilitator
    Accessing MNPCue: The perspectives of people with authority on MNP hold greater weightCaregivers are more likely to make decisions about their children’s health when an expert gives them the information.Authority biasNegative interactions with medical professionals can cause caregivers to not give MNP.
    Using MNP at the moment of child feedingMeaning: Is the action uncomfortable or painful such that it is avoided?Children often react negatively to taste of MNP, making feeding difficult or unpleasant for caregiver.Negativity biasIf children refuse food supplemented with MNP, caregivers may stop giving it.
    Using MNP at the moment of child feedingAction: Caregivers abruptly discontinue MNPCaregivers abruptly decide to stop giving MNP when their child has diarrhea or another side effect.Hot-to-cold empathy gapVisceral reactions when a child is sick can lead to a rapid choice to discontinue MNP.
    • Abbreviation: MNP, micronutrient powder.

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Global Health: Science and Practice: 8 (4)
Global Health: Science and Practice
Vol. 8, No. 4
December 23, 2020
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Behavioral Insights Into Micronutrient Powder Use for Childhood Anemia in Arequipa, Peru
Jessica D. Brewer, Julianna Shinnick, Karina Román, Maria P. Santos, Valerie A. Paz-Soldan, Alison M. Buttenheim
Global Health: Science and Practice Dec 2020, 8 (4) 721-731; DOI: 10.9745/GHSP-D-20-00078

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Behavioral Insights Into Micronutrient Powder Use for Childhood Anemia in Arequipa, Peru
Jessica D. Brewer, Julianna Shinnick, Karina Román, Maria P. Santos, Valerie A. Paz-Soldan, Alison M. Buttenheim
Global Health: Science and Practice Dec 2020, 8 (4) 721-731; DOI: 10.9745/GHSP-D-20-00078
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