Forming a Supplement Intervention Using a Multi-Theoretical Behavior Model

Objectives: To identify behavior theory-based strategies to improve compliance with daily multiple micronutrient supplementation (MMS) among rural Ghanaian women. Methods: Components of a multi-theoretical framework were investigated in focus groups of reproductive-aged women in 6 communities. Results: Participants were generally unaware of MMS' purpose. Perceived benefits included better health and stimulated appetite, which some believe escalates food purchases and financial constraints. Cost, forgetfulness, and unsustainability were also perceived barriers. Facilitators for compliance incorporated initial visual reminders and daily announcements with reinforcement using the 'keeper' system. Conclusions: Application of a tailored health behavioral model can effectively guide the design, implementation and evaluation of community-based MMS interventions.